CPT code 28130: Talectomy, partial or complete removal2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 28130 in California.

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

What 28130 covers

Code 28130 represents talectomy: operative removal of part or all of the talus, the ankle bone. An orthopedic or foot-and-ankle surgeon may perform it as salvage treatment when the talus is severely damaged, infected, or deformed and cannot be preserved with a more limited procedure. It is generally performed in an operating room or other surgical facility.

Report 28130 when the operative note supports removal of talar bone as a talectomy; document the indication, side, and extent of removal. CMS assigns major-surgery status with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires 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.

Where 28130 pays more and less in California

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

29 of 29 payment localities

How the 28130 rate is calculated

Each of 28130’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 28130

28130 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

28130 compared with similar codes

How to choose

28120Bone excisionTalus or calcaneus

28130 is reported for a talectomy involving part or all of the talus. 28120 describes a partial excision involving the talus or calcaneus; use the code that matches the documented procedure.

28100Bone lesion excisionTalus or calcaneus

28100 targets a bone cyst or benign tumor in the talus or calcaneus. 28130 describes talar removal rather than lesion-directed curettage or excision.

28122Tarsal bone excisionOther tarsal bones

28122 describes partial excision of a tarsal or metatarsal bone other than the talus or calcaneus. 28130 applies to talar removal.

Codes related to 28130

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