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CMS RVU26D · Effective 2026-10-01

28043 in El Centro

Office / nonfacility

$401.19

Base rate per service

Facility setting

$253.66

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 28043: Small superficial foot or toe tumor excision

Reports excision of a small soft-tissue tumor in the subcutaneous tissue of the foot or toe, when the lesion measures less than 1.5 cm.

This code describes removing a soft-tissue tumor located in the subcutaneous layer of the foot or toe, with a size under 1.5 cm. The lesion lies beneath the skin but does not extend into deeper tissue such as fascia or muscle. Podiatric and orthopedic surgeons commonly perform this procedure for a localized mass in an office or surgical facility; the excised tissue may be sent for pathologic examination.

Select the code based on both the lesion’s size and its depth, not simply the incision length. The operative report should identify the foot or toe site, document the tumor’s size, and show that it was subcutaneous. This major surgery code has a 90-day global period, including the day-before preoperative visit and 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 28043

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 RVU3.86 · 34%
  • Practice expense (office) RVU7.18 · 63%
  • Malpractice RVU0.40 · 3%

2K

Medicare services in 2024 · #2450 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.

28043 compared with similar codes

Office rates for El Centro, from the same CMS release.

28039

Tumor excision

Subcutaneous, 1.5 cm or larger

$497.52

Both apply to subcutaneous foot or toe tumors; choose 28039 when the lesion measures 1.5 cm or greater.

28045

Foot mass excision

Deep, under 1.5 cm

$507.52

Both apply to tumors under 1.5 cm, but 28045 is for a deep, rather than subcutaneous, location.

28041

Tumor excision

Deep, 1.5 cm or larger

No office rate

This code is for a subcutaneous tumor under 1.5 cm. Code 28041 describes a deep tumor measuring 1.5 cm or greater.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 28043 is $402.35—$1.16 higher than the $401.19 rate in El Centro. Both use the same code, release and participation basis.

28043 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $401.19

  2. Bakersfield

    $402.35

    $1.16 higher than El Centro

  3. Chico

    $401.12

    $0.07 lower than El Centro

  4. Fresno

    $401.12

    $0.07 lower than El Centro

  5. Hanford-Corcoran

    $401.12

    $0.07 lower than El Centro

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

    $426.79

    $25.60 higher than El Centro

  7. Madera

    $401.12

    $0.07 lower than El Centro

Other payment areas listed in California 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, 28043 ranges from $341.81 in Arkansas to $496.09 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

  • Merced

    California · 28043

    Office

    $401.12

    Facility

    $253.59

    $0.07 lower than El Centro for the office setting.

  • Modesto

    California · 28043

    Office

    $401.12

    Facility

    $253.59

    $0.07 lower than El Centro for the office setting.

  • Napa

    California · 28043

    Office

    $459.92

    Facility

    $282.51

    $58.73 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28043

    Office

    $424.33

    Facility

    $265.22

    $23.14 higher than El Centro for the office setting.

  • Redding

    California · 28043

    Office

    $401.12

    Facility

    $253.59

    $0.07 lower than El Centro for the office setting.

  • Rest Of California

    California · 28043

    Office

    $401.12

    Facility

    $253.59

    $0.07 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28043

    Office

    $405.49

    Facility

    $257.96

    $4.30 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28043

    Office

    $419.64

    Facility

    $263.09

    $18.45 higher than El Centro for the office setting.

  • Salinas

    California · 28043

    Office

    $418.03

    Facility

    $262.03

    $16.84 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28043

    Office

    $426.86

    Facility

    $265.87

    $25.67 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28043

    Office

    $485.45

    Facility

    $295.66

    $84.26 higher than El Centro for the office setting.

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

    California · 28043

    Office

    $485.00

    Facility

    $295.20

    $83.81 higher than El Centro for the office setting.

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

    California · 28043

    Office

    $496.09

    Facility

    $301.99

    $94.90 higher than El Centro for the office setting.

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

    California · 28043

    Office

    $494.23

    Facility

    $300.13

    $93.04 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28043

    Office

    $411.43

    Facility

    $258.12

    $10.24 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 28043

    Office

    $430.18

    Facility

    $266.63

    $28.99 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 28043

    Office

    $419.33

    Facility

    $262.38

    $18.14 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 28043

    Office

    $434.45

    Facility

    $269.16

    $33.26 higher than El Centro for the office setting.

  • Stockton

    California · 28043

    Office

    $401.12

    Facility

    $253.59

    $0.07 lower than El Centro for the office setting.

  • Vallejo

    California · 28043

    Office

    $459.26

    Facility

    $281.85

    $58.07 higher than El Centro for the office setting.

  • Visalia

    California · 28043

    Office

    $401.12

    Facility

    $253.59

    $0.07 lower than El Centro for the office setting.

  • Yuba City

    California · 28043

    Office

    $401.12

    Facility

    $253.59

    $0.07 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28043

    Office

    $433.27

    Facility

    $274.70

    $32.08 higher than El Centro for the office setting.

  • Miami

    Florida · 28043

    Office

    $412.37

    Facility

    $272.24

    $11.18 higher than El Centro for the office setting.

  • Chicago

    Illinois · 28043

    Office

    $401.51

    Facility

    $266.23

    $0.32 higher than El Centro for the office setting.

  • Manhattan

    New York · 28043

    Office

    $437.04

    Facility

    $280.63

    $35.85 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 28043

    Office

    $456.16

    Facility

    $312.80

    $54.97 higher than El Centro for the office setting.

  • Alabama

    Alabama · 28043

    Office

    $346.33

    Facility

    $228.55

    $54.86 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 28043

    Office

    $341.81

    Facility

    $226.19

    $59.38 lower than El Centro for the office setting.

  • Arizona

    Arizona · 28043

    Office

    $372.75

    Facility

    $242.32

    $28.44 lower than El Centro for the office setting.

  • Colorado

    Colorado · 28043

    Office

    $396.08

    Facility

    $252.86

    $5.11 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 28043

    Office

    $405.96

    Facility

    $260.99

    $4.77 higher than El Centro for the office setting.

  • Delaware

    Delaware · 28043

    Office

    $378.52

    Facility

    $245.53

    $22.67 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 28043

    Office

    $396.02

    Facility

    $259.66

    $5.17 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 28043

    Office

    $378.27

    Facility

    $249.59

    $22.92 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 28043

    Office

    $389.02

    Facility

    $252.26

    $12.17 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 28043

    Office

    $358.77

    Facility

    $238.70

    $42.42 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 28043

    Office

    $409.34

    Facility

    $256.29

    $8.15 higher than El Centro for the office setting.

  • Iowa

    Iowa · 28043

    Office

    $353.67

    Facility

    $230.50

    $47.52 lower than El Centro for the office setting.

  • Idaho

    Idaho · 28043

    Office

    $355.88

    Facility

    $232.04

    $45.31 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 28043

    Office

    $376.47

    Facility

    $252.63

    $24.72 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 28043

    Office

    $368.76

    Facility

    $245.87

    $32.43 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 28043

    Office

    $399.80

    Facility

    $261.56

    $1.39 lower than El Centro for the office setting.

  • Indiana

    Indiana · 28043

    Office

    $357.73

    Facility

    $232.95

    $43.46 lower than El Centro for the office setting.

  • Kansas

    Kansas · 28043

    Office

    $352.46

    Facility

    $230.77

    $48.73 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 28043

    Office

    $354.35

    Facility

    $234.69

    $46.84 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 28043

    Office

    $369.77

    Facility

    $243.11

    $31.42 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 28043

    Office

    $353.97

    Facility

    $234.84

    $47.22 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 28043

    Office

    $432.45

    Facility

    $271.73

    $31.26 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28043

    Office

    $394.17

    Facility

    $252.43

    $7.02 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28043

    Office

    $404.84

    Facility

    $260.41

    $3.65 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 28043

    Office

    $385.18

    Facility

    $248.96

    $16.01 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 28043

    Office

    $357.87

    Facility

    $234.03

    $43.32 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 28043

    Office

    $375.02

    Facility

    $241.62

    $26.17 lower than El Centro for the office setting.

  • Detroit

    Michigan · 28043

    Office

    $382.88

    Facility

    $252.98

    $18.31 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 28043

    Office

    $362.97

    Facility

    $240.07

    $38.22 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 28043

    Office

    $379.66

    Facility

    $241.15

    $21.53 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 28043

    Office

    $367.17

    Facility

    $240.78

    $34.02 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 28043

    Office

    $370.62

    Facility

    $242.48

    $30.57 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 28043

    Office

    $348.66

    Facility

    $232.63

    $52.53 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 28043

    Office

    $345.28

    Facility

    $229.39

    $55.91 lower than El Centro for the office setting.

  • Montana**

    Montana · 28043

    Office

    $382.08

    Facility

    $247.47

    $19.11 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 28043

    Office

    $361.22

    Facility

    $235.63

    $39.97 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 28043

    Office

    $374.17

    Facility

    $239.56

    $27.02 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 28043

    Office

    $355.33

    Facility

    $231.09

    $45.86 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 28043

    Office

    $390.27

    Facility

    $250.14

    $10.92 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 28043

    Office

    $429.51

    Facility

    $273.37

    $28.32 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 28043

    Office

    $410.62

    Facility

    $263.63

    $9.43 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 28043

    Office

    $364.89

    Facility

    $241.45

    $36.30 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 28043

    Office

    $380.11

    Facility

    $245.37

    $21.08 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28043

    Office

    $447.13

    Facility

    $287.09

    $45.94 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28043

    Office

    $413.50

    Facility

    $266.10

    $12.31 higher than El Centro for the office setting.

  • Queens

    New York · 28043

    Office

    $439.91

    Facility

    $280.81

    $38.72 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 28043

    Office

    $366.15

    Facility

    $238.27

    $35.04 lower than El Centro for the office setting.

  • Ohio

    Ohio · 28043

    Office

    $361.35

    Facility

    $238.45

    $39.84 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 28043

    Office

    $353.47

    Facility

    $233.26

    $47.72 lower than El Centro for the office setting.

  • Portland

    Oregon · 28043

    Office

    $407.37

    Facility

    $257.82

    $6.18 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 28043

    Office

    $377.18

    Facility

    $243.11

    $24.01 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28043

    Office

    $396.84

    Facility

    $256.71

    $4.35 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28043

    Office

    $361.71

    Facility

    $238.14

    $39.48 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 28043

    Office

    $384.54

    Facility

    $248.46

    $16.65 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 28043

    Office

    $391.03

    Facility

    $251.98

    $10.16 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 28043

    Office

    $361.88

    Facility

    $237.50

    $39.31 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 28043

    Office

    $373.24

    Facility

    $238.63

    $27.95 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 28043

    Office

    $354.10

    Facility

    $231.74

    $47.09 lower than El Centro for the office setting.

  • Austin

    Texas · 28043

    Office

    $394.75

    Facility

    $252.34

    $6.44 lower than El Centro for the office setting.

  • Beaumont

    Texas · 28043

    Office

    $359.57

    Facility

    $237.08

    $41.62 lower than El Centro for the office setting.

  • Brazoria

    Texas · 28043

    Office

    $378.04

    Facility

    $244.65

    $23.15 lower than El Centro for the office setting.

  • Dallas

    Texas · 28043

    Office

    $380.41

    Facility

    $246.34

    $20.78 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 28043

    Office

    $378.19

    Facility

    $245.46

    $23.00 lower than El Centro for the office setting.

  • Galveston

    Texas · 28043

    Office

    $379.16

    Facility

    $245.50

    $22.03 lower than El Centro for the office setting.

  • Houston

    Texas · 28043

    Office

    $386.48

    Facility

    $252.82

    $14.71 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 28043

    Office

    $368.58

    Facility

    $240.84

    $32.61 lower than El Centro for the office setting.

  • Utah

    Utah · 28043

    Office

    $366.35

    Facility

    $239.83

    $34.84 lower than El Centro for the office setting.

  • Virginia

    Virginia · 28043

    Office

    $374.10

    Facility

    $241.78

    $27.09 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28043

    Office

    $384.54

    Facility

    $248.46

    $16.65 lower than El Centro for the office setting.

  • Vermont

    Vermont · 28043

    Office

    $373.11

    Facility

    $239.85

    $28.08 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 28043

    Office

    $393.30

    Facility

    $251.56

    $7.89 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 28043

    Office

    $440.55

    Facility

    $275.39

    $39.36 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 28043

    Office

    $362.79

    Facility

    $233.84

    $38.40 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 28043

    Office

    $356.45

    Facility

    $239.48

    $44.74 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 28043

    Office

    $378.63

    Facility

    $244.03

    $22.56 lower than El Centro for the office setting.

See how rates vary across the country

28043 · 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.

$341.81

$456.16

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$456.161
AL$346.331
AR$341.811
AZ$372.751
CA$401.12–$496.0929
CO$396.081
CT$405.961
DC$433.271
DE$378.521
FL$378.27–$412.373
GA$358.77–$389.022
GU$409.341
HI$409.341
IA$353.671
ID$355.881
IL$368.76–$401.514
IN$357.731
KS$352.461
KY$354.351
LA$353.97–$369.772
MA$394.17–$432.452
MD$385.18–$433.273
ME$357.87–$375.022
MI$362.97–$382.882
MN$379.661
MO$348.66–$370.623
MS$345.281
MT$382.081
NC$361.221
ND$374.171
NE$355.331
NH$390.271
NJ$410.62–$429.512
NM$364.891
NV$380.111
NY$366.15–$447.135
OH$361.351
OK$353.471
OR$377.18–$407.372
PA$361.71–$396.842
PR$384.541
RI$391.031
SC$361.881
SD$373.241
TN$354.101
TX$359.57–$394.758
UT$366.351
VA$374.10–$433.272
VI$384.541
VT$373.111
WA$393.30–$440.552
WI$362.791
WV$356.451
WY$378.631

Explore 28043 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 28043 in El Centro, the physician’s office rate is $401.19 and the facility-setting rate is $253.66: a difference of $147.53.

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 28043 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$441.31

$401.19 × 110% = $441.31

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 28043 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

3,100

Code
28043
Physician work
3.86
Practice expense
7.18
Malpractice
0.40

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 28043 in El Centro
ComponentRVULocality factorAdjusted
Physician work3.86× 1.0173.9256
Practice expense7.18× 1.0967.8693
Malpractice0.40× 0.5410.2164
Total RVUs12.0113
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$401.19

Open 28043 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.861.017
Practice expense7.181.096
Malpractice0.40.541

(3.86 × 1.017 + 7.18 × 1.096 + 0.4 × 0.541) × $33.4009 = $401.19

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.861.017
Practice expense3.151.096
Malpractice0.40.541

(3.86 × 1.017 + 3.15 × 1.096 + 0.4 × 0.541) × $33.4009 = $253.66

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

28043 · Office / nonfacility

$401.19

Effective 2026-10-01

The base rate is $14.86 higher than on 2025-10-01, moving from $386.33 to $401.19 (3.8%).

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

    $386.33changed to$401.19

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.96 changed to 3.86
    • Practice expense RVU 7.05 changed to 7.18
    • Malpractice RVU 0.39 changed to 0.40
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $386.33

    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$401.19$253.66RVU26D
2026-07-01$401.19$253.66RVU26C
2026-04-01$401.19$253.66RVU26B
2026-01-01$401.19$253.66RVU26A
2025-10-01$386.33$264.35RVU25D
2025-07-01$386.33$264.35RVU25C
2025-04-01$386.33$264.35RVU25B
2025-01-01$386.33$264.35RVU25A

28043 billing questions

How does this code differ from 28039?

Both describe removal of a subcutaneous foot or toe tumor. Use this code for a lesion under 1.5 cm and 28039 for one measuring 1.5 cm or greater.

How does this code differ from 28045?

This code is for a subcutaneous tumor under 1.5 cm. Code 28045 describes a tumor under 1.5 cm located in deeper tissue, such as beneath fascia or within muscle.

What should the operative note document?

Document the foot or toe site, tumor size, and its subcutaneous location. The note should distinguish the lesion from a deeper mass involving fascia or muscle.

Can modifier 50 be used for tumors on both feet?

The CMS bilateral rule specifies payment at 150% when this bilateral procedure is reported with modifier 50. Document the treated site on each side.

What postoperative care is included?

The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.

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 28043PPRRVU2026_Oct_nonQPP.csv, line 3,100 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet