Billing code 28002: Foot infection drainageMedicare rate & RVUs

Reports operative drainage of one deep foot infection beneath the fascia, including cases with tendon-sheath involvement, when a single infected space is treated.

CMS RVU26DEffective Oct 1, 2026109 payment localities4.4K Medicare services in 2024

Medicare pays $242.16 for 28002 nationally in the office and $127.26 in a hospital or facility. Local office rates run $217.95–$311.46.

Medicare rate · 28002

Foot infection drainage

Swap in your local Medicare rate.

Work RVUs
2.72
Total RVUs
7.25
Global days
000

National rate · 2026

$242.16

Office setting, before claim adjustments.

See every locality for 28002 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 28002 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 28002 covers

billing code 28002 represents operative drainage of a deep infection in one foot space beneath the superficial fascia; the infection may extend into a tendon sheath. A typical case involves a deep abscess requiring surgical exposure rather than drainage limited to the skin. Podiatric and orthopedic surgeons commonly perform the procedure in an operating room or ambulatory surgery setting; an appropriately equipped office may be used when the case and patient permit.

Choose this code when the operative findings and report support treatment of one infected space. Document the involved foot site, depth, extent of infection, tendon-sheath involvement when present, and the number of areas treated. The 0-day global period includes same-day preoperative and postoperative care. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery; 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 28002 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$217.95 to $311.46

$217.95$264.70$311.46
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

28002 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$220.66$120.13
Alaska*$293.12$170.76
Arizona$236.52$125.19
Arkansas$217.95$119.25
Atlanta$246.39$129.66
Austin$249.68$128.11
Bakersfield$254.34$128.41
Baltimore/Surr. Cntys$256.02$132.74
Beaumont$228.70$124.14
Brazoria$239.76$125.89

28002 rates by state

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

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.

$217.95

$293.12

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

View every state and territory as a table
28002 office rate range by state
State / territoryOffice rate rangeLocalities
AK$293.121
AL$220.661
AR$217.951
AZ$236.521
CA$253.55–$311.4629
CO$250.571
CT$256.731
DC$273.451
DE$240.051
FL$240.07–$260.793
GA$228.32–$246.392
GU$258.231
HI$258.231
IA$224.971
ID$226.321
IL$234.42–$254.324
IN$227.431
KS$224.291
KY$225.581
LA$225.37–$234.862
MA$249.49–$272.702
MD$244.10–$273.453
ME$227.56–$237.792
MI$230.80–$242.882
MN$240.421
MO$222.21–$235.313
MS$220.111
MT$242.141
NC$229.561
ND$237.201
NE$225.961
NH$246.971
NJ$259.75–$271.322
NM$231.971
NV$240.901
NY$232.53–$282.155
OH$229.791
OK$225.001
OR$239.10–$257.342
PA$229.97–$251.262
PR$243.601
RI$247.701
SC$230.041
SD$236.611
TN$225.281
TX$228.70–$249.688
UT$232.731
VA$237.27–$273.452
VI$243.601
VT$236.601
WA$248.92–$277.622
WI$230.371
WV$227.031
WY$239.991

How the 28002 rate is calculated

Each of 28002’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 · 28002

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 2.72Practice expense 4.28Malpractice 0.25

7.2500 adjusted RVUs×$33.4009 conversion factor=$242.16

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 28002

The CMS indicators that decide how 28002 is paid alongside other services.

CMS payment indicators · 28002

Foot infection drainage

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

28002 without 51 · national office

$242.16

Foot infection drainage

28002-51 · Second procedure: 50%

$121.08

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

28002 compared with similar codes

Compare codes

28002 vs 28003 vs 28001 vs 10060 vs 10061: national Medicare rates

Swap in your local Medicare rate.

  • 28002
    Foot infection drainage · 2.72 wRVU
    $242.16
  • 28003
    Foot infection drainage · 5.15 wRVU
    $373.42+$131.26
  • 28001
    Bursa drainage · 1.95 wRVU
    $167.34−$74.82
  • 10060
    Abscess drainage · 1.19 wRVU
    $128.59−$113.57
  • 10061
    Abscess drainage · 2.39 wRVU
    $220.11−$22.05

How to choose

28003Foot infection drainage
This is the close sibling for drainage involving multiple areas. Use 28002 when the operative treatment is confined to one deep infected space.
28001Bursa drainage
28001 is directed to drainage of a foot bursa. Choose 28002 when the treated infection is a deep foot space rather than an infected bursa.
10060Abscess drainage
10060 describes drainage of a simple or single superficial abscess. 28002 is for operative drainage of a deep infection beneath the foot fascia.
10061Abscess drainage
10061 is for complicated or multiple superficial abscesses. It does not represent drainage of a deep foot space beneath the fascia.

28002 billing questions

How does 28002 differ from 28003?

28002 is for drainage of one deep infected space. Use 28003 when the operative treatment involves multiple areas.

Is modifier 50 appropriate for infection in both feet?

No. CMS identifies bilateral adjustment as inappropriate for this code. The anatomy or descriptor makes modifier 50 unsuitable.

What same-day care is included in the global period?

The 0-day global period includes preoperative and postoperative care provided on the procedure date.

Can an assistant or co-surgeon be reported?

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

What documentation supports 28002 rather than a superficial abscess code?

Document the deep location beneath the fascia, the infected space treated, and operative findings supporting surgical drainage. A superficial skin or subcutaneous abscess is a different service.

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 28002PPRRVU2026_Oct_nonQPP.csv, line 3,088 (RVU26D)

Open CMS sourceHow we calculate rates

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