No office rate
Use 28102 for a lesion in the talus or calcaneus. Use 28103 for a tarsal or metatarsal bone.
On this page
CMS RVU26D · Effective 2026-10-01
28103 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$367.39
Base rate per service
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.
Orthopedic surgery
About 28103: Foot bone lesion excision with autograft
Reports excision or curettage of a benign bone lesion in a tarsal or metatarsal bone when the defect is filled with autograft.
An orthopedic or podiatric surgeon uses this service to remove or curette a bone cyst or benign tumor in a tarsal or metatarsal bone and fill the resulting defect with the patient’s bone graft. The procedure is performed in an operative setting; the graft may be harvested as part of the service. The code is specific to these foot bones, rather than the talus or calcaneus or a toe phalanx.
Report it when the operative record identifies the treated bone and lesion, describes excision or curettage, and documents autograft placement. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, CMS pays the highest-valued procedure in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 28103
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.50 · 60%
- Practice expense (office) RVU3.78 · 35%
- Malpractice RVU0.55 · 5%
104
Medicare services in 2024 · #4849 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.
28103 compared with similar codes
Office rates for Austin, from the same CMS release.
$558.85
Both address tarsal or metatarsal lesions, but 28103 uses autograft and 28104 uses allograft.
No office rate
28106 is for a lesion in a foot phalanx; 28103 is for a tarsal or metatarsal bone.
$445.97
28108 addresses a toe-phalanx lesion without graft, while 28103 treats a tarsal or metatarsal lesion with autograft.
The same code, a different location
How does Austin compare?
28103 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 28103
Office
Unavailable
Facility
$353.51
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 28103
Office
Unavailable
Facility
$387.57
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 28103
Office
Unavailable
Facility
$398.00
No comparable office rate is available.
Miami
Florida · 28103
Office
Unavailable
Facility
$395.00
No comparable office rate is available.
Chicago
Illinois · 28103
Office
Unavailable
Facility
$387.67
No comparable office rate is available.
Manhattan
New York · 28103
Office
Unavailable
Facility
$406.85
No comparable office rate is available.
Alaska*
Alaska · 28103
Office
Unavailable
Facility
$470.24
No comparable office rate is available.
Alabama
Alabama · 28103
Office
Unavailable
Facility
$337.98
No comparable office rate is available.
Arkansas
Arkansas · 28103
Office
Unavailable
Facility
$335.02
No comparable office rate is available.
Arizona
Arizona · 28103
Office
Unavailable
Facility
$355.17
No comparable office rate is available.
Bakersfield
California · 28103
Office
Unavailable
Facility
$370.79
No comparable office rate is available.
Chico
California · 28103
Office
Unavailable
Facility
$369.02
No comparable office rate is available.
El Centro
California · 28103
Office
Unavailable
Facility
$369.11
No comparable office rate is available.
Fresno
California · 28103
Office
Unavailable
Facility
$369.02
No comparable office rate is available.
Hanford-Corcoran
California · 28103
Office
Unavailable
Facility
$369.02
No comparable office rate is available.
Madera
California · 28103
Office
Unavailable
Facility
$369.02
No comparable office rate is available.
Merced
California · 28103
Office
Unavailable
Facility
$369.02
No comparable office rate is available.
Modesto
California · 28103
Office
Unavailable
Facility
$369.02
No comparable office rate is available.
Napa
California · 28103
Office
Unavailable
Facility
$406.52
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 28103
Office
Unavailable
Facility
$383.86
No comparable office rate is available.
Redding
California · 28103
Office
Unavailable
Facility
$369.02
No comparable office rate is available.
Rest Of California
California · 28103
Office
Unavailable
Facility
$369.02
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 28103
Office
Unavailable
Facility
$375.06
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 28103
Office
Unavailable
Facility
$381.60
No comparable office rate is available.
Salinas
California · 28103
Office
Unavailable
Facility
$380.01
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 28103
Office
Unavailable
Facility
$384.58
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 28103
Office
Unavailable
Facility
$424.18
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 28103
Office
Unavailable
Facility
$423.56
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 28103
Office
Unavailable
Facility
$432.89
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 28103
Office
Unavailable
Facility
$430.34
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 28103
Office
Unavailable
Facility
$374.45
No comparable office rate is available.
Santa Cruz-Watsonville
California · 28103
Office
Unavailable
Facility
$384.91
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 28103
Office
Unavailable
Facility
$380.25
No comparable office rate is available.
Santa Rosa-Petaluma
California · 28103
Office
Unavailable
Facility
$388.51
No comparable office rate is available.
Stockton
California · 28103
Office
Unavailable
Facility
$369.02
No comparable office rate is available.
Vallejo
California · 28103
Office
Unavailable
Facility
$405.62
No comparable office rate is available.
Visalia
California · 28103
Office
Unavailable
Facility
$369.02
No comparable office rate is available.
