CPT code 28192: Foot foreign body removal, deep foreign body2026 Medicare rate & RVUs in Louisiana
Reports surgical removal of a deeply embedded foreign body from the foot, such as glass or another object requiring dissection below superficial tissues.
Medicare pays $423.40–$442.15 for 28192 in the office in Louisiana, from Rest of Louisiana to New Orleans, LA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 28192 covers
A podiatrist or orthopedic surgeon reports 28192 when an incision and deeper dissection are needed to locate and remove a foreign object embedded in the foot. A deeply lodged piece of glass in the plantar foot is a typical example. The operative note should identify the foot and site, describe the object’s depth and the dissection used to reach it, and document its removal.
Choose this code for a deep foot foreign body rather than a superficial one or a complicated removal. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery services are not paid; 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.
Where 28192 pays more and less in Louisiana
| Payment locality | Office | Facility |
|---|---|---|
| New Orleans, LA | $442.15 | $288.45 |
| Rest of Louisiana | $423.40 | $278.85 |
How the 28192 rate is calculated
Each of 28192’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 · 28192
RVUs × geographic indexes × conversion factor
Work4.66
4.66 RVUs× 1.000 GPCI
Practice expense8.56
8.56 RVUs× 1.000 GPCI
Malpractice0.46
0.46 RVUs× 1.000 GPCI
Adjusted RVUs
13.6800
Conversion factor
$33.4009
Medicare rate
$456.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28192
28192 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28192
Foot foreign body removal, deep foreign body
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28192
Foot foreign body removal, deep foreign body
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28192 without 50 · national office
$456.92
Foot foreign body removal, deep foreign body
28192-50 · Bilateral: 150%
$685.38
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).
28192 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 28190Foot foreign body removalSubcutaneous foreign body
- Choose 28190 for a subcutaneous foreign body in the foot. Choose 28192 when the object is embedded deeply and deeper dissection is required.
- 28193Foreign body removalComplicated foot removal
- 28193 describes complicated foot foreign body removal. Depth alone supports 28192; documentation should establish when the removal is complicated.
- 10121Foreign body removalComplicated subcutaneous
- 10121 is for complicated subcutaneous foreign body removal outside the foot-specific code family. For a deeply embedded object in the foot, consider 28192.
- 28020Foot joint arthrotomyIntertarsal or tarsometatarsal
- 28020 applies when removal is performed through arthrotomy at a foot interphalangeal joint. 28192 describes deep foreign body removal from the foot rather than that joint-specific approach.
28192 billing questions
How does 28192 differ from 28190?
28192 is for a foreign body embedded deeply in the foot and requiring deeper dissection. 28190 is the sibling code for a subcutaneous foreign body.
When is 28193 a better choice?
Use 28193 when the removal is complicated, rather than selecting it solely because the object is deep. The operative documentation should support the nature of the complicated removal.
What documentation supports 28192?
Document the foot and precise site, the object removed, its depth, and the dissection required to reach and remove it. This helps distinguish deep removal from subcutaneous removal.
How is bilateral removal reported?
CMS identifies this as a bilateral procedure; with modifier 50, payment is 150%. The record should support removal from both feet.
Can an assistant or co-surgeon be paid for this service?
CMS does not pay an assistant at surgery for 28192. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
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