CPT code 28124: Toe bone excision, partial phalanx excision2026 Medicare rate & RVUs

Medicare pays $474.29 for 28124 nationally in the office and $317.98 in a hospital or facility. Local office rates run $425.00–$615.59.

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

What 28124 covers

A podiatrist or orthopedic surgeon removes a portion of a toe phalanx to treat localized bone disease or a painful bony prominence. The procedure may be performed in an office-based surgical setting or a hospital or ambulatory surgery facility. The operative report should identify the toe, the phalanx involved, the portion removed, and the clinical reason for the excision.

Select this code when the work is partial removal of phalangeal bone, rather than a defined resection of a distal or proximal condyle or removal of a broader phalangeal segment. Related preoperative care on the day before surgery and related postoperative care for 90 days are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are 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.

Where 28124 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

28124 rates by state

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

How the 28124 rate is calculated

Each of 28124’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 28124

28124 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

28124 compared with similar codes

How to choose

28126Toe bone excisionComplete phalanx removal

28126 is specific to resection of the distal phalanx condyle. Choose 28124 for partial phalangeal bone removal that is not a defined distal condyle resection.

28153Toe bone removalPartial excision

28153 describes resection of a proximal phalanx condyle. 28124 is the better fit when the documented work is partial bone excision without that specific condylar target.

28150Toe amputationAt the MTP joint

28150 is for phalangectomy, a more extensive removal of toe phalangeal bone. Use 28124 when only a portion of the phalanx is excised.

28160Toe bone excisionJoint or partial phalanx

28160 covers hemiphalangectomy or excision involving a toe interphalangeal joint. 28124 describes partial bone excision without that joint-focused procedure.

Codes related to 28124

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

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