CPT code 28153: Toe bone removal, partial excision2026 Medicare rate & RVUs in Alabama
Reports partial removal of toe bone, such as when a foot surgeon excises a painful bony prominence while preserving the remaining toe.
In Alabama, Medicare pays $360.44 for 28153 in the office and $231.26 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 28153 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 28153 covers
A podiatrist or orthopedic foot and ankle surgeon may perform this procedure to remove part of a toe bone causing a painful prominence or pressure problem. The operation removes bone while leaving the rest of the toe in place; it is distinct from removing an entire toe. It is typically performed in an operating room or ambulatory surgery setting, with the operative report identifying the toe and the bone removed.
Report the code when the documented procedure matches partial toe-bone excision, not removal of a soft-tissue lesion or complete toe-bone excision. The note should support the indication, site, and extent of bone removal. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, 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.
How Alabama compares for 28153
Across 109 of 109 payment localities, the office rate for 28153 runs from $355.62 in Arkansas to $522.56 in San Benito County, CA. Alabama pays $360.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$360.44
- Los Angeles, CA · California$447.56+$87.12
- Washington, DC area · District of Columbia$453.25+$92.81
- Miami, FL · Florida$427.62+$67.18
- Chicago, IL · Illinois$416.22+$55.78
- Manhattan, NY · New York$455.98+$95.54
- Alaska · Alaska$472.10+$111.66
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $355.62 | $228.81 |
| ArizonaArizona | $388.60 | $245.55 |
| Bakersfield, CACalifornia | $421.33 | $259.52 |
| Chico, CACalifornia | $420.20 | $258.40 |
| El Centro, CACalifornia | $420.26 | $258.46 |
| Fresno, CACalifornia | $420.20 | $258.40 |
| Hanford, CACalifornia | $420.20 | $258.40 |
| Madera, CACalifornia | $420.20 | $258.40 |
| Merced, CACalifornia | $420.20 | $258.40 |
| Modesto, CACalifornia | $420.20 | $258.40 |
| Napa, CACalifornia | $483.85 | $289.27 |
| Oxnard, CACalifornia | $445.19 | $270.69 |
| Redding, CACalifornia | $420.20 | $258.40 |
| Rest of CaliforniaCalifornia | $420.20 | $258.40 |
| Riverside, CACalifornia | $424.14 | $262.33 |
| Sacramento, CACalifornia | $440.15 | $268.45 |
| Salinas, CACalifornia | $438.48 | $267.37 |
| San Diego, CACalifornia | $448.14 | $271.57 |
| Marin County, CACalifornia | $511.38 | $303.22 |
| San Francisco, CACalifornia | $510.97 | $302.81 |
| San Benito County, CACalifornia | $522.56 | $309.68 |
| Santa Clara County, CACalifornia | $520.89 | $308.01 |
| San Luis Obispo, CACalifornia | $431.49 | $263.34 |
| Santa Cruz, CACalifornia | $451.94 | $272.57 |
| Santa Maria, CACalifornia | $439.94 | $267.80 |
| Santa Rosa, CACalifornia | $456.47 | $275.18 |
| Stockton, CACalifornia | $420.20 | $258.40 |
| Vallejo, CACalifornia | $483.26 | $288.68 |
| Visalia, CACalifornia | $420.20 | $258.40 |
| Yuba City, CACalifornia | $420.20 | $258.40 |
| ColoradoColorado | $414.13 | $257.05 |
| ConnecticutConnecticut | $423.69 | $264.69 |
| DelawareDelaware | $394.73 | $248.87 |
| Fort Lauderdale, FLFlorida | $411.60 | $262.05 |
| Rest of FloridaFlorida | $392.97 | $251.83 |
| Atlanta, GAGeorgia | $405.46 | $255.47 |
| Rest of GeorgiaGeorgia | $372.43 | $240.74 |
| Hawaii, Guam, HIHawaii | $429.38 | $261.52 |
| IowaIowa | $368.91 | $233.82 |
| IdahoIdaho | $371.13 | $235.31 |
| East St. Louis, ILIllinois | $389.66 | $253.84 |
| Rest of IllinoisIllinois | $382.40 | $247.61 |
| Suburban Chicago, ILIllinois | $415.71 | $264.09 |
| IndianaIndiana | $373.13 | $236.27 |
| KansasKansas | $367.31 | $233.85 |
| KentuckyKentucky | $368.31 | $237.06 |
| New Orleans, LALouisiana | $384.62 | $245.70 |
| Rest of LouisianaLouisiana | $367.78 | $237.12 |
| Metropolitan Boston, MAMassachusetts | $453.16 | $276.89 |
| Rest of MassachusettsMassachusetts | $411.93 | $256.47 |
| Baltimore area, MDMaryland | $422.47 | $264.06 |
| Rest of MarylandMaryland | $401.88 | $252.47 |
| Rest of MaineMaine | $372.93 | $237.10 |
| Southern Maine, MEMaine | $391.67 | $245.37 |
| Detroit, MIMichigan | $397.53 | $255.07 |
| Rest of MichiganMichigan | $377.18 | $242.40 |
| MinnesotaMinnesota | $397.62 | $245.71 |
| Metropolitan Kansas City, MOMissouri | $382.18 | $243.56 |
| Metropolitan St. Louis, MOMissouri | $385.90 | $245.35 |
| Rest of MissouriMissouri | $361.93 | $234.67 |
| MississippiMississippi | $358.84 | $231.73 |
| MontanaMontana | $398.45 | $250.82 |
| North CarolinaNorth Carolina | $376.54 | $238.80 |
| North DakotaNorth Dakota | $391.33 | $243.70 |
| NebraskaNebraska | $370.78 | $234.51 |
| New HampshireNew Hampshire | $407.73 | $254.05 |
| Northern New JerseyNew Jersey | $449.10 | $277.85 |
| Rest of New JerseyNew Jersey | $428.75 | $267.53 |
| New MexicoNew Mexico | $379.10 | $243.72 |
| NevadaNevada | $396.73 | $248.95 |
| NYC suburbs and Long Island, NYNew York | $466.33 | $290.79 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $431.51 | $269.86 |
| Queens, NYNew York | $459.50 | $285.00 |
| Rest of New YorkNew York | $381.77 | $241.52 |
| OhioOhio | $375.73 | $240.94 |
| OklahomaOklahoma | $367.70 | $235.87 |
| Portland, OROregon | $426.52 | $262.50 |
| Rest of OregonOregon | $393.85 | $246.81 |
| Metropolitan Philadelphia, PAPennsylvania | $413.79 | $260.10 |
| Rest of PennsylvaniaPennsylvania | $376.28 | $240.76 |
| Puerto RicoPuerto Rico | $401.18 | $251.92 |
| Rhode IslandRhode Island | $408.19 | $255.69 |
| South CarolinaSouth Carolina | $376.72 | $240.30 |
| South DakotaSouth Dakota | $390.49 | $242.86 |
| TennesseeTennessee | $369.02 | $234.82 |
| Austin, TXTexas | $412.58 | $256.38 |
| Beaumont, TXTexas | $373.99 | $239.65 |
| Brazoria, TXTexas | $394.46 | $248.15 |
| Dallas, TXTexas | $396.83 | $249.79 |
| Fort Worth, TXTexas | $394.36 | $248.80 |
| Galveston, TXTexas | $395.56 | $248.96 |
| Houston, TXTexas | $402.15 | $255.55 |
| Rest of TexasTexas | $383.92 | $243.81 |
| UtahUtah | $381.49 | $242.72 |
| VirginiaVirginia | $390.47 | $245.35 |
| Virgin Islands, VIUnited States Virgin Islands | $401.18 | $251.92 |
| VermontVermont | $389.91 | $243.75 |
| Rest of WashingtonWashington | $411.12 | $255.67 |
| King County, WAWashington | $462.06 | $280.92 |
| WisconsinWisconsin | $379.13 | $237.69 |
| West VirginiaWest Virginia | $369.26 | $240.97 |
| WyomingWyoming | $395.35 | $247.71 |
28153 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$355.62
$472.10
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $472.10 | 1 |
| AL | $360.44 | 1 |
| AR | $355.62 | 1 |
| AZ | $388.60 | 1 |
| CA | $420.20–$522.56 | 29 |
| CO | $414.13 | 1 |
| CT | $423.69 | 1 |
| DC | $453.25 | 1 |
| DE | $394.73 | 1 |
| FL | $392.97–$427.62 | 3 |
| GA | $372.43–$405.46 | 2 |
| GU | $429.38 | 1 |
| HI | $429.38 | 1 |
| IA | $368.91 | 1 |
| ID | $371.13 | 1 |
| IL | $382.40–$416.22 | 4 |
| IN | $373.13 | 1 |
| KS | $367.31 | 1 |
| KY | $368.31 | 1 |
| LA | $367.78–$384.62 | 2 |
| MA | $411.93–$453.16 | 2 |
| MD | $401.88–$453.25 | 3 |
| ME | $372.93–$391.67 | 2 |
| MI | $377.18–$397.53 | 2 |
| MN | $397.62 | 1 |
| MO | $361.93–$385.90 | 3 |
| MS | $358.84 | 1 |
| MT | $398.45 | 1 |
| NC | $376.54 | 1 |
| ND | $391.33 | 1 |
| NE | $370.78 | 1 |
| NH | $407.73 | 1 |
| NJ | $428.75–$449.10 | 2 |
| NM | $379.10 | 1 |
| NV | $396.73 | 1 |
| NY | $381.77–$466.33 | 5 |
| OH | $375.73 | 1 |
| OK | $367.70 | 1 |
| OR | $393.85–$426.52 | 2 |
| PA | $376.28–$413.79 | 2 |
| PR | $401.18 | 1 |
| RI | $408.19 | 1 |
| SC | $376.72 | 1 |
| SD | $390.49 | 1 |
| TN | $369.02 | 1 |
| TX | $373.99–$412.58 | 8 |
| UT | $381.49 | 1 |
| VA | $390.47–$453.25 | 2 |
| VI | $401.18 | 1 |
| VT | $389.91 | 1 |
| WA | $411.12–$462.06 | 2 |
| WI | $379.13 | 1 |
| WV | $369.26 | 1 |
| WY | $395.35 | 1 |
How the 28153 rate is calculated
Each of 28153’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 · 28153
RVUs × geographic indexes × conversion factor
Work3.71
3.71 RVUs× 1.000 GPCI
Practice expense7.86
7.86 RVUs× 1.000 GPCI
Malpractice0.36
0.36 RVUs× 1.000 GPCI
Adjusted RVUs
11.9300
Conversion factor
$33.4009
Medicare rate
$398.47
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,139
- Code
- 28153
- Physician work
- 3.71
- Practice expense
- 7.86
- Malpractice
- 0.36
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.71 | × 1.000 | 3.7100 |
| Practice expense | 7.86 | × 0.875 | 6.8775 |
| Malpractice | 0.36 | × 0.566 | 0.2038 |
| Total RVUs | 10.7913 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$360.44
Office: (3.71 × 1 + 7.86 × 0.875 + 0.36 × 0.566) × $33.4009 = $360.44
Facility: (3.71 × 1 + 3.44 × 0.875 + 0.36 × 0.566) × $33.4009 = $231.26
Payment rules and modifiers for 28153
28153 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28153
Toe bone removal, partial excision
| 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 · 28153
Toe bone removal, partial excision
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
28153 without 51 · national office
$398.47
Toe bone removal, partial excision
28153-51 · Second procedure: 50%
$199.24
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%).
How 28153 has changed in Alabama
28153 · Office / nonfacility
$360.44
Effective 2026-10-01
The base rate is $9.70 higher than on 2025-10-01, moving from $350.74 to $360.44 (2.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$350.74changed to$360.44
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.80 changed to 3.71
- Practice expense RVU 7.88 changed to 7.86
- Malpractice RVU 0.34 changed to 0.36
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$364.61changed to$350.74
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.00 changed to 7.88
- Malpractice RVU 0.35 changed to 0.34
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$358.66changed to$364.61
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$372.69changed to$358.66
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 7.90 changed to 8.00
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$385.14changed to$372.69
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 7.87 changed to 7.90
- Malpractice RVU 0.37 changed to 0.35
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$392.35changed to$385.14
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 8.01 changed to 7.87
- Malpractice RVU 0.36 changed to 0.37
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$395.23changed to$392.35
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 7.75 changed to 8.01
- Malpractice RVU 0.37 changed to 0.36
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$393.80changed to$395.23
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 7.82 changed to 7.75
- Malpractice RVU 0.34 changed to 0.37
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$393.19changed to$393.80
- Conversion factor 35.9996 changed to 36.0391
- Malpractice RVU 0.33 changed to 0.34
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$393.19
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $360.44 | $231.26 | RVU26D |
| 2026-07-01 | $360.44 | $231.26 | RVU26C |
| 2026-04-01 | $360.44 | $231.26 | RVU26B |
| 2026-01-01 | $360.44 | $231.26 | RVU26A |
| 2025-10-01 | $350.74 | $239.15 | RVU25D |
| 2025-07-01 | $350.74 | $239.15 | RVU25C |
| 2025-04-01 | $350.74 | $239.15 | RVU25B |
| 2025-01-01 | $350.74 | $239.15 | RVU25A |
| 2024-10-01 | $364.61 | $244.85 | RVU24D |
| 2024-07-01 | $364.61 | $244.85 | RVU24C |
| 2024-04-01 | $364.61 | $244.85 | RVU24B |
| 2024-03-09 | $364.61 | $244.85 | RVU24AR |
| 2024-01-01 | $358.66 | $240.85 | RVU24A |
| 2023-10-01 | $372.69 | $248.03 | RVU23D |
| 2023-07-01 | $372.69 | $248.03 | RVU23C |
| 2023-04-01 | $372.69 | $248.03 | RVU23B |
| 2023-01-01 | $372.69 | $248.03 | RVU23A |
| 2022-10-01 | $385.14 | $253.93 | RVU22D |
| 2022-07-01 | $385.14 | $253.93 | RVU22C |
| 2022-04-01 | $385.14 | $253.93 | RVU22B |
| 2022-01-01 | $385.14 | $253.93 | RVU22A |
| 2021-10-01 | $392.35 | $253.85 | RVU21D |
| 2021-07-01 | $392.35 | $253.85 | RVU21C |
| 2021-04-01 | $392.35 | $253.85 | RVU21B |
| 2021-01-01 | $392.35 | $253.85 | RVU21A |
| 2020-10-01 | $395.23 | $257.91 | RVU20D |
| 2020-07-01 | $395.23 | $257.91 | RVU20C |
| 2020-04-01 | $395.23 | $257.91 | RVU20B |
| 2020-01-01 | $395.23 | $257.91 | RVU20A |
| 2019-10-01 | $393.80 | $254.92 | RVU19D |
| 2019-07-01 | $393.80 | $254.92 | RVU19C |
| 2019-04-01 | $393.80 | $254.92 | RVU19B |
| 2019-01-01 | $393.80 | $254.92 | RVU19A |
| 2018-10-01 | $393.19 | $254.46 | RVU18D |
| 2018-07-01 | $393.19 | $254.46 | RVU18C |
| 2018-04-01 | $393.19 | $254.46 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
28153 billing questions
How is this different from complete toe-bone removal?
This code represents partial removal, with bone remaining in the toe. Use a complete-excision code when the operative report documents removal of the entire specified bone.
What documentation supports reporting this code?
Document the toe and bone treated, the reason for surgery, and the extent of bone removed. The operative report should make clear that the excision was partial.
Can modifier 50 be used for both feet?
No. CMS identifies bilateral adjustment as inappropriate for this code. The descriptor or anatomy does not support modifier 50.
How does the 90-day global period affect follow-up visits?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global surgery package.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction.
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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