CPT code 28150: Toe amputation, at the MTP joint2026 Medicare rate & RVUs in Maryland
Report this service when a surgeon removes an entire toe through its metatarsophalangeal joint, such as for a nonviable or severely infected toe.
Medicare pays $417.52–$469.90 for 28150 in the office in Maryland, from Rest of Maryland to Washington, DC area. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 28150 covers
A surgeon removes the toe by disarticulating it at the metatarsophalangeal joint. This operation may be performed by a podiatrist or orthopedic surgeon when a toe is nonviable from ischemia or gangrene, or when severe infection makes preservation unsuitable. The operative report should identify the affected digit and document the amputation level; removal limited to a toe bone or joint is a different service.
Report 28150 for the complete toe removal at the MTP joint, not for an amputation through an interphalangeal joint. Medicare treats it as major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for bilateral reporting. Medicare does not pay an assistant at surgery, and 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 28150 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$417.52 to $469.90
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | $438.92 | $279.43 |
| Rest of Maryland | $417.52 | $267.10 |
| Washington, DC area | $469.90 | $294.81 |
How the 28150 rate is calculated
Each of 28150’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 · 28150
RVUs × geographic indexes × conversion factor
Work4.12
4.12 RVUs× 1.000 GPCI
Practice expense7.85
7.85 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
12.4000
Conversion factor
$33.4009
Medicare rate
$414.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28150
28150 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28150
Toe amputation, at the MTP joint
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28150
Toe amputation, at the MTP joint
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
28150 without 51 · national office
$414.17
Toe amputation, at the MTP joint
28150-51 · Second procedure: 50%
$207.09
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
28150 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28160Toe bone excisionJoint or partial phalanx
- Choose 28150 when the toe is removed through the MTP joint. Choose 28160 when the amputation level is an interphalangeal joint.
- 28124Toe bone excisionPartial phalanx excision
- 28124 describes partial excision of toe phalanx bone. It is not the code for removing the entire toe at the MTP joint.
- 28126Toe bone excisionComplete phalanx removal
- 28126 is for resection of toe phalanx condyle(s); 28150 represents complete toe removal through the MTP joint.
28150 billing questions
How does 28150 differ from 28160?
28150 is for removing the toe through the metatarsophalangeal joint. 28160 is for an amputation through an interphalangeal joint.
Can 28150 be used when only part of a toe bone is removed?
No. Use 28150 for removal of the toe through the MTP joint; a limited bone excision, such as 28124, describes a different extent of surgery.
What documentation supports reporting 28150?
Document the affected digit, the MTP-joint amputation level, and the operative work performed. The record should make clear that the procedure removed the toe rather than only a portion of a phalanx.
Can modifier 50 be used when both feet are treated?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.
Is an assistant surgeon or co-surgeon payable?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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
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