CPT code 28175: Bone tumor resection, toe phalanx2026 Medicare rate & RVUs

Medicare pays $436.88 for 28175 nationally in a facility.

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

What 28175 covers

An orthopedic or podiatric surgeon uses this operation to remove a tumor involving a toe phalanx through operative exposure and resection of the affected bone. It is generally performed in an operating-room setting when a bone lesion requires removal beyond a superficial soft-tissue excision. The operative report should identify the involved toe and phalanx, the lesion, and the extent of bone removed.

Report 28175 for resection of a tumor in a toe phalanx, not for a lesion confined to skin or soft tissue. Documentation should connect the tumor to the phalanx and describe the resection; distinguish it from excision or curettage of a benign bone lesion. 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 one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; 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 28175 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

28175 rates by state

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

How the 28175 rate is calculated

Each of 28175’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 28175

28175 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

28175 compared with similar codes

How to choose

28108Toe bone lesionPhalanx of the foot

Use 28175 for resection of a tumor involving a toe phalanx. Code 28108 describes excision or curettage of a bone cyst or benign tumor in a foot phalanx.

28173Bone tumor surgeryMetatarsal

Both codes describe tumor resection, but 28173 is for a metatarsal; 28175 is for a toe phalanx.

28171Bone tumor resectionTarsal bone

Both codes describe tumor resection, but 28171 is for a tarsal bone; 28175 is for a toe phalanx.

28124Toe bone excisionPartial phalanx excision

Code 28124 describes partial excision of a toe bone. Use 28175 when the documented procedure is resection of a tumor involving the phalanx.

Codes related to 28175

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