Yuba City
California · 28103
Office
Unavailable
Facility
$369.02
No comparable office rate is available.
Colorado
Colorado · 28103
Office
Unavailable
Facility
$368.39
No comparable office rate is available.
Connecticut
Connecticut · 28103
Office
Unavailable
Facility
$379.65
No comparable office rate is available.
Delaware
Delaware · 28103
Office
Unavailable
Facility
$359.45
No comparable office rate is available.
Fort Lauderdale
Florida · 28103
Office
Unavailable
Facility
$378.22
No comparable office rate is available.
Rest Of Florida
Florida · 28103
Office
Unavailable
Facility
$365.42
No comparable office rate is available.
Atlanta
Georgia · 28103
Office
Unavailable
Facility
$368.10
No comparable office rate is available.
Rest Of Georgia
Georgia · 28103
Office
Unavailable
Facility
$351.62
No comparable office rate is available.
Hawaii, Guam
Hawaii · 28103
Office
Unavailable
Facility
$371.29
No comparable office rate is available.
Iowa
Iowa · 28103
Office
Unavailable
Facility
$339.92
No comparable office rate is available.
Idaho
Idaho · 28103
Office
Unavailable
Facility
$341.95
No comparable office rate is available.
East St. Louis
Illinois · 28103
Office
Unavailable
Facility
$370.26
No comparable office rate is available.
Rest Of Illinois
Illinois · 28103
Office
Unavailable
Facility
$361.09
No comparable office rate is available.
Suburban Chicago
Illinois · 28103
Office
Unavailable
Facility
$380.84
No comparable office rate is available.
Indiana
Indiana · 28103
Office
Unavailable
Facility
$343.07
No comparable office rate is available.
Kansas
Kansas · 28103
Office
Unavailable
Facility
$340.50
No comparable office rate is available.
Kentucky
Kentucky · 28103
Office
Unavailable
Facility
$346.16
No comparable office rate is available.
New Orleans
Louisiana · 28103
Office
Unavailable
Facility
$356.78
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 28103
Office
Unavailable
Facility
$346.44
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 28103
Office
Unavailable
Facility
$393.11
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 28103
Office
Unavailable
Facility
$368.17
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 28103
Office
Unavailable
Facility
$378.78
No comparable office rate is available.
Rest Of Maryland
Maryland · 28103
Office
Unavailable
Facility
$363.91
No comparable office rate is available.
Rest Of Maine
Maine · 28103
Office
Unavailable
Facility
$344.69
No comparable office rate is available.
Southern Maine
Maine · 28103
Office
Unavailable
Facility
$353.82
No comparable office rate is available.
Detroit
Michigan · 28103
Office
Unavailable
Facility
$369.91
No comparable office rate is available.
Rest Of Michigan
Michigan · 28103
Office
Unavailable
Facility
$353.12
No comparable office rate is available.
Minnesota
Minnesota · 28103
Office
Unavailable
Facility
$352.46
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 28103
Office
Unavailable
Facility
$353.61
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 28103
Office
Unavailable
Facility
$355.71
No comparable office rate is available.
Rest Of Missouri
Missouri · 28103
Office
Unavailable
Facility
$343.83
No comparable office rate is available.
Mississippi
Mississippi · 28103
Office
Unavailable
Facility
$339.39
No comparable office rate is available.
Montana**
Montana · 28103
Office
Unavailable
Facility
$361.70
No comparable office rate is available.
North Carolina
North Carolina · 28103
Office
Unavailable
Facility
$346.64
No comparable office rate is available.
North Dakota**
North Dakota · 28103
Office
Unavailable
Facility
$350.82
No comparable office rate is available.
Nebraska
Nebraska · 28103
Office
Unavailable
Facility
$340.58
No comparable office rate is available.
New Hampshire
New Hampshire · 28103
Office
Unavailable
Facility
$364.61
No comparable office rate is available.
Northern Nj
New Jersey · 28103
Office
Unavailable
Facility
$396.86
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 28103
Office
Unavailable
Facility
$383.81
No comparable office rate is available.
New Mexico
New Mexico · 28103
Office
Unavailable
Facility
$354.95
No comparable office rate is available.
Nevada**
Nevada · 28103
Office
Unavailable
Facility
$358.79
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 28103
Office
Unavailable
Facility
$415.23
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 28103
Office
Unavailable
Facility
$387.35
No comparable office rate is available.
Queens
New York · 28103
Office
Unavailable
Facility
$406.72
No comparable office rate is available.
Rest Of New York
New York · 28103
Office
Unavailable
Facility
$349.96
No comparable office rate is available.
Ohio
Ohio · 28103
Office
Unavailable
Facility
$350.89
No comparable office rate is available.
Oklahoma
Oklahoma · 28103
Office
Unavailable
Facility
$344.13
No comparable office rate is available.
Portland
Oregon · 28103
Office
Unavailable
Facility
$374.52
No comparable office rate is available.
Rest Of Oregon
Oregon · 28103
Office
Unavailable
Facility
$355.77
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 28103
Office
Unavailable
Facility
$374.36
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 28103
Office
Unavailable
Facility
$350.37
No comparable office rate is available.
Puerto Rico
Puerto Rico · 28103
Office
Unavailable
Facility
$362.84
No comparable office rate is available.
Rhode Island
Rhode Island · 28103
Office
Unavailable
Facility
$368.04
No comparable office rate is available.
South Carolina
South Carolina · 28103
Office
Unavailable
Facility
$349.38
No comparable office rate is available.
South Dakota**
South Dakota · 28103
Office
Unavailable
Facility
$349.53
No comparable office rate is available.
Tennessee
Tennessee · 28103
Office
Unavailable
Facility
$341.74
No comparable office rate is available.
Utah
Utah · 28103
Office
Unavailable
Facility
$352.28
No comparable office rate is available.
Virginia
Virginia · 28103
Office
Unavailable
Facility
$354.18
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 28103
Office
Unavailable
Facility
$362.84
No comparable office rate is available.
Vermont
Vermont · 28103
Office
Unavailable
Facility
$351.39
No comparable office rate is available.
Rest Of Washington
Washington · 28103
Office
Unavailable
Facility
$366.86
No comparable office rate is available.
Seattle (King Cnty)
Washington · 28103
Office
Unavailable
Facility
$397.89
No comparable office rate is available.
Wisconsin
Wisconsin · 28103
Office
Unavailable
Facility
$343.72
No comparable office rate is available.
West Virginia
West Virginia · 28103
Office
Unavailable
Facility
$353.11
No comparable office rate is available.
Wyoming**
Wyoming · 28103
Office
Unavailable
Facility
$356.96
No comparable office rate is available.
See how rates vary across the country
28103 · 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 28103 in Austin
Multiple payment areas
- 28103 in Barton Creek
- 28103 in Bee Cave
- 28103 in Briarcliff
- 28103 in Cedar Park
Multiple payment areas
- 28103 in Creedmoor
Multiple payment areas
- 28103 in Elgin
Multiple payment areas
- 28103 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 28103 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$404.13
$367.39 × 110% = $404.13
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 28103 in Austin.
PPRRVU2026_Oct_nonQPP.csv
3,119
- Code
- 28103
- Physician work
- 6.50
- Practice expense
- 3.78
- Malpractice
- 0.55
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.50 | × 1.002 | 6.5130 |
| Practice expense | 3.78 | × 1.058 | 3.9992 |
| Malpractice | 0.55 | × 0.886 | 0.4873 |
| Total RVUs | 10.9995 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$367.39
Open 28103 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.5 | 1.002 |
| Practice expense | 3.78 | 1.058 |
| Malpractice | 0.55 | 0.886 |
(6.5 × 1.002 + 3.78 × 1.058 + 0.55 × 0.886) × $33.4009 = $367.39
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
28103 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $367.39 | RVU26D |
| 2026-07-01 | Not available in this setting | $367.39 | RVU26C |
| 2026-04-01 | Not available in this setting | $367.39 | RVU26B |
| 2026-01-01 | Not available in this setting | $367.39 | RVU26A |
| 2025-10-01 | Not available in this setting | $386.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $386.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $386.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $386.42 | RVU25A |
28103 billing questions
How does 28103 differ from 28102?
28103 is for a tarsal or metatarsal bone. 28102 is for a lesion in the talus or calcaneus.
When should 28104 be considered instead?
28104 describes the corresponding tarsal or metatarsal lesion procedure using allograft. 28103 includes autograft.
Is graft harvesting separately reported?
The autograft harvest is included in 28103. Document the graft placement and its relationship to the treated bone defect.
What documentation supports this code?
Record the specific tarsal or metatarsal bone, lesion, excision or curettage performed, and autograft placement.
How does the 90-day global period affect follow-up care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can 28103 be reported bilaterally or with another procedure?
CMS pays bilateral reporting with modifier 50 at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%.
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.
3,11628092,,Removal of toe lesions,A,,3.69,8.57,,3.73,,0.39,12.65,7.81,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,11728100,,Removal of ankle/heel lesion,A,,5.68,12.75,,5.51,,0.89,19.32,12.08,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,11828102,,Remove/graft foot lesion,A,,7.72,8.10,NA,8.10,,1.64,17.46,17.46,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,11928103,,Remove/graft foot lesion,A,,6.50,3.78,NA,3.78,,0.55,10.83,10.83,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12028104,,Removal of foot lesion,A,,5.13,10.42,,4.39,,0.64,16.19,10.16,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12128106,,Remove/graft foot lesion,A,,7.17,4.11,NA,4.11,,0.60,11.88,11.88,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12228107,,Remove/graft foot lesion,A,,5.59,8.84,,3.67,,0.47,14.90,9.73,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858