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CMS RVU26D · Effective 2026-10-01

28045 in Beaumont

Office / nonfacility

$457.64

Base rate per service

Facility setting

$316.00

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 28045: Deep foot or toe mass excision under 1.5 cm

Reports surgical removal of a deep soft-tissue mass in the foot or toe when the lesion measures less than 1.5 cm.

A foot or ankle surgeon, often an orthopedic surgeon or podiatrist, uses this code for excision of a small mass in the foot or toe that lies in deeper tissue rather than being confined to the subcutaneous layer. The service involves surgically exposing and removing the lesion; the setting may be an operating room or an office procedure setting, depending on the case and resources needed.

Select this code when the documented lesion is in the foot or toe, is deep, and measures less than 1.5 cm. The operative report should identify the site, depth, lesion size, and removal performed; pathology findings may further describe the specimen. 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 procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 28045

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 is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU5.31 · 37%
  • Practice expense (office) RVU8.67 · 60%
  • Malpractice RVU0.54 · 4%

1.1K

Medicare services in 2024 · #2893 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.

28045 compared with similar codes

Office rates for Beaumont, from the same CMS release.

28043

Tumor excision

Subcutaneous, under 1.5 cm

$359.57

Both codes address a foot or toe lesion under 1.5 cm; choose 28045 for a deep lesion and 28043 when it is subcutaneous.

28041

Tumor excision

Deep, 1.5 cm or larger

No office rate

Both describe excision of a deep foot or toe lesion. The size threshold separates them: 28045 is under 1.5 cm, while 28041 is 1.5 cm or greater.

28046

Tumor resection

Soft tissue under 3 cm

No office rate

This code describes excision of a deep lesion under 1.5 cm. Code 28046 is for resection of a foot or toe tumor under 3 cm.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 28045 is $500.08—$42.44 higher than the $457.64 rate in Beaumont. Both use the same code, release and participation basis.

28045 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $457.64

  2. Austin

    $500.08

    $42.44 higher than Beaumont

  3. Brazoria

    $479.83

    $22.19 higher than Beaumont

  4. Dallas

    $482.86

    $25.22 higher than Beaumont

  5. Fort Worth

    $480.20

    $22.56 higher than Beaumont

  6. Galveston

    $481.27

    $23.63 higher than Beaumont

  7. Houston

    $491.15

    $33.51 higher than Beaumont

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, 28045 ranges from $435.40 in Arkansas to $624.12 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 · 28045

    Office

    $468.46

    Facility

    $320.75

    $10.82 higher than Beaumont for the office setting.

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

    California · 28045

    Office

    $539.19

    Facility

    $355.05

    $81.55 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28045

    Office

    $548.14

    Facility

    $364.79

    $90.50 higher than Beaumont for the office setting.

  • Miami

    Florida · 28045

    Office

    $524.43

    Facility

    $362.40

    $66.79 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 28045

    Office

    $511.03

    Facility

    $354.60

    $53.39 higher than Beaumont for the office setting.

  • Manhattan

    New York · 28045

    Office

    $553.81

    Facility

    $372.95

    $96.17 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 28045

    Office

    $584.39

    Facility

    $418.62

    $126.75 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 28045

    Office

    $440.96

    Facility

    $304.76

    $16.68 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 28045

    Office

    $435.40

    Facility

    $301.70

    $22.24 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 28045

    Office

    $473.41

    Facility

    $322.58

    $15.77 higher than Beaumont for the office setting.

  • Bakersfield

    California · 28045

    Office

    $509.10

    Facility

    $338.51

    $51.46 higher than Beaumont for the office setting.

  • Chico

    California · 28045

    Office

    $507.43

    Facility

    $336.84

    $49.79 higher than Beaumont for the office setting.

  • El Centro

    California · 28045

    Office

    $507.52

    Facility

    $336.93

    $49.88 higher than Beaumont for the office setting.

  • Fresno

    California · 28045

    Office

    $507.43

    Facility

    $336.84

    $49.79 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 28045

    Office

    $507.43

    Facility

    $336.84

    $49.79 higher than Beaumont for the office setting.

