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

In North Carolina, Medicare pays $225.76 for 28190 in the office and $121.37 when it’s performed in a hospital or facility.

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.

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 North Carolina 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. North Carolina pays $225.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28190 rates by state

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

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.

Payment rules and modifiers for 28190

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

What modifiers do to the payment

When to use modifier 50

Codes related to 28190

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

How 28190 has changed in North Carolina

Price 28190 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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