CPT code 28122: Tarsal bone excision, other tarsal bones2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $582.58 for 28122 in the office and $399.88 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 28122 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 28122 covers

A foot and ankle surgeon, commonly an orthopedic surgeon or podiatrist, reports this procedure when completely excising a tarsal bone other than the talus or calcaneus. Examples include a cuboid or cuneiform. The operation may address a symptomatic bony prominence, deformity, arthritic change, or other bone pathology. The operative report should identify the bone removed and describe complete excision rather than a limited shaving or partial resection.

Select this code by the bone and extent of removal: it is for complete excision of another tarsal bone, not partial excision of the talus or calcaneus. Document the clinical indication, operative findings, and extent of bone removal. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How South Dakota compares for 28122

Across 109 of 109 payment localities, the office rate for 28122 runs from $537.14 in Arkansas to $768.29 in San Benito County, CA. South Dakota pays $582.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28122 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 28122 in every payment locality

How the 28122 rate is calculated

Each of 28122’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 28122

28122 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 28122

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 28122 has changed in South Dakota

Price 28122 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates