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Billing code 28130: TalectomyMedicare rate & RVUs

Removal of part or all of the talus for severe talar disease or deformity when treatment requires talectomy rather than a limited lesion excision.

CMS RVU26DEffective Oct 1, 2026109 payment localities136 Medicare services in 2024

Medicare pays $598.88 for 28130 nationally in a facility.

Medicare rate · 28130

Talectomy

Swap in your local Medicare rate.

Work RVUs
9.26
Total RVUs
17.93
Global days
090

National rate · 2026

$598.88

Facility setting, before claim adjustments.

See every locality for 28130 → · 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 28130 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 28130 covers

Code 28130 represents talectomy: operative removal of part or all of the talus, the ankle bone. An orthopedic or foot-and-ankle surgeon may perform it as salvage treatment when the talus is severely damaged, infected, or deformed and cannot be preserved with a more limited procedure. It is generally performed in an operating room or other surgical facility.

Report 28130 when the operative note supports removal of talar bone as a talectomy; document the indication, side, and extent of removal. CMS assigns major-surgery status with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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 28130 pays more and less

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

109 of 109 payment localities

28130 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$548.33
Alaska*Unavailable$748.48
ArizonaUnavailable$584.65
ArkansasUnavailable$542.08
AtlantaUnavailable$613.03
AustinUnavailable$608.31
BakersfieldUnavailable$609.94
Baltimore/Surr. CntysUnavailable$632.58
BeaumontUnavailable$573.70
BrazoriaUnavailable$588.95

28130 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
28130 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 28130 rate is calculated

Each of 28130’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 · 28130

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 9.26Practice expense 7.28Malpractice 1.39

17.9300 adjusted RVUs×$33.4009 conversion factor=$598.88

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

Payment rules and modifiers for 28130

28130 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28130

Talectomy

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 28130

Talectomy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

28130 without 50 · national facility

$598.88

Talectomy

28130-50 · Bilateral: 150%

$898.32

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

28130 compared with similar codes

Compare codes

28130 vs 28120 vs 28100 vs 28122: national Medicare rates

Swap in your local Medicare rate.

  • 28130
    Talectomy · 9.26 wRVU
    —
  • 28120
    Bone excision · 7.13 wRVU
    $686.72
  • 28100
    Bone lesion excision · 5.68 wRVU
    $645.31
  • 28122
    Tarsal bone excision · 6.59 wRVU
    $599.21

How to choose

28120Bone excision
28130 is reported for a talectomy involving part or all of the talus. 28120 describes a partial excision involving the talus or calcaneus; use the code that matches the documented procedure.
28100Bone lesion excision
28100 targets a bone cyst or benign tumor in the talus or calcaneus. 28130 describes talar removal rather than lesion-directed curettage or excision.
28122Tarsal bone excision
28122 describes partial excision of a tarsal or metatarsal bone other than the talus or calcaneus. 28130 applies to talar removal.

Codes related to 28130

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

Codes related to 28130
CodeHow it relatesNational office range
Used instead
28120Bone excisionPartial excision of the talus or calcaneus for a more limited bone-removal procedure.$612.44–$882.14
28100Bone lesion excisionCurettage or excision directed at a benign bone lesion of the talus or calcaneus.$570.84–$840.61
28122Tarsal bone excisionPartial excision of a tarsal or metatarsal bone other than the talus or calcaneus.$537.14–$768.29

28130 billing questions

Does 28130 include removal of only part of the talus?

Yes. The code covers talectomy involving partial or complete removal of the talus; document the extent in the operative report.

How is 28130 distinguished from 28120?

28130 represents a talectomy, while 28120 describes partial bone excision involving the talus or calcaneus. Choose based on the operation performed and its documented purpose and extent.

When is 28100 a better fit?

Use 28100 for excision or curettage directed at a bone cyst or benign tumor of the talus or calcaneus, rather than a talectomy.

How should bilateral talectomy be reported?

CMS identifies this as a bilateral procedure; report modifier 50 when both sides are treated. CMS payment is 150%.

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 28130PPRRVU2026_Oct_nonQPP.csv, line 3,136 (RVU26D)

Open CMS sourceHow we calculate rates

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