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

Reports complete excision of a tarsal bone such as a cuboid or cuneiform to treat a symptomatic bony abnormality or other pathology.

CMS RVU26DEffective Oct 1, 2026One payment locality17K Medicare services in 2024

In Virginia, Medicare pays $585.83 for 28122 in the office and $406.23 when it’s performed in a hospital or facility.

$585.83Office (non-facility)
$406.23Hospital or facility
−2.2%vs the national office rate ($599.21)

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.

We’ll open 28122 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 28122 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Virginia 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. Virginia pays $585.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

28122 in Virginia vs other payment areas
  1. Virginia · this page$585.83
  2. Los Angeles, CA · California$664.61+$78.78
  3. Washington, DC area · District of Columbia$676.95+$91.12
  4. Miami, FL · Florida$652.03+$66.20
  5. Chicago, IL · Illinois$634.96+$49.13
  6. Manhattan, NY · New York$685.34+$99.51
  7. Alaska · Alaska$721.03+$135.20

Other areas in Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

28122 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$544.08$384.22
ArkansasArkansas$537.14$380.20
ArizonaArizona$584.63$407.59
Bakersfield, CACalifornia$627.59$427.35
Chico, CACalifornia$625.32$425.08
El Centro, CACalifornia$625.44$425.20
Fresno, CACalifornia$625.32$425.08
Hanford, CACalifornia$625.32$425.08

28122 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$537.14

$721.03

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
28122 office rate range by state
State / territoryOffice rate rangeLocalities
AK$721.031
AL$544.081
AR$537.141
AZ$584.631
CA$625.32–$768.2929
CO$619.031
CT$636.141
DC$676.951
DE$593.531
FL$596.23–$652.033
GA$565.78–$610.572
GU$637.171
HI$637.171
IA$554.011
ID$557.691
IL$582.51–$634.964
IN$560.491
KS$552.801
KY$557.781
LA$557.44–$581.732
MA$616.41–$674.172
MD$603.61–$676.953
ME$561.42–$586.782
MI$571.64–$604.012
MN$591.841
MO$549.70–$582.273
MS$543.461
MT$599.161
NC$566.451
ND$584.331
NE$556.371
NH$610.601
NJ$643.02–$671.432
NM$574.861
NV$595.381
NY$574.07–$701.685
OH$568.611
OK$555.741
OR$590.36–$635.622
PA$568.80–$622.522
PR$602.731
RI$612.371
SC$568.551
SD$582.581
TN$555.401
TX$565.57–$617.338
UT$575.411
VA$585.83–$676.952
VI$602.731
VT$583.301
WA$614.85–$686.002
WI$567.011
WV$563.631
WY$592.701

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.

How the rate is built · 28122

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.59

6.59 RVUs× 1.000 GPCI

Practice expense10.60

10.60 RVUs× 1.000 GPCI

Malpractice0.75

0.75 RVUs× 1.000 GPCI

Adjusted RVUs

17.9400

Conversion factor

$33.4009

Medicare rate

$599.21

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,133

Code
28122
Physician work
6.59
Practice expense
10.60
Malpractice
0.75

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 28122 in Virginia
ComponentRVULocality factorAdjusted
Physician work6.59× 1.0006.5900
Practice expense10.60× 0.98310.4198
Malpractice0.75× 0.7060.5295
Total RVUs17.5393
Conversion factor× 33.4009

Office rate, Virginia$585.83

Office: (6.59 × 1 + 10.6 × 0.983 + 0.75 × 0.706) × $33.4009 = $585.83

Facility: (6.59 × 1 + 5.13 × 0.983 + 0.75 × 0.706) × $33.4009 = $406.23

Open 28122 in the RVU calculator

Payment rules and modifiers for 28122

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

CMS payment indicators · 28122

Tarsal bone excision, other tarsal bones

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 28122

Tarsal bone excision, other tarsal bones

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

28122 without 50 · national office

$599.21

Tarsal bone excision, other tarsal bones

28122-50 · Bilateral: 150%

$898.82

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 28122

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

Codes related to 28122
CodeHow it relatesOffice range, Virginia
Same family
28120Bone excision, talus or calcaneusCovers partial excision of the talus or calcaneus rather than complete excision of another tarsal bone.$670.21
28118Heel bone resection, calcaneal ostectomyAddresses calcaneal ostectomy, a different tarsal bone site.$616.64
28110Metatarsal resection, partial fifth-head excisionAddresses partial excision of the fifth metatarsal head, not a tarsal bone.$457.41

How 28122 has changed in Virginia

28122 · Office / nonfacility

$585.83

Effective 2026-10-01

The base rate is $21.23 higher than on 2025-10-01, moving from $564.60 to $585.83 (3.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $564.60changed to$585.83

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.76 changed to 6.59
    • Practice expense RVU 10.31 changed to 10.60
    • Malpractice RVU 0.71 changed to 0.75
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $581.52changed to$564.60

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.73 changed to 0.71

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $572.03changed to$581.52

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $588.40changed to$572.03

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.11 changed to 10.31
    • Malpractice RVU 0.72 changed to 0.73
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $599.55changed to$588.40

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.96 changed to 10.11
    • Malpractice RVU 0.73 changed to 0.72
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $608.76changed to$599.55

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.10 changed to 9.96
    • Malpractice RVU 0.71 changed to 0.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $614.05changed to$608.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.71 changed to 10.10
    • Malpractice RVU 0.70 changed to 0.71
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $615.21changed to$614.05

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.84 changed to 9.71
    • Malpractice RVU 0.67 changed to 0.70
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $616.31changed to$615.21

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.89 changed to 9.84

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $612.30changed to$616.31

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.86 changed to 9.89
    • Malpractice RVU 0.68 changed to 0.67
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $608.42changed to$612.30

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.84 changed to 9.86
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $611.15changed to$608.42

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.83 changed to 9.84
    • Malpractice RVU 0.71 changed to 0.68

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $608.11changed to$611.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $602.28changed to$608.11

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.71 changed to 9.83
    • Malpractice RVU 0.69 changed to 0.71
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $605.24changed to$602.28

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.75 changed to 9.71
    • Malpractice RVU 0.72 changed to 0.69
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $605.24

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$585.83$406.23RVU26D
2026-07-01$585.83$406.23RVU26C
2026-04-01$585.83$406.23RVU26B
2026-01-01$585.83$406.23RVU26A
2025-10-01$564.60$425.50RVU25D
2025-07-01$564.60$425.50RVU25C
2025-04-01$564.60$425.50RVU25B
2025-01-01$564.60$425.50RVU25A
2024-10-01$581.52$434.13RVU24D
2024-07-01$581.52$434.13RVU24C
2024-04-01$581.52$434.13RVU24B
2024-03-09$581.52$434.13RVU24AR
2024-01-01$572.03$427.04RVU24A
2023-10-01$588.40$436.43RVU23D
2023-07-01$588.40$436.43RVU23C
2023-04-01$588.40$436.43RVU23B
2023-01-01$588.40$436.43RVU23A
2022-10-01$599.55$441.85RVU22D
2022-07-01$599.55$441.85RVU22C
2022-04-01$599.55$441.85RVU22B
2022-01-01$599.55$441.85RVU22A
2021-10-01$608.76$442.11RVU21D
2021-07-01$608.76$442.11RVU21C
2021-04-01$608.76$442.11RVU21B
2021-01-01$608.76$442.11RVU21A
2020-10-01$614.05$451.32RVU20D
2020-07-01$614.05$451.32RVU20C
2020-04-01$614.05$451.32RVU20B
2020-01-01$614.05$451.32RVU20A
2019-10-01$615.21$451.04RVU19D
2019-07-01$615.21$451.04RVU19C
2019-04-01$615.21$451.04RVU19B
2019-01-01$615.21$451.04RVU19A
2018-10-01$616.31$451.25RVU18D
2018-07-01$616.31$451.25RVU18C
2018-04-01$616.31$451.25RVU18B
2018-01-01$616.31$451.25RVU18AR1
2017-10-01$612.30$448.62RVU17D
2017-07-01$612.30$448.62RVU17C
2017-04-01$612.30$448.62RVU17B
2017-01-01$612.30$448.62RVU17A
2016-10-01$608.42$446.17RVU16D
2016-07-01$608.42$446.17RVU16C
2016-04-01$608.42$446.17RVU16B
2016-01-01$608.42$446.17RVU16A
2015-10-01$611.15$447.61RVU15D
2015-07-01$611.15$447.61RVU15C
2015-04-01$608.11$445.38RVU15B
2015-01-01$608.11$445.38RVU15A
2014-10-01$602.28$443.24RVU14D
2014-07-01$602.28$443.24RVU14C
2014-04-01$602.28$443.24RVU14B
2014-01-01$602.28$443.24RVU14A
2013-10-01$605.24$436.38RVU13D
2013-07-01$605.24$436.38RVU13C
2013-04-01$605.24$436.38RVU13B
2013-01-01$605.24$436.38RVU13AR

Price 28122 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

28122 billing questions

How does 28122 differ from 28120?

28122 is for complete excision of another tarsal bone, such as a cuboid or cuneiform. 28120 is for partial excision of the talus or calcaneus.

Does a partial shaving of a cuboid or cuneiform support 28122?

No. The operative documentation should support complete excision of the tarsal bone; a limited resection does not meet that selection criterion.

How should bilateral procedures be reported?

Report bilateral work with modifier 50. CMS pays the bilateral procedure at 150%.

What documentation supports this code?

Identify the tarsal bone removed, the reason for surgery, and the operative extent showing complete excision. The record should distinguish this work from partial excision of the talus or calcaneus.

How does Medicare handle other procedures performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

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

Show the CMS file lines behind this rate
RVUs for 28122PPRRVU2026_Oct_nonQPP.csv, line 3,133 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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