Billing code 28825: Toe amputationMedicare rate & RVUs
Reports partial toe removal through an interphalangeal joint, commonly for localized infection, bone disease, or nonviable tissue confined to the distal toe.
Medicare pays $289.92 for 28825 nationally in the office and $156.32 in a hospital or facility. Local office rates run $260.20–$369.45.
Medicare rate · 28825
Toe amputation
- Work RVUs
- 3.32
- Total RVUs
- 8.68
- Global days
- 000
National rate · 2026
$289.92
Office setting, before claim adjustments.
See every locality for 28825 →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
What 28825 covers
A surgeon or podiatrist removes the distal portion of a toe by dividing it through an interphalangeal joint, leaving the more proximal portion of the toe in place. This level may be selected when infection, osteomyelitis, gangrene, or other nonviable tissue is limited enough that removal at the metatarsophalangeal joint is unnecessary. The service is commonly performed in a surgical facility, though office services are also reported.
Choose this code when the operative level is an interphalangeal joint, rather than the metatarsophalangeal joint or a more proximal foot level. The operative report should identify the toe, the joint level, the extent of tissue removed, and the clinical reason for amputation. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery services are not paid, and 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 28825 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
$260.20 to $369.45
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $263.52 | $146.61 |
| Alaska* | $350.31 | $208.02 |
| Arizona | $282.90 | $153.44 |
| Arkansas | $260.20 | $145.43 |
| Atlanta | $295.53 | $159.79 |
| Austin | $298.28 | $156.93 |
| Bakersfield | $302.87 | $156.44 |
| Baltimore/Surr. Cntys | $306.90 | $163.54 |
| Beaumont | $274.05 | $152.48 |
| Brazoria | $286.45 | $154.05 |
| Chicago | $308.40 | $174.12 |
| Chico | $301.70 | $155.27 |
| Colorado | $299.02 | $156.87 |
| Connecticut | $307.66 | $163.76 |
| Dallas | $288.40 | $155.33 |
| Dc + Md/Va Suburbs | $326.93 | $169.54 |
| Delaware | $287.17 | $155.17 |
| Detroit | $293.05 | $164.12 |
| East St. Louis | $289.85 | $166.93 |
| El Centro | $301.76 | $155.33 |
| Fort Lauderdale | $302.60 | $167.26 |
| Fort Worth | $286.91 | $155.18 |
| Fresno | $301.70 | $155.27 |
| Galveston | $287.40 | $154.74 |
| Hanford-Corcoran | $301.70 | $155.27 |
| Hawaii, Guam | $307.18 | $155.27 |
| Houston | $294.54 | $161.87 |
| Idaho | $269.77 | $146.86 |
| Indiana | $271.11 | $147.26 |
| Iowa | $267.95 | $145.71 |
| Kansas | $267.52 | $146.74 |
| Kentucky | $270.39 | $151.61 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $320.47 | $162.41 |
| Madera | $301.70 | $155.27 |
| Manhattan | $331.54 | $176.30 |
| Merced | $301.70 | $155.27 |
| Metropolitan Boston | $325.24 | $165.72 |
| Metropolitan Kansas City | $279.49 | $154.04 |
| Metropolitan Philadelphia | $301.24 | $162.15 |
| Metropolitan St. Louis | $281.98 | $154.79 |
| Miami | $316.64 | $177.56 |
| Minnesota | $285.56 | $148.09 |
| Mississippi | $263.45 | $148.41 |
| Modesto | $301.70 | $155.27 |
| Montana** | $289.89 | $156.29 |
| Napa | $343.29 | $167.20 |
| Nebraska | $269.04 | $145.72 |
| Nevada** | $287.91 | $154.17 |
| New Hampshire | $295.10 | $156.02 |
| New Mexico | $278.76 | $156.25 |
| New Orleans | $281.90 | $156.18 |
| North Carolina | $274.10 | $149.44 |
| North Dakota** | $282.18 | $148.58 |
| Northern Nj | $324.35 | $169.37 |
| Nyc Suburbs/Long Island | $339.55 | $180.70 |
| Ohio | $275.58 | $153.60 |
| Oklahoma | $269.25 | $149.94 |
| Oxnard-Thousand Oaks-Ventura | $318.33 | $160.41 |
| Portland | $306.79 | $158.35 |
| Poughkpsie/N Nyc Suburbs | $313.42 | $167.12 |
| Puerto Rico | $291.55 | $156.48 |
| Queens | $332.99 | $175.07 |
| Redding | $301.70 | $155.27 |
| Rest Of California | $301.70 | $155.27 |
| Rest Of Florida | $289.17 | $161.44 |
| Rest Of Georgia | $274.49 | $155.32 |
| Rest Of Illinois | $282.81 | $160.83 |
| Rest Of Louisiana | $270.28 | $152.04 |
| Rest Of Maine | $271.72 | $148.80 |
| Rest Of Maryland | $291.95 | $156.75 |
| Rest Of Massachusetts | $297.85 | $157.16 |
| Rest Of Michigan | $277.16 | $155.18 |
| Rest Of Missouri | $266.67 | $151.51 |
| Rest Of New Jersey | $310.89 | $165.00 |
| Rest Of New York | $277.75 | $150.83 |
| Rest Of Oregon | $285.39 | $152.32 |
| Rest Of Pennsylvania | $275.59 | $152.94 |
| Rest Of Texas | $280.19 | $153.40 |
| Rest Of Washington | $297.05 | $156.36 |
| Rhode Island | $296.10 | $158.09 |
| Riverside-San Bernardino-Ontario | $305.94 | $159.51 |
| Sacramento-Roseville-Folsom | $314.93 | $159.55 |
| Salinas | $313.71 | $158.86 |
| San Diego-Chula Vista-Carlsbad | $319.82 | $160.03 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $361.47 | $173.09 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $361.03 | $172.64 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $369.45 | $176.79 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $367.64 | $174.98 |
| San Luis Obispo-Paso Robles | $308.84 | $156.66 |
| Santa Cruz-Watsonville | $321.89 | $159.57 |
| Santa Maria-Santa Barbara | $314.54 | $158.76 |
| Santa Rosa-Petaluma | $325.05 | $160.99 |
| Seattle (King Cnty) | $330.76 | $166.83 |
| South Carolina | $275.35 | $151.90 |
| South Dakota** | $281.27 | $147.67 |
| Southern Maine | $283.62 | $151.22 |
| Stockton | $301.70 | $155.27 |
| Suburban Chicago | $305.23 | $168.02 |
| Tennessee | $268.78 | $147.34 |
| Utah | $278.63 | $153.04 |
| Vallejo | $342.65 | $166.56 |
| Vermont | $281.82 | $149.56 |
| Virgin Islands | $291.55 | $156.48 |
| Virginia | $283.27 | $151.94 |
| Visalia | $301.70 | $155.27 |
| West Virginia | $273.79 | $157.69 |
| Wisconsin | $273.93 | $145.94 |
| Wyoming** | $286.53 | $152.93 |
| Yuba City | $301.70 | $155.27 |
28825 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.
$260.20
$350.31
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $350.31 | 1 |
| AL | $263.52 | 1 |
| AR | $260.20 | 1 |
| AZ | $282.90 | 1 |
| CA | $301.70–$369.45 | 29 |
| CO | $299.02 | 1 |
| CT | $307.66 | 1 |
| DC | $326.93 | 1 |
| DE | $287.17 | 1 |
| FL | $289.17–$316.64 | 3 |
| GA | $274.49–$295.53 | 2 |
| GU | $307.18 | 1 |
| HI | $307.18 | 1 |
| IA | $267.95 | 1 |
| ID | $269.77 | 1 |
| IL | $282.81–$308.40 | 4 |
| IN | $271.11 | 1 |
| KS | $267.52 | 1 |
| KY | $270.39 | 1 |
| LA | $270.28–$281.90 | 2 |
| MA | $297.85–$325.24 | 2 |
| MD | $291.95–$326.93 | 3 |
| ME | $271.72–$283.62 | 2 |
| MI | $277.16–$293.05 | 2 |
| MN | $285.56 | 1 |
| MO | $266.67–$281.98 | 3 |
| MS | $263.45 | 1 |
| MT | $289.89 | 1 |
| NC | $274.10 | 1 |
| ND | $282.18 | 1 |
| NE | $269.04 | 1 |
| NH | $295.10 | 1 |
| NJ | $310.89–$324.35 | 2 |
| NM | $278.76 | 1 |
| NV | $287.91 | 1 |
| NY | $277.75–$339.55 | 5 |
| OH | $275.58 | 1 |
| OK | $269.25 | 1 |
| OR | $285.39–$306.79 | 2 |
| PA | $275.59–$301.24 | 2 |
| PR | $291.55 | 1 |
| RI | $296.10 | 1 |
| SC | $275.35 | 1 |
| SD | $281.27 | 1 |
| TN | $268.78 | 1 |
| TX | $274.05–$298.28 | 8 |
| UT | $278.63 | 1 |
| VA | $283.27–$326.93 | 2 |
| VI | $291.55 | 1 |
| VT | $281.82 | 1 |
| WA | $297.05–$330.76 | 2 |
| WI | $273.93 | 1 |
| WV | $273.79 | 1 |
| WY | $286.53 | 1 |
How the 28825 rate is calculated
Each of 28825’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 · 28825
RVUs × geographic indexes × conversion factor
Work3.32
3.32 RVUs× 1.000 GPCI
Practice expense4.97
4.97 RVUs× 1.000 GPCI
Malpractice0.39
0.39 RVUs× 1.000 GPCI
Adjusted RVUs
8.6800
Conversion factor
$33.4009
Medicare rate
$289.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28825
The CMS indicators that decide how 28825 is paid alongside other services.
CMS payment indicators · 28825
Toe amputation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
28825 without 51 · national office
$289.92
Toe amputation
28825-51 · Second procedure: 50%
$144.96
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%).
28825 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28820Toe amputation
- 28825 reaches an interphalangeal joint; 28820 reaches the metatarsophalangeal joint. Select based on the documented amputation level.
- 28805Foot amputation
- 28805 is used for amputation through the metatarsal level, not isolated removal of the distal portion of a toe.
- 28810Ray amputation
- 28810 includes removal of a toe and its metatarsal; 28825 is limited to toe amputation through an interphalangeal joint.
28825 billing questions
How does this differ from 28820?
Use 28825 when the toe is amputated through an interphalangeal joint. Code 28820 describes removal at the metatarsophalangeal joint.
What documentation supports the joint-level choice?
The operative report should identify the toe and state the level of division. It should support that the amputation passed through an interphalangeal joint.
Is same-day preoperative or postoperative care separately included?
Same-day preoperative and postoperative care is included in the 0-day global period.
Should modifier 50 be used for opposite feet?
No. CMS identifies bilateral adjustment as inapplicable for this code and modifier 50 as inappropriate.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services are not paid. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple procedure reduction.
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
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