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CPT code 28192: Foot foreign body removal, deep foreign body2026 Medicare rate & RVUs in Utah

Reports surgical removal of a deeply embedded foreign body from the foot, such as glass or another object requiring dissection below superficial tissues.

CMS RVU26DEffective Oct 1, 2026One payment locality1.4K Medicare services in 2024

In Utah, Medicare pays $438.20 for 28192 in the office and $284.67 when it’s performed in a hospital or facility.

$438.20Office (non-facility)
$284.67Hospital or facility
−4.1%vs the national office rate ($456.92)

Check a contract rate as a % of Medicare · 28192 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 28192 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 28192 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 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.

How Utah compares for 28192

Across 109 of 109 payment localities, the office rate for 28192 runs from $409.16 in Arkansas to $593.29 in San Benito County, CA. Utah pays $438.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

28192 in Utah vs other payment areas
  1. Utah · this page$438.20
  2. Los Angeles, CA · California$510.47+$72.27
  3. Washington, DC area · District of Columbia$517.96+$79.76
  4. Miami, FL · Florida$492.14+$53.94
  5. Chicago, IL · Illinois$479.34+$41.14
  6. Manhattan, NY · New York$522.21+$84.01
  7. Alaska · Alaska$546.43+$108.23

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

Every other payment area

28192 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$414.52$271.60
ArkansasArkansas$409.16$268.86
ArizonaArizona$445.85$287.58
Bakersfield, CACalifornia$481.32$302.31
Chico, CACalifornia$479.89$300.88
El Centro, CACalifornia$479.97$300.96
Fresno, CACalifornia$479.89$300.88
Hanford, CACalifornia$479.89$300.88

28192 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.

$409.16

$546.43

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

View every state and territory as a table
28192 office rate range by state
State / territoryOffice rate rangeLocalities
AK$546.431
AL$414.521
AR$409.161
AZ$445.851
CA$479.89–$593.2929
CO$473.731
CT$485.281
DC$517.961
DE$452.721
FL$452.07–$492.143
GA$429.00–$465.052
GU$489.631
HI$489.631
IA$423.361
ID$425.951
IL$440.70–$479.344
IN$428.161
KS$421.861
KY$423.881
LA$423.40–$442.152
MA$471.45–$517.082
MD$460.65–$517.963
ME$428.24–$448.682
MI$434.03–$457.462
MN$454.401
MO$417.07–$443.233
MS$413.171
MT$456.891
NC$432.221
ND$447.801
NE$425.351
NH$466.731
NJ$490.94–$513.522
NM$436.281
NV$454.641
NY$438.07–$534.095
OH$432.171
OK$422.911
OR$451.22–$487.222
PA$432.63–$474.412
PR$459.841
RI$467.661
SC$432.891
SD$446.721
TN$423.791
TX$430.10–$472.078
UT$438.201
VA$447.55–$517.962
VI$459.841
VT$446.481
WA$470.43–$526.802
WI$434.281
WV$426.091
WY$452.931

See 28192 in every payment locality

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

Office or facility?

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.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,145

Code
28192
Physician work
4.66
Practice expense
8.56
Malpractice
0.46

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 28192 in Utah
ComponentRVULocality factorAdjusted
Physician work4.66× 1.0004.6600
Practice expense8.56× 0.9408.0464
Malpractice0.46× 0.8980.4131
Total RVUs13.1195
Conversion factor× 33.4009

Office rate, Utah$438.20

Office: (4.66 × 1 + 8.56 × 0.94 + 0.46 × 0.898) × $33.4009 = $438.20

Facility: (4.66 × 1 + 3.67 × 0.94 + 0.46 × 0.898) × $33.4009 = $284.67

Open 28192 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0.10/0.69/0.21Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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).

When to use modifier 50

Codes related to 28192

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

Codes related to 28192
CodeHow it relatesOffice range, Utah
Same family
28190Foot foreign body removal, subcutaneous foreign bodySibling code for removal of a subcutaneous foreign body from the foot.$228.75
28193Foreign body removal, complicated foot removalSibling code for complicated removal of a foreign body from the foot.$491.15
Used instead
10120Foreign body removal, simple subcutaneous extractionFor simple subcutaneous foreign body removal outside the foot-specific code family.$150.07
10121Foreign body removal, complicated subcutaneousFor complicated subcutaneous foreign body removal outside the foot-specific code family.$263.53
28020Foot joint arthrotomy, intertarsal or tarsometatarsalFor foreign body removal through arthrotomy at a foot interphalangeal joint.$539.06

How 28192 has changed in Utah

28192 · Office / nonfacility

$438.20

Effective 2026-10-01

The base rate is $13.83 higher than on 2025-10-01, moving from $424.37 to $438.20 (3.3%).

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

    $424.37changed to$438.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.78 changed to 4.66
    • Practice expense RVU 8.46 changed to 8.56
    • Malpractice RVU 0.48 changed to 0.46
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $437.96changed to$424.37

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.53 changed to 8.46
    • Malpractice RVU 0.45 changed to 0.48

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $430.82changed to$437.96

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $438.78changed to$430.82

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.41 changed to 8.53
    • Malpractice RVU 0.44 changed to 0.45
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $444.41changed to$438.78

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.39 changed to 8.41
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $454.15changed to$444.41

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.57 changed to 8.39
    • Malpractice RVU 0.45 changed to 0.44

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $464.00changed to$454.15

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.24 changed to 8.57
    • Malpractice RVU 0.48 changed to 0.45
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $468.28changed to$464.00

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.32 changed to 8.24
    • Malpractice RVU 0.43 changed to 0.48
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $468.18changed to$468.28

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.44 changed to 0.43

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $466.26changed to$468.18

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.31 changed to 8.32
    • Malpractice RVU 0.45 changed to 0.44
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $466.70changed to$466.26

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.37 changed to 8.31
    • Malpractice RVU 0.46 changed to 0.45
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $467.15changed to$466.70

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.32 changed to 8.37
    • Malpractice RVU 0.47 changed to 0.46

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $464.83changed to$467.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $462.29changed to$464.83

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.26 changed to 8.32
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $466.47changed to$462.29

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.16 changed to 8.26
    • Malpractice RVU 0.49 changed to 0.47
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $466.47

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$438.20$284.67RVU26D
2026-07-01$438.20$284.67RVU26C
2026-04-01$438.20$284.67RVU26B
2026-01-01$438.20$284.67RVU26A
2025-10-01$424.37$297.02RVU25D
2025-07-01$424.37$297.02RVU25C
2025-04-01$424.37$297.02RVU25B
2025-01-01$424.37$297.02RVU25A
2024-10-01$437.96$301.93RVU24D
2024-07-01$437.96$301.93RVU24C
2024-04-01$437.96$301.93RVU24B
2024-03-09$437.96$301.93RVU24AR
2024-01-01$430.82$297.00RVU24A
2023-10-01$438.78$300.71RVU23D
2023-07-01$438.78$300.71RVU23C
2023-04-01$438.78$300.71RVU23B
2023-01-01$438.78$300.71RVU23A
2022-10-01$444.41$301.62RVU22D
2022-07-01$444.41$301.62RVU22C
2022-04-01$444.41$301.62RVU22B
2022-01-01$444.41$301.62RVU22A
2021-10-01$454.15$303.11RVU21D
2021-07-01$454.15$303.11RVU21C
2021-04-01$454.15$303.11RVU21B
2021-01-01$454.15$303.11RVU21A
2020-10-01$464.00$314.43RVU20D
2020-07-01$464.00$314.43RVU20C
2020-04-01$464.00$314.43RVU20B
2020-01-01$464.00$314.43RVU20A
2019-10-01$468.28$316.60RVU19D
2019-07-01$468.28$316.60RVU19C
2019-04-01$468.28$316.60RVU19B
2019-01-01$468.28$316.60RVU19A
2018-10-01$468.18$316.68RVU18D
2018-07-01$468.18$316.68RVU18C
2018-04-01$468.18$316.68RVU18B
2018-01-01$468.18$316.68RVU18AR1
2017-10-01$466.26$316.21RVU17D
2017-07-01$466.26$316.21RVU17C
2017-04-01$466.26$316.21RVU17B
2017-01-01$466.26$316.21RVU17A
2016-10-01$466.70$316.17RVU16D
2016-07-01$466.70$316.17RVU16C
2016-04-01$466.70$316.17RVU16B
2016-01-01$466.70$316.17RVU16A
2015-10-01$467.15$316.41RVU15D
2015-07-01$467.15$316.41RVU15C
2015-04-01$464.83$314.83RVU15B
2015-01-01$464.83$314.83RVU15A
2014-10-01$462.29$314.47RVU14D
2014-07-01$462.29$314.47RVU14C
2014-04-01$462.29$314.47RVU14B
2014-01-01$462.29$314.47RVU14A
2013-10-01$466.47$310.34RVU13D
2013-07-01$466.47$310.34RVU13C
2013-04-01$466.47$310.34RVU13B
2013-01-01$466.47$310.34RVU13AR

Price 28192 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

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

Show the CMS file lines behind this rate
RVUs for 28192PPRRVU2026_Oct_nonQPP.csv, line 3,145 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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