CPT code 28173: Bone tumor surgery, metatarsal2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $695.93 for 28173 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 28173 nationwide

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

What 28173 covers

This code represents surgery to remove a tumor involving a metatarsal, one of the long bones in the foot. An orthopedic or podiatric foot-and-ankle surgeon typically performs the procedure in a hospital or ambulatory surgical setting. The operative report should identify the affected metatarsal, describe the tumor and the extent of bone removal, and support that the work addressed a bone tumor rather than a soft-tissue mass or a non-tumor bone condition.

Report the code when the surgeon’s documented service is tumor resection from a metatarsal; distinguish it from tumor resections in a tarsal bone or toe phalanx. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; 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 Connecticut compares for 28173

Across 109 of 109 payment localities, the facility rate for 28173 runs from $623.18 in Arkansas to $889.17 in Alaska. Connecticut pays $695.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28173 rates by state

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

See 28173 in every payment locality

How the 28173 rate is calculated

Each of 28173’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 28173

28173 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 51

Codes related to 28173

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

How 28173 has changed in Connecticut

Price 28173 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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