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CMS RVU26D · Effective 2026-10-01

28193 in Delaware

Office / nonfacility

$506.59

Base rate per service

Facility setting

$338.62

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 28193: Complicated foot foreign body removal

Surgical removal of a complicated foreign body from the foot when extraction requires more involved operative work than routine superficial or deep removal.

This code represents operative removal of a foreign object from the foot when the extraction is complicated. A podiatric or orthopedic surgeon may use surgical exposure and dissection to locate and remove an embedded object, such as a fragment that cannot be retrieved through a simple opening. The procedure may be performed in an office procedure room or an operating room, depending on the clinical circumstances and required exposure.

Select this level based on the documented complexity of the removal, not simply the fact that an object was present. The record should identify the foot site and foreign body, explain the operative approach and work needed to extract it, and describe the findings and closure. CMS 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 is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 28193

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
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 RVU5.75 · 38%
  • Practice expense (office) RVU9.02 · 59%
  • Malpractice RVU0.53 · 3%

457

Medicare services in 2024 · #3643 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.

28193 compared with similar codes

Office rates for Delaware, from the same CMS release.

28190

Foot foreign body removal

Subcutaneous foreign body

$237.10

28190 applies to subcutaneous foot foreign body removal. Choose 28193 when the operative removal is complicated, not merely because the object is in the foot.

28192

Foot foreign body removal

Deep foreign body

$452.72

28192 identifies deep foot foreign body removal. 28193 is distinguished by complicated removal work rather than depth alone.

10121

Foreign body removal

Complicated subcutaneous

$272.31

10121 is for complicated removal from subcutaneous tissue outside the foot. Use the foot-specific family when the foreign body is in the foot.

The same code, a different location

How does Delaware compare?

28193 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $506.59

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $568.09

    $61.50 higher than Delaware

  3. Dc + Md/Va Suburbs

    $577.03

    $70.44 higher than Delaware

  4. Miami

    $550.45

    $43.86 higher than Delaware

  5. Chicago

    $536.81

    $30.22 higher than Delaware

  6. Manhattan

    $582.51

    $75.92 higher than Delaware

  7. Alaska*

    $618.70

    $112.11 higher than Delaware

Other payment areas listed in Delaware 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, 28193 ranges from $459.97 in Arkansas to $657.11 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

  • Alabama

    Alabama · 28193

    Office

    $465.69

    Facility

    $316.93

    $40.90 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 28193

    Office

    $459.97

    Facility

    $313.93

    $46.62 lower than Delaware for the office setting.

  • Arizona

    Arizona · 28193

    Office

    $499.15

    Facility

    $334.40

    $7.44 lower than Delaware for the office setting.

  • Bakersfield

    California · 28193

    Office

    $536.68

    Facility

    $350.35

    $30.09 higher than Delaware for the office setting.

  • Chico

    California · 28193

    Office

    $535.01

    Facility

    $348.68

    $28.42 higher than Delaware for the office setting.

  • El Centro

    California · 28193

    Office

    $535.10

    Facility

    $348.76

    $28.51 higher than Delaware for the office setting.

  • Fresno

    California · 28193

    Office

    $535.01

    Facility

    $348.68

    $28.42 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 28193

    Office

    $535.01

    Facility

    $348.68

    $28.42 higher than Delaware for the office setting.

  • Madera

    California · 28193

    Office

    $535.01

    Facility

    $348.68

    $28.42 higher than Delaware for the office setting.

  • Merced

    California · 28193

    Office

    $535.01

    Facility

    $348.68

    $28.42 higher than Delaware for the office setting.

  • Modesto

    California · 28193

    Office

    $535.01

    Facility

    $348.68

    $28.42 higher than Delaware for the office setting.

  • Napa

    California · 28193

    Office

    $610.23

    Facility

    $386.16

    $103.64 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28193

    Office

    $564.57

    Facility

    $363.62

    $57.98 higher than Delaware for the office setting.

  • Redding

    California · 28193

    Office

    $535.01

    Facility

    $348.68

    $28.42 higher than Delaware for the office setting.

  • Rest Of California

    California · 28193

    Office

    $535.01

    Facility

    $348.68

    $28.42 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28193

    Office

    $540.81

    Facility

    $354.48

    $34.22 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28193

    Office

    $558.84

    Facility

    $361.12

    $52.25 higher than Delaware for the office setting.

  • Salinas

    California · 28193

    Office

    $556.68

    Facility

    $359.63

    $50.09 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28193

    Office

    $567.74

    Facility

    $364.41

    $61.15 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28193

    Office

    $643.23

    Facility

    $403.51

    $136.64 higher than Delaware for the office setting.

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

    California · 28193

    Office

    $642.62

    Facility

    $402.91

    $136.03 higher than Delaware for the office setting.

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

    California · 28193

    Office

    $657.11

    Facility

    $411.95

    $150.52 higher than Delaware for the office setting.

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

    California · 28193

    Office

    $654.65

    Facility

    $409.49

    $148.06 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28193

    Office

    $547.96

    Facility

    $354.32

    $41.37 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 28193

    Office

    $571.63

    Facility

    $365.06

    $65.04 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 28193

    Office

    $558.21

    Facility

    $359.98

    $51.62 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 28193

    Office

    $577.27

    Facility

    $368.50

    $70.68 higher than Delaware for the office setting.

  • Stockton

    California · 28193

    Office

    $535.01

    Facility

    $348.68

    $28.42 higher than Delaware for the office setting.

  • Vallejo

    California · 28193

    Office

    $609.36

    Facility

    $385.29

    $102.77 higher than Delaware for the office setting.

  • Visalia

    California · 28193

    Office

    $535.01

    Facility

    $348.68

    $28.42 higher than Delaware for the office setting.

  • Yuba City

    California · 28193

    Office

    $535.01

    Facility

    $348.68

    $28.42 higher than Delaware for the office setting.

  • Colorado

    Colorado · 28193

    Office

    $528.74

    Facility

    $347.85

    $22.15 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 28193

    Office

    $541.79

    Facility

    $358.69

    $35.20 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 28193

    Office

    $529.25

    Facility

    $357.03

    $22.66 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 28193

    Office

    $506.68

    Facility

    $344.15

    $0.09 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 28193

    Office

    $519.99

    Facility

    $347.26

    $13.40 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 28193

    Office

    $481.89

    Facility

    $330.25

    $24.70 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 28193

    Office

    $544.86

    Facility

    $351.55

    $38.27 higher than Delaware for the office setting.

  • Iowa

    Iowa · 28193

    Office

    $474.75

    Facility

    $319.19

    $31.84 lower than Delaware for the office setting.

  • Idaho

    Idaho · 28193

    Office

    $477.60

    Facility

    $321.19

    $28.99 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 28193

    Office

    $504.88

    Facility

    $348.47

    $1.71 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 28193

    Office

    $494.79

    Facility

    $339.57

    $11.80 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 28193

    Office

    $534.18

    Facility

    $359.58

    $27.59 higher than Delaware for the office setting.

  • Indiana

    Indiana · 28193

    Office

    $479.94

    Facility

    $322.34

    $26.65 lower than Delaware for the office setting.

  • Kansas

    Kansas · 28193

    Office

    $473.33

    Facility

    $319.64

    $33.26 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 28193

    Office

    $476.09

    Facility

    $324.95

    $30.50 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 28193

    Office

    $495.67

    Facility

    $335.69

    $10.92 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 28193

    Office

    $475.64

    Facility

    $325.18

    $30.95 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 28193

    Office

    $575.41

    Facility

    $372.42

    $68.82 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28193

    Office

    $526.48

    Facility

    $347.46

    $19.89 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28193

    Office

    $540.30

    Facility

    $357.87

    $33.71 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 28193

    Office

    $515.12

    Facility

    $343.07

    $8.53 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 28193

    Office

    $480.24

    Facility

    $323.83

    $26.35 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 28193

    Office

    $501.79

    Facility

    $333.31

    $4.80 lower than Delaware for the office setting.

  • Detroit

    Michigan · 28193

    Office

    $512.63

    Facility

    $348.57

    $6.04 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 28193

    Office

    $487.11

    Facility

    $331.89

    $19.48 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 28193

    Office

    $507.31

    Facility

    $332.37

    $0.72 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 28193

    Office

    $492.25

    Facility

    $332.61

    $14.34 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 28193

    Office

    $496.61

    Facility

    $334.76

    $9.98 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 28193

    Office

    $469.00

    Facility

    $322.45

    $37.59 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 28193

    Office

    $464.54

    Facility

    $318.16

    $42.05 lower than Delaware for the office setting.

  • Montana**

    Montana · 28193

    Office

    $511.00

    Facility

    $340.99

    $4.41 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 28193

    Office

    $484.46

    Facility

    $325.84

    $22.13 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 28193

    Office

    $500.52

    Facility

    $330.51

    $6.07 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 28193

    Office

    $476.82

    Facility

    $319.90

    $29.77 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 28193

    Office

    $521.17

    Facility

    $344.19

    $14.58 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 28193

    Office

    $572.54

    Facility

    $375.33

    $65.95 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 28193

    Office

    $548.15

    Facility

    $362.50

    $41.56 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 28193

    Office

    $489.59

    Facility

    $333.69

    $17.00 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 28193

    Office

    $508.38

    Facility

    $338.20

    $1.79 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28193

    Office

    $595.44

    Facility

    $393.29

    $88.85 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28193

    Office

    $552.02

    Facility

    $365.85

    $45.43 higher than Delaware for the office setting.

  • Queens

    New York · 28193

    Office

    $585.98

    Facility

    $385.03

    $79.39 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 28193

    Office

    $490.71

    Facility

    $329.20

    $15.88 lower than Delaware for the office setting.

  • Ohio

    Ohio · 28193

    Office

    $484.96

    Facility

    $329.74

    $21.63 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 28193

    Office

    $474.85

    Facility

    $323.03

    $31.74 lower than Delaware for the office setting.

  • Portland

    Oregon · 28193

    Office

    $543.02

    Facility

    $354.13

    $36.43 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 28193

    Office

    $504.57

    Facility

    $335.24

    $2.02 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28193

    Office

    $530.26

    Facility

    $353.28

    $23.67 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28193

    Office

    $485.36

    Facility

    $329.29

    $21.23 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 28193

    Office

    $514.08

    Facility

    $342.20

    $7.49 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 28193

    Office

    $522.71

    Facility

    $347.09

    $16.12 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 28193

    Office

    $485.48

    Facility

    $328.39

    $21.11 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 28193

    Office

    $499.28

    Facility

    $329.27

    $7.31 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 28193

    Office

    $475.42

    Facility

    $320.88

    $31.17 lower than Delaware for the office setting.

  • Austin

    Texas · 28193

    Office

    $526.87

    Facility

    $347.00

    $20.28 higher than Delaware for the office setting.

  • Beaumont

    Texas · 28193

    Office

    $482.66

    Facility

    $327.95

    $23.93 lower than Delaware for the office setting.

  • Brazoria

    Texas · 28193

    Office

    $505.96

    Facility

    $337.48

    $0.63 lower than Delaware for the office setting.

  • Dallas

    Texas · 28193

    Office

    $509.04

    Facility

    $339.71

    $2.45 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 28193

    Office

    $506.26

    Facility

    $338.63

    $0.33 lower than Delaware for the office setting.

  • Galveston

    Texas · 28193

    Office

    $507.42

    Facility

    $338.60

    $0.83 higher than Delaware for the office setting.

  • Houston

    Texas · 28193

    Office

    $517.12

    Facility

    $348.30

    $10.53 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 28193

    Office

    $493.95

    Facility

    $332.61

    $12.64 lower than Delaware for the office setting.

  • Utah

    Utah · 28193

    Office

    $491.15

    Facility

    $331.34

    $15.44 lower than Delaware for the office setting.

  • Virginia

    Virginia · 28193

    Office

    $500.71

    Facility

    $333.59

    $5.88 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28193

    Office

    $514.08

    Facility

    $342.20

    $7.49 higher than Delaware for the office setting.

  • Vermont

    Vermont · 28193

    Office

    $499.28

    Facility

    $330.97

    $7.31 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 28193

    Office

    $525.27

    Facility

    $346.25

    $18.68 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 28193

    Office

    $585.79

    Facility

    $377.18

    $79.20 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 28193

    Office

    $486.13

    Facility

    $323.26

    $20.46 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 28193

    Office

    $479.20

    Facility

    $331.46

    $27.39 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 28193

    Office

    $506.43

    Facility

    $336.42

    $0.16 lower than Delaware for the office setting.

See how rates vary across the country

28193 · 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.

$459.97

$618.70

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$618.701
AL$465.691
AR$459.971
AZ$499.151
CA$535.01–$657.1129
CO$528.741
CT$541.791
DC$577.031
DE$506.591
FL$506.68–$550.453
GA$481.89–$519.992
GU$544.861
HI$544.861
IA$474.751
ID$477.601
IL$494.79–$536.814
IN$479.941
KS$473.331
KY$476.091
LA$475.64–$495.672
MA$526.48–$575.412
MD$515.12–$577.033
ME$480.24–$501.792
MI$487.11–$512.632
MN$507.311
MO$469.00–$496.613
MS$464.541
MT$511.001
NC$484.461
ND$500.521
NE$476.821
NH$521.171
NJ$548.15–$572.542
NM$489.591
NV$508.381
NY$490.71–$595.445
OH$484.961
OK$474.851
OR$504.57–$543.022
PA$485.36–$530.262
PR$514.081
RI$522.711
SC$485.481
SD$499.281
TN$475.421
TX$482.66–$526.878
UT$491.151
VA$500.71–$577.032
VI$514.081
VT$499.281
WA$525.27–$585.792
WI$486.131
WV$479.201
WY$506.431

Explore 28193 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 28193 in Delaware, the physician’s office rate is $506.59 and the facility-setting rate is $338.62: a difference of $167.97.

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 28193 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$557.25

$506.59 × 110% = $557.25

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 28193 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,146

Code
28193
Physician work
5.75
Practice expense
9.02
Malpractice
0.53

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 28193 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.75× 1.0055.7787
Practice expense9.02× 0.9888.9118
Malpractice0.53× 0.8990.4765
Total RVUs15.1670
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$506.59

Open 28193 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.751.005
Practice expense9.020.988
Malpractice0.530.899

(5.75 × 1.005 + 9.02 × 0.988 + 0.53 × 0.899) × $33.4009 = $506.59

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.751.005
Practice expense3.930.988
Malpractice0.530.899

(5.75 × 1.005 + 3.93 × 0.988 + 0.53 × 0.899) × $33.4009 = $338.62

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

28193 · Office / nonfacility

$506.59

Effective 2026-10-01

The base rate is $5.09 higher than on 2025-10-01, moving from $501.50 to $506.59 (1.0%).

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

    $501.50changed to$506.59

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.90 changed to 5.75
    • Practice expense RVU 9.14 changed to 9.02
    • Malpractice RVU 0.51 changed to 0.53
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $501.50

    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$506.59$338.62RVU26D
2026-07-01$506.59$338.62RVU26C
2026-04-01$506.59$338.62RVU26B
2026-01-01$506.59$338.62RVU26A
2025-10-01$501.50$358.71RVU25D
2025-07-01$501.50$358.71RVU25C
2025-04-01$501.50$358.71RVU25B
2025-01-01$501.50$358.71RVU25A

28193 billing questions

How is 28193 distinguished from 28192?

28193 is for complicated removal. 28192 describes removal at the deep level; depth alone does not establish that the procedure was complicated.

When would 28190 be a better choice?

Use 28190 for removal of a subcutaneous foot foreign body when the work fits that level, rather than a complicated operative removal.

What documentation supports 28193?

Document the foreign body's location, the operative exposure and dissection, why removal was complicated, and the removal findings.

Are related postoperative visits included?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How does Medicare handle bilateral reporting and other procedures in the same session?

Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is restricted 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 28193PPRRVU2026_Oct_nonQPP.csv, line 3,146 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet