No office rate
Use 28171 when the tumor involves a tarsal bone; 28173 identifies a metatarsal tumor.
On this page
CMS RVU26D · Effective 2026-10-01
28173 Bone tumor surgery Medicare reimbursement rates
Surgical removal of a tumor involving a metatarsal, reported when the operative service targets the tumor in that foot bone. Compare 28173 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 28173?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 28173 pays more and less
Foot surgery
About 28173: Metatarsal tumor resection
Surgical removal of a tumor involving a metatarsal, reported when the operative service targets the tumor in that foot bone.
This code represents surgery to remove a tumor involving a metatarsal, one of the long bones in the foot. An orthopedic or podiatric foot-and-ankle surgeon typically performs the procedure in a hospital or ambulatory surgical setting. The operative report should identify the affected metatarsal, describe the tumor and the extent of bone removal, and support that the work addressed a bone tumor rather than a soft-tissue mass or a non-tumor bone condition.
Report the code when the surgeon’s documented service is tumor resection from a metatarsal; distinguish it from tumor resections in a tarsal bone or toe phalanx. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 28173
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.81 · 69%
- Practice expense (office) RVU4.93 · 25%
- Malpractice RVU1.19 · 6%
17
Medicare services in 2024 · #6001 by national volume
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.
28173 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Use 28175 for a tumor in a toe phalanx. This code is for tumor resection involving a metatarsal.
$505.14–$706.01
28140 represents metatarsal removal, while 28173 is the tumor-specific metatarsal resection code. The operative indication and work performed distinguish them.
See how rates vary across the country
28173 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 28173 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $627.85 |
| Alaska* | Office Unavailable | Facility $889.17 |
| Arizona | Office Unavailable | Facility $654.85 |
| Arkansas | Office Unavailable | Facility $623.18 |
| Atlanta | Office Unavailable | Facility $677.69 |
| Austin | Office Unavailable | Facility $671.62 |
| Bakersfield | Office Unavailable | Facility $674.71 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $694.50 |
| Beaumont | Office Unavailable | Facility $648.04 |
| Brazoria | Office Unavailable | Facility $659.14 |
| Chicago | Office Unavailable | Facility $721.20 |
| Chico | Office Unavailable | Facility $670.89 |
| Colorado | Office Unavailable | Facility $673.05 |
| Connecticut | Office Unavailable | Facility $695.93 |
| Dallas | Office Unavailable | Facility $663.53 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $724.39 |
| Delaware | Office Unavailable | Facility $662.00 |
| Detroit | Office Unavailable | Facility $687.18 |
| East St. Louis | Office Unavailable | Facility $692.81 |
| El Centro | Office Unavailable | Facility $671.09 |
| Fort Lauderdale | Office Unavailable | Facility $699.94 |
| Fort Worth | Office Unavailable | Facility $662.40 |
| Fresno | Office Unavailable | Facility $670.89 |
| Galveston | Office Unavailable | Facility $661.38 |
| Hanford-Corcoran | Office Unavailable | Facility $670.89 |
| Hawaii, Guam | Office Unavailable | Facility $671.51 |
| Houston | Office Unavailable | Facility $683.16 |
| Idaho | Office Unavailable | Facility $631.56 |
| Indiana | Office Unavailable | Facility $633.23 |
| Iowa | Office Unavailable | Facility $627.72 |
| Kansas | Office Unavailable | Facility $630.16 |
| Kentucky | Office Unavailable | Facility $644.02 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $701.37 |
| Madera | Office Unavailable | Facility $670.89 |
| Manhattan | Office Unavailable | Facility $745.17 |
| Merced | Office Unavailable | Facility $670.89 |
| Metropolitan Boston | Office Unavailable | Facility $712.16 |
| Metropolitan Kansas City | Office Unavailable | Facility $654.72 |
| Metropolitan Philadelphia | Office Unavailable | Facility $688.41 |
| Metropolitan St. Louis | Office Unavailable | Facility $657.86 |
| Miami | Office Unavailable | Facility $733.20 |
| Minnesota | Office Unavailable | Facility $642.47 |
| Mississippi | Office Unavailable | Facility $632.42 |
| Modesto | Office Unavailable | Facility $670.89 |
| Montana** | Office Unavailable | Facility $665.60 |
| Napa | Office Unavailable | Facility $727.55 |
| Nebraska | Office Unavailable | Facility $628.28 |
| Nevada** | Office Unavailable | Facility $659.21 |
| New Hampshire | Office Unavailable | Facility $667.46 |
| New Mexico | Office Unavailable | Facility $660.00 |
| New Orleans | Office Unavailable | Facility $661.37 |
| North Carolina | Office Unavailable | Facility $640.30 |
| North Dakota** | Office Unavailable | Facility $642.07 |
| Northern Nj | Office Unavailable | Facility $723.79 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $760.39 |
| Ohio | Office Unavailable | Facility $651.67 |
| Oklahoma | Office Unavailable | Facility $639.20 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $693.58 |
| Portland | Office Unavailable | Facility $681.16 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $710.43 |
| Puerto Rico | Office Unavailable | Facility $666.90 |
| Queens | Office Unavailable | Facility $742.74 |
| Redding | Office Unavailable | Facility $670.89 |
| Rest Of California | Office Unavailable | Facility $670.89 |
| Rest Of Florida | Office Unavailable | Facility $678.43 |
| Rest Of Georgia | Office Unavailable | Facility $655.53 |
| Rest Of Illinois | Office Unavailable | Facility $673.73 |
| Rest Of Louisiana | Office Unavailable | Facility $645.07 |
| Rest Of Maine | Office Unavailable | Facility $637.48 |
| Rest Of Maryland | Office Unavailable | Facility $669.01 |
| Rest Of Massachusetts | Office Unavailable | Facility $673.72 |
| Rest Of Michigan | Office Unavailable | Facility $656.48 |
| Rest Of Missouri | Office Unavailable | Facility $641.92 |
| Rest Of New Jersey | Office Unavailable | Facility $703.14 |
| Rest Of New York | Office Unavailable | Facility $645.64 |
| Rest Of Oregon | Office Unavailable | Facility $653.22 |
| Rest Of Pennsylvania | Office Unavailable | Facility $649.99 |
| Rest Of Texas | Office Unavailable | Facility $653.43 |
| Rest Of Washington | Office Unavailable | Facility $670.90 |
| Rhode Island | Office Unavailable | Facility $675.59 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $683.95 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $690.68 |
| Salinas | Office Unavailable | Facility $687.72 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $693.59 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $755.51 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $754.16 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $770.76 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $765.23 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $677.97 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $692.33 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $687.49 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $698.62 |
| Seattle (King Cnty) | Office Unavailable | Facility $718.85 |
| South Carolina | Office Unavailable | Facility $647.20 |
| South Dakota** | Office Unavailable | Facility $639.29 |
| Southern Maine | Office Unavailable | Facility $649.53 |
| Stockton | Office Unavailable | Facility $670.89 |
| Suburban Chicago | Office Unavailable | Facility $704.04 |
| Tennessee | Office Unavailable | Facility $632.29 |
| Utah | Office Unavailable | Facility $651.75 |
| Vallejo | Office Unavailable | Facility $725.60 |
| Vermont | Office Unavailable | Facility $644.40 |
| Virgin Islands | Office Unavailable | Facility $666.90 |
| Virginia | Office Unavailable | Facility $651.19 |
| Visalia | Office Unavailable | Facility $670.89 |
| West Virginia | Office Unavailable | Facility $661.24 |
| Wisconsin | Office Unavailable | Facility $631.26 |
| Wyoming** | Office Unavailable | Facility $655.35 |
| Yuba City | Office Unavailable | Facility $670.89 |
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28173 billing questions
How is this code distinguished from 28171 and 28175?
The bone involved determines the code: 28173 is for a metatarsal tumor, 28171 for a tarsal tumor, and 28175 for a toe-phalanx tumor.
When would 28140 be considered instead?
28140 describes removal of a metatarsal rather than tumor-specific resection. Select based on the documented procedure and indication, not just the bone involved.
Can modifier 50 be reported for bilateral metatarsal tumors?
No. The CMS bilateral adjustment is inappropriate for this code; modifier 50 should not be used.
What postoperative care is included in the global period?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are payable only with supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,13928153,,Partial removal of toe,A,,3.71,7.86,,3.44,,0.36,11.93,7.51,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14028160,,Partial removal of toe,A,,3.78,8.01,,3.48,,0.39,12.18,7.65,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14128171,,Resect tarsal tumor,A,,16.00,10.91,NA,10.91,,3.40,30.31,30.31,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14228173,,Resect metatarsal tumor,A,,13.81,4.93,NA,4.93,,1.19,19.93,19.93,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14328175,,Resect phalanx of toe tumor,A,,8.08,4.32,NA,4.32,,0.68,13.08,13.08,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14428190,,Removal of foot foreign body,A,,1.96,5.00,,1.65,,0.21,7.17,3.82,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14528192,,Removal of foot foreign body,A,,4.66,8.56,,3.67,,0.46,13.68,8.79,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00