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

In Utah, Medicare pays $425.91 for 28175 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 28175 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 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.

How Utah compares for 28175

Across 109 of 109 payment localities, the facility rate for 28175 runs from $405.52 in Arkansas to $571.00 in Alaska. Utah pays $425.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28175 rates by state

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

See 28175 in every payment locality

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

Codes related to 28175

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

How 28175 has changed in Utah

Price 28175 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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