  • Madera

    California · 28045

    Office

    $507.43

    Facility

    $336.84

    $49.79 higher than Beaumont for the office setting.

  • Merced

    California · 28045

    Office

    $507.43

    Facility

    $336.84

    $49.79 higher than Beaumont for the office setting.

  • Modesto

    California · 28045

    Office

    $507.43

    Facility

    $336.84

    $49.79 higher than Beaumont for the office setting.

  • Napa

    California · 28045

    Office

    $579.37

    Facility

    $374.22

    $121.73 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28045

    Office

    $535.85

    Facility

    $351.88

    $78.21 higher than Beaumont for the office setting.

  • Redding

    California · 28045

    Office

    $507.43

    Facility

    $336.84

    $49.79 higher than Beaumont for the office setting.

  • Rest Of California

    California · 28045

    Office

    $507.43

    Facility

    $336.84

    $49.79 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28045

    Office

    $513.32

    Facility

    $342.73

    $55.68 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28045

    Office

    $530.20

    Facility

    $349.18

    $72.56 higher than Beaumont for the office setting.

  • Salinas

    California · 28045

    Office

    $528.15

    Facility

    $347.76

    $70.51 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28045

    Office

    $538.80

    Facility

    $352.64

    $81.16 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28045

    Office

    $610.80

    Facility

    $391.34

    $153.16 higher than Beaumont for the office setting.

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

    California · 28045

    Office

    $610.19

    Facility

    $390.73

    $152.55 higher than Beaumont for the office setting.

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

    California · 28045

    Office

    $624.12

    Facility

    $399.67

    $166.48 higher than Beaumont for the office setting.

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

    California · 28045

    Office

    $621.61

    Facility

    $397.17

    $163.97 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28045

    Office

    $519.88

    Facility

    $342.60

    $62.24 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 28045

    Office

    $542.60

    Facility

    $353.49

    $84.96 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 28045

    Office

    $529.65

    Facility

    $348.16

    $72.01 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 28045

    Office

    $547.96

    Facility

    $356.82

    $90.32 higher than Beaumont for the office setting.

  • Stockton

    California · 28045

    Office

    $507.43

    Facility

    $336.84

    $49.79 higher than Beaumont for the office setting.

  • Vallejo

    California · 28045

    Office

    $578.49

    Facility

    $373.34

    $120.85 higher than Beaumont for the office setting.

  • Visalia

    California · 28045

    Office

    $507.43

    Facility

    $336.84

    $49.79 higher than Beaumont for the office setting.

  • Yuba City

    California · 28045

    Office

    $507.43

    Facility

    $336.84

    $49.79 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 28045

    Office

    $501.69

    Facility

    $336.08

    $44.05 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 28045

    Office

    $514.61

    Facility

    $346.98

    $56.97 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 28045

    Office

    $480.57

    Facility

    $326.79

    $22.93 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 28045

    Office

    $503.32

    Facility

    $345.65

    $45.68 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 28045

    Office

    $481.31

    Facility

    $332.51

    $23.67 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 28045

    Office

    $493.77

    Facility

    $335.63

    $36.13 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 28045

    Office

    $457.17

    Facility

    $318.33

    $0.47 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 28045

    Office

    $517.06

    Facility

    $340.09

    $59.42 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 28045

    Office

    $449.49

    Facility

    $307.07

    $8.15 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 28045

    Office

    $452.31

    Facility

    $309.11

    $5.33 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 28045

    Office

    $480.10

    Facility

    $336.91

    $22.46 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 28045

    Office

    $469.94

    Facility

    $327.83

    $12.30 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 28045

    Office

    $507.97

    Facility

    $348.11

    $50.33 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 28045

    Office

    $454.57

    Facility

    $310.28

    $3.07 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 28045

    Office

    $448.23

    Facility

    $307.53

    $9.41 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 28045

    Office

    $451.30

    Facility

    $312.93

    $6.34 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 28045

    Office

    $470.35

    Facility

    $323.88

    $12.71 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 28045

    Office

    $450.92

    Facility

    $313.17

    $6.72 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 28045

    Office

    $546.45

    Facility

    $360.60

    $88.81 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28045

    Office

    $499.51

    Facility

    $335.61

    $41.87 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28045

    Office

    $513.23

    Facility

    $346.22

    $55.59 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 28045

    Office

    $488.75

    Facility

    $331.23

    $31.11 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 28045

    Office

    $455.00

    Facility

    $311.80

    $2.64 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 28045

    Office

    $475.72

    Facility

    $321.47

    $18.08 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 28045

    Office

    $487.22

    Facility

    $337.02

    $29.58 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 28045

    Office

    $462.11

    Facility

    $320.01

    $4.47 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 28045

    Office

    $480.68

    Facility

    $320.52

    $23.04 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 28045

    Office

    $466.90

    Facility

    $320.75

    $9.26 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 28045

    Office

    $471.12

    Facility

    $322.94

    $13.48 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 28045

    Office

    $444.55

    Facility

    $310.38

    $13.09 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 28045

    Office

    $440.02

    Facility

    $306.01

    $17.62 lower than Beaumont for the office setting.

  • Montana**

    Montana · 28045

    Office

    $484.94

    Facility

    $329.30

    $27.30 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 28045

    Office

    $459.07

    Facility

    $313.85

    $1.43 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 28045

    Office

    $474.27

    Facility

    $318.62

    $16.63 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 28045

    Office

    $451.46

    Facility

    $307.80

    $6.18 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 28045

    Office

    $494.60

    Facility

    $332.57

    $36.96 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 28045

    Office

    $543.71

    Facility

    $363.16

    $86.07 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 28045

    Office

    $520.47

    Facility

    $350.50

    $62.83 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 28045

    Office

    $464.57

    Facility

    $321.84

    $6.93 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 28045

    Office

    $482.26

    Facility

    $326.45

    $24.62 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28045

    Office

    $566.52

    Facility

    $381.46

    $108.88 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28045

    Office

    $524.26

    Facility

    $353.83

    $66.62 higher than Beaumont for the office setting.

  • Queens

    New York · 28045

    Office

    $557.01

    Facility

    $373.03

    $99.37 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 28045

    Office

    $465.14

    Facility

    $317.28

    $7.50 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 28045

    Office

    $459.93

    Facility

    $317.82

    $2.29 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 28045

    Office

    $449.97

    Facility

    $310.98

    $7.67 lower than Beaumont for the office setting.

  • Portland

    Oregon · 28045

    Office

    $515.35

    Facility

    $342.42

    $57.71 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 28045

    Office

    $478.47

    Facility

    $323.44

    $20.83 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28045

    Office

    $503.53

    Facility

    $341.50

    $45.89 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28045

    Office

    $460.24

    Facility

    $317.36

    $2.60 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 28045

    Office

    $487.90

    Facility

    $330.54

    $30.26 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 28045

    Office

    $495.96

    Facility

    $335.17

    $38.32 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 28045

    Office

    $460.27

    Facility

    $316.45

    $2.63 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 28045

    Office

    $473.00

    Facility

    $317.36

    $15.36 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 28045

    Office

    $450.28

    Facility

    $308.79

    $7.36 lower than Beaumont for the office setting.

  • Utah

    Utah · 28045

    Office

    $465.77

    Facility

    $319.46

    $8.13 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 28045

    Office

    $474.76

    Facility

    $321.75

    $17.12 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28045

    Office

    $487.90

    Facility

    $330.54

    $30.26 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 28045

    Office

    $473.18

    Facility

    $319.08

    $15.54 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 28045

    Office

    $498.32

    Facility

    $334.43

    $40.68 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 28045

    Office

    $556.28

    Facility

    $365.30

    $98.64 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 28045

    Office

    $460.34

    Facility

    $311.23

    $2.70 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 28045

    Office

    $454.82

    Facility

    $319.56

    $2.82 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 28045

    Office

    $480.29

    Facility

    $324.64

    $22.65 higher than Beaumont for the office setting.

See how rates vary across the country

28045 · 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.

$435.40

$584.39

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$584.391
AL$440.961
AR$435.401
AZ$473.411
CA$507.43–$624.1229
CO$501.691
CT$514.611
DC$548.141
DE$480.571
FL$481.31–$524.433
GA$457.17–$493.772
GU$517.061
HI$517.061
IA$449.491
ID$452.311
IL$469.94–$511.034
IN$454.571
KS$448.231
KY$451.301
LA$450.92–$470.352
MA$499.51–$546.452
MD$488.75–$548.143
ME$455.00–$475.722
MI$462.11–$487.222
MN$480.681
MO$444.55–$471.123
MS$440.021
MT$484.941
NC$459.071
ND$474.271
NE$451.461
NH$494.601
NJ$520.47–$543.712
NM$464.571
NV$482.261
NY$465.14–$566.525
OH$459.931
OK$449.971
OR$478.47–$515.352
PA$460.24–$503.532
PR$487.901
RI$495.961
SC$460.271
SD$473.001
TN$450.281
TX$457.64–$500.088
UT$465.771
VA$474.76–$548.142
VI$487.901
VT$473.181
WA$498.32–$556.282
WI$460.341
WV$454.821
WY$480.291

Explore 28045 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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 28045 in Beaumont, the physician’s office rate is $457.64 and the facility-setting rate is $316.00: a difference of $141.64.

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 28045 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$503.40

$457.64 × 110% = $503.40

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 28045 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

3,101

Code
28045
Physician work
5.31
Practice expense
8.67
Malpractice
0.54

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 28045 in Beaumont
ComponentRVULocality factorAdjusted
Physician work5.31× 1.0005.3100
Practice expense8.67× 0.9107.8897
Malpractice0.54× 0.9290.5017
Total RVUs13.7014
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$457.64

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

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Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.311
Practice expense8.670.91
Malpractice0.540.929

(5.31 × 1 + 8.67 × 0.91 + 0.54 × 0.929) × $33.4009 = $457.64

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.311
Practice expense4.010.91
Malpractice0.540.929

(5.31 × 1 + 4.01 × 0.91 + 0.54 × 0.929) × $33.4009 = $316.00

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

28045 · Office / nonfacility

$457.64

Effective 2026-10-01

The base rate is $17.13 higher than on 2025-10-01, moving from $440.51 to $457.64 (3.9%).

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

    $440.51changed to$457.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.45 changed to 5.31
    • Practice expense RVU 8.49 changed to 8.67
    • Malpractice RVU 0.53 changed to 0.54
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $440.51

    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$457.64$316.00RVU26D
2026-07-01$457.64$316.00RVU26C
2026-04-01$457.64$316.00RVU26B
2026-01-01$457.64$316.00RVU26A
2025-10-01$440.51$328.93RVU25D
2025-07-01$440.51$328.93RVU25C
2025-04-01$440.51$328.93RVU25B
2025-01-01$440.51$328.93RVU25A

28045 billing questions

How does this code differ from 28043?

Use 28045 for a deep lesion under 1.5 cm. Code 28043 is for a lesion of that size confined to the subcutaneous layer.

Does lesion size refer to the incision?

No. Document the size of the lesion, along with its depth and foot or toe location; the incision length does not establish the size category.

When should 28041 be considered instead?

Use 28041 for a deep foot or toe lesion measuring 1.5 cm or greater. The distinction from 28045 is the documented lesion size.

How is bilateral surgery reported?

For bilateral procedures, report modifier 50; CMS pays this code at 150% under the stated bilateral rule.

Are routine postoperative visits separately included?

Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.

Can an assistant surgeon be paid for this procedure?

Assistant-at-surgery payment is available only with documentation of medical necessity. 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 28045PPRRVU2026_Oct_nonQPP.csv, line 3,101 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet