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CPT code 28190: Foot foreign body removal, subcutaneous foreign body2026 Medicare rate & RVUs in Chicago, IL

Removal of a foreign object from subcutaneous tissue of the foot, reported when the operative service is limited to that depth.

CMS RVU26DEffective Oct 1, 2026One payment locality6.4K Medicare services in 2024

In Chicago, IL, Medicare pays $249.86 for 28190 in the office and $137.41 when it’s performed in a hospital or facility.

$249.86Office (non-facility)
$137.41Hospital or facility
+4.3%vs the national office rate ($239.48)

Check a contract rate as a % of Medicare · 28190 nationwide

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

We’ll open 28190 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Chicago, IL
  2. What 28190 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 28190 covers

This procedure removes a retained foreign object from the subcutaneous tissue of the foot through an incision and operative exposure. Podiatrists and orthopedic or other foot surgeons may perform it when an object such as a splinter or piece of glass remains embedded and requires surgical removal, in an office procedure room or an outpatient surgical setting. The code is specific to the foot and to the subcutaneous depth of the removal.

Choose this level when the documented operative depth is subcutaneous; a deeper removal is represented by a different code in the series, with complexity also distinguishing the deepest level. The operative note should identify the foot and location, describe the depth and approach, and document removal of the foreign object. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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 Chicago, IL compares for 28190

Across 109 of 109 payment localities, the office rate for 28190 runs from $212.53 in Arkansas to $317.25 in San Benito County, CA. Chicago, IL pays $249.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

28190 in Chicago, IL vs other payment areas
  1. Chicago, IL · this page$249.86
  2. East St. Louis, IL · Illinois$233.24−$16.62
  3. Rest of Illinois · Illinois$228.90−$20.96
  4. Suburban Chicago, IL · Illinois$249.87+$0.01
  5. Los Angeles, CA · California$270.37+$20.51
  6. Washington, DC area · District of Columbia$273.54+$23.68
  7. Miami, FL · Florida$257.06+$7.20

Other areas in Illinois first, then benchmark localities. Bars start at $0.

Every other payment area

28190 in every other Medicare payment locality
Payment localityOfficeFacility
Manhattan, NYNew York$274.84$144.82
AlaskaAlaska$279.92$160.76
AlabamaAlabama$215.56$117.66
ArkansasArkansas$212.53$116.42
ArizonaArizona$233.30$124.87
Bakersfield, CACalifornia$254.02$131.38
Chico, CACalifornia$253.38$130.74
El Centro, CACalifornia$253.41$130.78

28190 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$212.53

$285.32

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
28190 office rate range by state
State / territoryOffice rate rangeLocalities
AK$279.921
AL$215.561
AR$212.531
AZ$233.301
CA$253.38–$317.2529
CO$249.421
CT$255.131
DC$273.541
DE$237.101
FL$235.66–$257.063
GA$222.79–$243.762
GU$259.411
HI$259.411
IA$221.061
ID$222.431
IL$228.90–$249.874
IN$223.691
KS$219.971
KY$220.351
LA$219.98–$230.592
MA$247.96–$273.802
MD$241.57–$273.543
ME$223.47–$235.392
MI$225.86–$238.452
MN$239.391
MO$216.26–$231.483
MS$214.441
MT$239.471
NC$225.761
ND$235.321
NE$222.261
NH$245.451
NJ$258.15–$270.812
NM$227.031
NV$238.481
NY$229.05–$281.255
OH$225.011
OK$220.051
OR$236.73–$257.272
PA$225.40–$248.862
PR$241.221
RI$245.481
SC$225.741
SD$234.831
TN$221.041
TX$223.96–$248.508
UT$228.751
VA$234.58–$273.542
VI$241.221
VT$234.351
WA$247.51–$279.382
WI$227.621
WV$220.631
WY$237.661

See 28190 in every payment locality

How the 28190 rate is calculated

Each of 28190’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 · 28190

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.96

1.96 RVUs× 1.000 GPCI

Practice expense5.00

5.00 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

7.1700

Conversion factor

$33.4009

Medicare rate

$239.48

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Chicago, IL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,144

Code
28190
Physician work
1.96
Practice expense
5.00
Malpractice
0.21

GPCI2026.csv

48

Locality
Chicago, IL
Physician work
1.007
Practice expense
1.005
Malpractice
2.295
Office calculation for 28190 in Chicago, IL
ComponentRVULocality factorAdjusted
Physician work1.96× 1.0071.9737
Practice expense5.00× 1.0055.0250
Malpractice0.21× 2.2950.4819
Total RVUs7.4807
Conversion factor× 33.4009

Office rate, Chicago, IL$249.86

Office: (1.96 × 1.007 + 5 × 1.005 + 0.21 × 2.295) × $33.4009 = $249.86

Facility: (1.96 × 1.007 + 1.65 × 1.005 + 0.21 × 2.295) × $33.4009 = $137.41

Open 28190 in the RVU calculator

Payment rules and modifiers for 28190

28190 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28190

Foot foreign body removal, subcutaneous foreign body

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 28190

Foot foreign body removal, subcutaneous foreign body

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

28190 without 50 · national office

$239.48

Foot foreign body removal, subcutaneous foreign body

28190-50 · Bilateral: 150%

$359.22

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 28190

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

Codes related to 28190
CodeHow it relatesOffice range, Chicago, IL
Same family
28192Foot foreign body removal, deep foreign bodyFoot foreign body removal at a deeper tissue level.$479.34
28193Foreign body removal, complicated foot removalDeep, complicated foot foreign body removal.$536.81
Used instead
10120Foreign body removal, simple subcutaneous extractionSimple subcutaneous foreign body removal at a site outside the foot-specific code.$164.22

How 28190 has changed in Chicago, IL

28190 · Office / nonfacility

$249.86

Effective 2026-10-01

The base rate is $9.19 higher than on 2025-10-01, moving from $240.67 to $249.86 (3.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $240.67changed to$249.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.01 changed to 1.96
    • Practice expense RVU 4.90 changed to 5.00
    • Malpractice RVU 0.20 changed to 0.21
    • Practice expense GPCI 1.023 changed to 1.005
    • Malpractice GPCI 2.018 changed to 2.295

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $251.42changed to$240.67

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.01 changed to 4.90

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $247.31changed to$251.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $255.93changed to$247.31

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.99 changed to 5.01
    • Malpractice RVU 0.19 changed to 0.20
    • Work GPCI 1.009 changed to 1.007
    • Practice expense GPCI 1.033 changed to 1.023
    • Malpractice GPCI 1.945 changed to 2.018

  5. January 1, 2023

    RVU23A

    $264.64changed to$255.93

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.02 changed to 4.99
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 1.871 changed to 1.945

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $274.48changed to$264.64

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.23 changed to 5.02

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $276.94changed to$274.48

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.05 changed to 5.23
    • Malpractice RVU 0.21 changed to 0.20
    • Work GPCI 1.009 changed to 1.011
    • Practice expense GPCI 1.039 changed to 1.044
    • Malpractice GPCI 1.898 changed to 1.871

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $277.79changed to$276.94

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.16 changed to 5.05
    • Malpractice RVU 0.18 changed to 0.21
    • Work GPCI 1.008 changed to 1.009
    • Practice expense GPCI 1.034 changed to 1.039
    • Malpractice GPCI 1.925 changed to 1.898

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $281.95changed to$277.79

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.28 changed to 5.16

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $280.20changed to$281.95

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.23 changed to 5.28
    • Work GPCI 1.012 changed to 1.008
    • Practice expense GPCI 1.036 changed to 1.034
    • Malpractice GPCI 1.972 changed to 1.925

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $279.57changed to$280.20

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.21 changed to 5.23
    • Work GPCI 1.016 changed to 1.012
    • Practice expense GPCI 1.037 changed to 1.036
    • Malpractice GPCI 2.019 changed to 1.972

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $280.58changed to$279.57

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $279.19changed to$280.58

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $279.46changed to$279.19

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.13 changed to 5.21
    • Malpractice RVU 0.19 changed to 0.18
    • Work GPCI 1.023 changed to 1.016
    • Practice expense GPCI 1.044 changed to 1.037
    • Malpractice GPCI 2.048 changed to 2.019

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $286.96changed to$279.46

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.66 changed to 5.13
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.030 changed to 1.023
    • Practice expense GPCI 1.051 changed to 1.044
    • Malpractice GPCI 2.077 changed to 2.048

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$286.96

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$249.86$137.41RVU26D
2026-07-01$249.86$137.41RVU26C
2026-04-01$249.86$137.41RVU26B
2026-01-01$249.86$137.41RVU26A
2025-10-01$240.67$138.42RVU25D
2025-07-01$240.67$138.42RVU25C
2025-04-01$240.67$138.42RVU25B
2025-01-01$240.67$138.42RVU25A
2024-10-01$251.42$141.77RVU24D
2024-07-01$251.42$141.77RVU24C
2024-04-01$251.42$141.77RVU24B
2024-03-09$251.42$141.77RVU24AR
2024-01-01$247.31$139.45RVU24A
2023-10-01$255.93$141.81RVU23D
2023-07-01$255.93$141.81RVU23C
2023-04-01$255.93$141.81RVU23B
2023-01-01$255.93$141.81RVU23A
2022-10-01$264.64$143.97RVU22D
2022-07-01$264.64$143.97RVU22C
2022-04-01$264.64$143.97RVU22B
2022-01-01$264.64$143.97RVU22A
2021-10-01$274.48$145.16RVU21D
2021-07-01$274.48$145.16RVU21C
2021-04-01$274.48$145.16RVU21B
2021-01-01$274.48$145.16RVU21A
2020-10-01$276.94$148.70RVU20D
2020-07-01$276.94$148.70RVU20C
2020-04-01$276.94$148.70RVU20B
2020-01-01$276.94$148.70RVU20A
2019-10-01$277.79$147.36RVU19D
2019-07-01$277.79$147.36RVU19C
2019-04-01$277.79$147.36RVU19B
2019-01-01$277.79$147.36RVU19A
2018-10-01$281.95$147.58RVU18D
2018-07-01$281.95$147.58RVU18C
2018-04-01$281.95$147.58RVU18B
2018-01-01$281.95$147.58RVU18AR1
2017-10-01$280.20$147.46RVU17D
2017-07-01$280.20$147.46RVU17C
2017-04-01$280.20$147.46RVU17B
2017-01-01$280.20$147.46RVU17A
2016-10-01$279.57$147.76RVU16D
2016-07-01$279.57$147.76RVU16C
2016-04-01$279.57$147.76RVU16B
2016-01-01$279.57$147.76RVU16A
2015-10-01$280.58$148.30RVU15D
2015-07-01$280.58$148.30RVU15C
2015-04-01$279.19$147.56RVU15B
2015-01-01$279.19$147.56RVU15A
2014-10-01$279.46$148.93RVU14D
2014-07-01$279.46$148.93RVU14C
2014-04-01$279.46$148.93RVU14B
2014-01-01$279.46$148.93RVU14A
2013-10-01$286.96$148.58RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 28190 for an earlier date of service

Where the Chicago, IL rate applies

Chicago, IL is a Medicare payment area, not a city. Our Census mapping connects it to 137 cities and communities in Illinois. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Illinois

28190 billing questions

How does 28190 differ from 28192?

28190 is for removal from subcutaneous tissue of the foot. Use 28192 when the operative documentation supports removal from deeper tissue.

When is 28193 the better choice?

28193 represents deep, complicated foreign body removal from the foot. The operative report should support both the depth and the added complexity.

Can 28190 be reported for both feet?

Yes. For a bilateral procedure, modifier 50 applies, and CMS pays the code at 150%.

Are postoperative visits billed separately?

Related postoperative visits during the 10-day global period are included in the procedure.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 28190. Co-surgeons and team surgery are not permitted.

How does 28190 differ from 10120?

28190 is the foot-specific code for subcutaneous foreign body removal. 10120 describes simple removal from subcutaneous tissue at a site not represented by the foot-specific code.

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
RVUs for 28190PPRRVU2026_Oct_nonQPP.csv, line 3,144 (RVU26D)
Geographic factors for Chicago, ILGPCI2026.csv, line 48 (RVU26D)

Open CMS sourceHow we calculate rates

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