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CMS RVU26D · Effective 2026-10-01

28150 in Austin

Office / nonfacility

$428.02

Base rate per service

Facility setting

$270.76

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.

Foot surgery

About 28150: Toe amputation at the metatarsophalangeal joint

Report this service when a surgeon removes an entire toe through its metatarsophalangeal joint, such as for a nonviable or severely infected toe.

A surgeon removes the toe by disarticulating it at the metatarsophalangeal joint. This operation may be performed by a podiatrist or orthopedic surgeon when a toe is nonviable from ischemia or gangrene, or when severe infection makes preservation unsuitable. The operative report should identify the affected digit and document the amputation level; removal limited to a toe bone or joint is a different service.

Report 28150 for the complete toe removal at the MTP joint, not for an amputation through an interphalangeal joint. Medicare treats it as major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other 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 for bilateral reporting. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

CMS billing rules for 28150

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.12 · 33%
  • Practice expense (office) RVU7.85 · 63%
  • Malpractice RVU0.43 · 3%

432

Medicare services in 2024 · #3672 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.

28150 compared with similar codes

Office rates for Austin, from the same CMS release.

28160

Toe bone excision

Joint or partial phalanx

$421.11

Choose 28150 when the toe is removed through the MTP joint. Choose 28160 when the amputation level is an interphalangeal joint.

28124

Toe bone excision

Partial phalanx excision

$489.97

28124 describes partial excision of toe phalanx bone. It is not the code for removing the entire toe at the MTP joint.

28126

Toe bone excision

Complete phalanx removal

$400.75

28126 is for resection of toe phalanx condyle(s); 28150 represents complete toe removal through the MTP joint.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 28150 is $389.55—$38.47 lower than the $428.02 rate in Austin. Both use the same code, release and participation basis.

28150 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $428.02

  2. Beaumont

    $389.55

    $38.47 lower than Austin

  3. Brazoria

    $409.75

    $18.27 lower than Austin

  4. Dallas

    $412.32

    $15.70 lower than Austin

  5. Fort Worth

    $409.89

    $18.13 lower than Austin

  6. Galveston

    $410.97

    $17.05 lower than Austin

  7. Houston

    $418.84

    $9.18 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 28150 ranges from $370.24 in Arkansas to $538.54 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 28150

    Office

    $399.41

    Facility

    $258.35

    $28.61 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 28150

    Office

    $462.97

    Facility

    $287.14

    $34.95 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28150

    Office

    $469.90

    Facility

    $294.81

    $41.88 higher than Austin for the office setting.

  • Miami

    Florida · 28150

    Office

    $446.88

    Facility

    $292.15

    $18.86 higher than Austin for the office setting.

  • Chicago

    Illinois · 28150

    Office

    $435.04

    Facility

    $285.67

    $7.02 higher than Austin for the office setting.

  • Manhattan

    New York · 28150

    Office

    $473.87

    Facility

    $301.16

    $45.85 higher than Austin for the office setting.

  • Alaska*

    Alaska · 28150

    Office

    $493.57

    Facility

    $335.28

    $65.55 higher than Austin for the office setting.

  • Alabama

    Alabama · 28150

    Office

    $375.16

    Facility

    $245.11

    $52.86 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 28150

    Office

    $370.24

    Facility

    $242.56

    $57.78 lower than Austin for the office setting.

  • Arizona

    Arizona · 28150

    Office

    $403.97

    Facility

    $259.95

    $24.05 lower than Austin for the office setting.

  • Bakersfield

    California · 28150

    Office

    $436.34

    Facility

    $273.44

    $8.32 higher than Austin for the office setting.

  • Chico

    California · 28150

    Office

    $435.02

    Facility

    $272.11

    $7.00 higher than Austin for the office setting.

  • El Centro

    California · 28150

    Office

    $435.09

    Facility

    $272.19

    $7.07 higher than Austin for the office setting.

  • Fresno

    California · 28150

    Office

    $435.02

    Facility

    $272.11

    $7.00 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 28150

    Office

    $435.02

    Facility

    $272.11

    $7.00 higher than Austin for the office setting.

  • Madera

    California · 28150

    Office

    $435.02

    Facility

    $272.11

    $7.00 higher than Austin for the office setting.

  • Merced

    California · 28150

    Office

    $435.02

    Facility

    $272.11

    $7.00 higher than Austin for the office setting.

  • Modesto

    California · 28150

    Office

    $435.02

    Facility

    $272.11

    $7.00 higher than Austin for the office setting.

  • Napa

    California · 28150

    Office

    $499.15

    Facility

    $303.25

    $71.13 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28150

    Office

    $460.33

    Facility

    $284.64

    $32.31 higher than Austin for the office setting.

  • Redding

    California · 28150

    Office

    $435.02

    Facility

    $272.11

    $7.00 higher than Austin for the office setting.

  • Rest Of California

    California · 28150

    Office

    $435.02

    Facility

    $272.11

    $7.00 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28150

    Office

    $439.71

    Facility

    $276.80

    $11.69 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28150

    Office

    $455.20

    Facility

    $282.34

    $27.18 higher than Austin for the office setting.

  • Salinas

    California · 28150

    Office

    $453.46

    Facility

    $281.20

    $25.44 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28150

    Office

    $463.11

    Facility

    $285.35

    $35.09 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28150

    Office

    $526.98

    Facility

    $317.40

    $98.96 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 28150

    Office

    $526.49

    Facility

    $316.91

    $98.47 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 28150

    Office

    $538.54

    Facility

    $324.21

    $110.52 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 28150

    Office

    $536.54

    Facility

    $322.21

    $108.52 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28150

    Office

    $446.29

    Facility

    $277.00

    $18.27 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 28150

    Office

    $466.77

    Facility

    $286.18

    $38.75 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 28150

    Office

    $454.88

    Facility

    $281.58

    $26.86 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 28150

    Office

    $471.42

    Facility

    $288.89

    $43.40 higher than Austin for the office setting.

  • Stockton

    California · 28150

    Office

    $435.02

    Facility

    $272.11

    $7.00 higher than Austin for the office setting.

  • Vallejo

    California · 28150

    Office

    $498.45

    Facility

    $302.55

    $70.43 higher than Austin for the office setting.

  • Visalia

    California · 28150

    Office

    $435.02

    Facility

    $272.11

    $7.00 higher than Austin for the office setting.

  • Yuba City

    California · 28150

    Office

    $435.02

    Facility

    $272.11

    $7.00 higher than Austin for the office setting.

  • Colorado

    Colorado · 28150

    Office

    $429.46

    Facility

    $271.31

    $1.44 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 28150

    Office

    $440.13

    Facility

    $280.05

    $12.11 higher than Austin for the office setting.

  • Delaware

    Delaware · 28150

    Office

    $410.26

    Facility

    $263.41

    $17.76 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 28150

    Office

    $429.18

    Facility

    $278.62

    $1.16 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 28150

    Office

    $409.86

    Facility

    $267.76

    $18.16 lower than Austin for the office setting.

  • Atlanta

    Georgia · 28150

    Office

    $421.67

    Facility

    $270.65

    $6.35 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 28150

    Office

    $388.61

    Facility

    $256.03

    $39.41 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 28150

    Office

    $444.05

    Facility

    $275.05

    $16.03 higher than Austin for the office setting.

  • Iowa

    Iowa · 28150

    Office

    $383.22

    Facility

    $247.22

    $44.80 lower than Austin for the office setting.

  • Idaho

    Idaho · 28150

    Office

    $385.63

    Facility

    $248.88

    $42.39 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 28150

    Office

    $407.76

    Facility

    $271.02

    $20.26 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 28150

    Office

    $399.45

    Facility

    $263.74

    $28.57 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 28150

    Office

    $433.30

    Facility

    $280.65

    $5.28 higher than Austin for the office setting.

  • Indiana

    Indiana · 28150

    Office

    $387.65

    Facility

    $249.86

    $40.37 lower than Austin for the office setting.

  • Kansas

    Kansas · 28150

    Office

    $381.88

    Facility

    $247.51

    $46.14 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 28150

    Office

    $383.85

    Facility

    $251.71

    $44.17 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 28150

    Office

    $400.65

    Facility

    $260.79

    $27.37 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 28150

    Office

    $383.42

    Facility

    $251.87

    $44.60 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 28150

    Office

    $469.10

    Facility

    $291.63

    $41.08 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28150

    Office

    $427.35

    Facility

    $270.84

    $0.67 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28150

    Office

    $438.92

    Facility

    $279.43

    $10.90 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 28150

    Office

    $417.52

    Facility

    $267.10

    $10.50 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 28150

    Office

    $387.77

    Facility

    $251.02

    $40.25 lower than Austin for the office setting.

  • Southern Maine

    Maine · 28150

    Office

    $406.51

    Facility

    $259.22

    $21.51 lower than Austin for the office setting.

  • Detroit

    Michigan · 28150

    Office

    $414.85

    Facility

    $271.42

    $13.17 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 28150

    Office

    $393.21

    Facility

    $257.51

    $34.81 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 28150

    Office

    $411.66

    Facility

    $258.72

    $16.36 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 28150

    Office

    $397.85

    Facility

    $258.28

    $30.17 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 28150

    Office

    $401.61

    Facility

    $260.11

    $26.41 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 28150

    Office

    $377.61

    Facility

    $249.49

    $50.41 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 28150

    Office

    $373.98

    Facility

    $246.00

    $54.04 lower than Austin for the office setting.

  • Montana**

    Montana · 28150

    Office

    $414.14

    Facility

    $265.51

    $13.88 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 28150

    Office

    $391.42

    Facility

    $252.74

    $36.60 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 28150

    Office

    $405.64

    Facility

    $257.01

    $22.38 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 28150

    Office

    $385.05

    Facility

    $247.86

    $42.97 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 28150

    Office

    $423.13

    Facility

    $268.40

    $4.89 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 28150

    Office

    $465.77

    Facility

    $293.35

    $37.75 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 28150

    Office

    $445.19

    Facility

    $282.88

    $17.17 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 28150

    Office

    $395.30

    Facility

    $259.00

    $32.72 lower than Austin for the office setting.

  • Nevada**

    Nevada · 28150

    Office

    $412.03

    Facility

    $263.25

    $15.99 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28150

    Office

    $484.84

    Facility

    $308.12

    $56.82 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28150

    Office

    $448.29

    Facility

    $285.53

    $20.27 higher than Austin for the office setting.

  • Queens

    New York · 28150

    Office

    $477.05

    Facility

    $301.36

    $49.03 higher than Austin for the office setting.

  • Rest Of New York

    New York · 28150

    Office

    $396.80

    Facility

    $255.59

    $31.22 lower than Austin for the office setting.

  • Ohio

    Ohio · 28150

    Office

    $391.47

    Facility

    $255.77

    $36.55 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 28150

    Office

    $382.91

    Facility

    $250.18

    $45.11 lower than Austin for the office setting.

  • Portland

    Oregon · 28150

    Office

    $441.80

    Facility

    $276.67

    $13.78 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 28150

    Office

    $408.86

    Facility

    $260.82

    $19.16 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28150

    Office

    $430.17

    Facility

    $275.44

    $2.15 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28150

    Office

    $391.88

    Facility

    $255.44

    $36.14 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 28150

    Office

    $416.84

    Facility

    $266.57

    $11.18 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 28150

    Office

    $423.89

    Facility

    $270.35

    $4.13 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 28150

    Office

    $392.09

    Facility

    $254.75

    $35.93 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 28150

    Office

    $404.63

    Facility

    $256.00

    $23.39 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 28150

    Office

    $383.66

    Facility

    $248.55

    $44.36 lower than Austin for the office setting.

  • Utah

    Utah · 28150

    Office

    $396.97

    Facility

    $257.26

    $31.05 lower than Austin for the office setting.

  • Virginia

    Virginia · 28150

    Office

    $405.49

    Facility

    $259.38

    $22.53 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28150

    Office

    $416.84

    Facility

    $266.57

    $11.18 lower than Austin for the office setting.

  • Vermont

    Vermont · 28150

    Office

    $404.45

    Facility

    $257.31

    $23.57 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 28150

    Office

    $426.42

    Facility

    $269.91

    $1.60 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 28150

    Office

    $477.94

    Facility

    $295.57

    $49.92 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 28150

    Office

    $393.22

    Facility

    $250.83

    $34.80 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 28150

    Office

    $386.01

    Facility

    $256.85

    $42.01 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 28150

    Office

    $410.44

    Facility

    $261.80

    $17.58 lower than Austin for the office setting.

See how rates vary across the country

28150 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$370.24

$493.57

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$493.571
AL$375.161
AR$370.241
AZ$403.971
CA$435.02–$538.5429
CO$429.461
CT$440.131
DC$469.901
DE$410.261
FL$409.86–$446.883
GA$388.61–$421.672
GU$444.051
HI$444.051
IA$383.221
ID$385.631
IL$399.45–$435.044
IN$387.651
KS$381.881
KY$383.851
LA$383.42–$400.652
MA$427.35–$469.102
MD$417.52–$469.903
ME$387.77–$406.512
MI$393.21–$414.852
MN$411.661
MO$377.61–$401.613
MS$373.981
MT$414.141
NC$391.421
ND$405.641
NE$385.051
NH$423.131
NJ$445.19–$465.772
NM$395.301
NV$412.031
NY$396.80–$484.845
OH$391.471
OK$382.911
OR$408.86–$441.802
PA$391.88–$430.172
PR$416.841
RI$423.891
SC$392.091
SD$404.631
TN$383.661
TX$389.55–$428.028
UT$396.971
VA$405.49–$469.902
VI$416.841
VT$404.451
WA$426.42–$477.942
WI$393.221
WV$386.011
WY$410.441

Explore 28150 on the national rate map →

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.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 28150 in Austin, the physician’s office rate is $428.02 and the facility-setting rate is $270.76: a difference of $157.26.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 28150 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$470.82

$428.02 × 110% = $470.82

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.

Compare your contract offer →

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 28150 in Austin.

PPRRVU2026_Oct_nonQPP.csv

3,138

Code
28150
Physician work
4.12
Practice expense
7.85
Malpractice
0.43

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 28150 in Austin
ComponentRVULocality factorAdjusted
Physician work4.12× 1.0024.1282
Practice expense7.85× 1.0588.3053
Malpractice0.43× 0.8860.3810
Total RVUs12.8145
Conversion factor× 33.4009

Office / nonfacility rate, Austin$428.02

Open 28150 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.121.002
Practice expense7.851.058
Malpractice0.430.886

(4.12 × 1.002 + 7.85 × 1.058 + 0.43 × 0.886) × $33.4009 = $428.02

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.121.002
Practice expense3.41.058
Malpractice0.430.886

(4.12 × 1.002 + 3.4 × 1.058 + 0.43 × 0.886) × $33.4009 = $270.76

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

28150 · Office / nonfacility

$428.02

Effective 2026-10-01

The base rate is $13.22 higher than on 2025-10-01, moving from $414.80 to $428.02 (3.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $414.80changed to$428.02

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.23 changed to 4.12
    • Practice expense RVU 7.84 changed to 7.85
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $414.80

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$428.02$270.76RVU26D
2026-07-01$428.02$270.76RVU26C
2026-04-01$428.02$270.76RVU26B
2026-01-01$428.02$270.76RVU26A
2025-10-01$414.80$281.15RVU25D
2025-07-01$414.80$281.15RVU25C
2025-04-01$414.80$281.15RVU25B
2025-01-01$414.80$281.15RVU25A

28150 billing questions

How does 28150 differ from 28160?

28150 is for removing the toe through the metatarsophalangeal joint. 28160 is for an amputation through an interphalangeal joint.

Can 28150 be used when only part of a toe bone is removed?

No. Use 28150 for removal of the toe through the MTP joint; a limited bone excision, such as 28124, describes a different extent of surgery.

What documentation supports reporting 28150?

Document the affected digit, the MTP-joint amputation level, and the operative work performed. The record should make clear that the procedure removed the toe rather than only a portion of a phalanx.

Can modifier 50 be used when both feet are treated?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

How are other procedures in the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.

Is an assistant surgeon or co-surgeon payable?

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

RVUs for 28150PPRRVU2026_Oct_nonQPP.csv, line 3,138 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet