No office rate
This is the sibling resection code for a foot or toe soft-tissue tumor measuring 3 cm or larger. Use 28046 when the tumor is under 3 cm.
On this page
CMS RVU26D · Effective 2026-10-01
28047 in Vallejo
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1039.05
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Orthopedic surgery
About 28047: Foot or toe tumor resection, 3 cm or larger
Reports operative resection of a foot or toe soft-tissue tumor measuring 3 cm or larger, rather than a smaller lesion or limited excision.
This code describes operative removal of a soft-tissue tumor in the foot or toe when the tumor measures at least 3 cm. It may be performed by an orthopedic foot and ankle surgeon or podiatrist in a hospital or ambulatory surgery setting. Examples include resection of a sizable mass arising in the plantar foot or toe; the operative report should establish the site, tumor dimensions, and extent of removal.
Select this code based on the documented tumor size and the resection performed, distinguishing it from smaller resection and layer-specific excision codes. The 90-day global period includes 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 the others at 50%. For bilateral reporting with modifier 50, payment is at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 28047
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.01 · 59%
- Practice expense (office) RVU8.94 · 31%
- Malpractice RVU2.71 · 9%
123
Medicare services in 2024 · #4715 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.
28047 compared with similar codes
Office rates for Vallejo, from the same CMS release.
$566.30
28039 describes excision of a subcutaneous tumor meeting its size criterion. Choose between it and resection coding based on the documented operative service and the applicable size and tissue-plane criteria.
No office rate
28041 describes excision of a deep tumor meeting its size criterion. It is distinguished from this resection code by the procedure and the code’s tissue-plane and size criteria.
The same code, a different location
How does Vallejo compare?
28047 across payment areas
Same release and payment basis · bars start at $0
Vallejo · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 28047
Office
Unavailable
Facility
$953.59
No comparable office rate is available.
Merced
California · 28047
Office
Unavailable
Facility
$953.59
No comparable office rate is available.
Modesto
California · 28047
Office
Unavailable
Facility
$953.59
No comparable office rate is available.
Napa
California · 28047
Office
Unavailable
Facility
$1043.49
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 28047
Office
Unavailable
Facility
$993.40
No comparable office rate is available.
Redding
California · 28047
Office
Unavailable
Facility
$953.59
No comparable office rate is available.
Rest Of California
California · 28047
Office
Unavailable
Facility
$953.59
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 28047
Office
Unavailable
Facility
$982.86
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 28047
Office
Unavailable
Facility
$984.40
No comparable office rate is available.
Salinas
California · 28047
Office
Unavailable
Facility
$980.36
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 28047
Office
Unavailable
Facility
$991.38
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 28047
Office
Unavailable
Facility
$1084.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 28047
Office
Unavailable
Facility
$1081.62
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 28047
Office
Unavailable
Facility
$1109.75
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 28047
Office
Unavailable
Facility
$1097.17
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 28047
Office
Unavailable
Facility
$966.43
No comparable office rate is available.
Santa Cruz-Watsonville
California · 28047
Office
Unavailable
Facility
$991.40
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 28047
Office
Unavailable
Facility
$980.75
No comparable office rate is available.
Santa Rosa-Petaluma
California · 28047
Office
Unavailable
Facility
$1000.40
No comparable office rate is available.
Stockton
California · 28047
Office
Unavailable
Facility
$953.59
No comparable office rate is available.
Visalia
California · 28047
Office
Unavailable
Facility
$953.59
No comparable office rate is available.
Yuba City
California · 28047
Office
Unavailable
Facility
$953.59
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 28047
Office
Unavailable
Facility
$1051.33
No comparable office rate is available.
Miami
Florida · 28047
Office
Unavailable
Facility
$1107.91
No comparable office rate is available.
Chicago
Illinois · 28047
Office
Unavailable
Facility
$1079.96
No comparable office rate is available.
Manhattan
New York · 28047
Office
Unavailable
Facility
$1095.05
No comparable office rate is available.
Alaska*
Alaska · 28047
Office
Unavailable
Facility
$1220.11
No comparable office rate is available.
Alabama
Alabama · 28047
Office
Unavailable
Facility
$880.66
No comparable office rate is available.
Arkansas
Arkansas · 28047
Office
Unavailable
Facility
$871.27
No comparable office rate is available.
Arizona
Arizona · 28047
Office
Unavailable
Facility
$934.98
No comparable office rate is available.
Colorado
Colorado · 28047
Office
Unavailable
Facility
$963.38
No comparable office rate is available.
Connecticut
Connecticut · 28047
Office
Unavailable
Facility
$1010.63
No comparable office rate is available.
Delaware
Delaware · 28047
Office
Unavailable
Facility
$947.39
No comparable office rate is available.
Fort Lauderdale
Florida · 28047
Office
Unavailable
Facility
$1034.29
No comparable office rate is available.
Rest Of Florida
Florida · 28047
Office
Unavailable
Facility
$989.66
No comparable office rate is available.
Atlanta
Georgia · 28047
Office
Unavailable
Facility
$981.95
No comparable office rate is available.
Rest Of Georgia
Georgia · 28047
Office
Unavailable
Facility
$942.40
No comparable office rate is available.
Hawaii, Guam
Hawaii · 28047
Office
Unavailable
Facility
$960.07
No comparable office rate is available.
Iowa
Iowa · 28047
Office
Unavailable
Facility
$877.31
No comparable office rate is available.
Idaho
Idaho · 28047
Office
Unavailable
Facility
$885.68
No comparable office rate is available.
East St. Louis
Illinois · 28047
Office
Unavailable
Facility
$1025.17
No comparable office rate is available.
Rest Of Illinois
Illinois · 28047
Office
Unavailable
Facility
$982.25
No comparable office rate is available.
Suburban Chicago
Illinois · 28047
Office
Unavailable
Facility
$1039.19
No comparable office rate is available.
Indiana
Indiana · 28047
Office
Unavailable
Facility
$888.95
No comparable office rate is available.
Kansas
Kansas · 28047
Office
Unavailable
Facility
$883.71
No comparable office rate is available.
Kentucky
Kentucky · 28047
Office
Unavailable
Facility
$916.43
No comparable office rate is available.
New Orleans
Louisiana · 28047
Office
Unavailable
Facility
$951.96
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 28047
Office
Unavailable
Facility
$919.13
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 28047
Office
Unavailable
Facility
$1028.54
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 28047
Office
Unavailable
Facility
$963.81
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 28047
Office
Unavailable
Facility
$1009.61
No comparable office rate is available.
Rest Of Maryland
Maryland · 28047
Office
Unavailable
Facility
$959.11
No comparable office rate is available.
Rest Of Maine
Maine · 28047
Office
Unavailable
Facility
$899.17
No comparable office rate is available.
Southern Maine
Maine · 28047
Office
Unavailable
Facility
$921.18
No comparable office rate is available.
Detroit
Michigan · 28047
Office
Unavailable
Facility
$1008.91
No comparable office rate is available.
Rest Of Michigan
Michigan · 28047
Office
Unavailable
Facility
$942.97
No comparable office rate is available.
Minnesota
Minnesota · 28047
Office
Unavailable
Facility
$902.21
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 28047
Office
Unavailable
Facility
$936.97
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 28047
Office
Unavailable
Facility
$943.12
No comparable office rate is available.
Rest Of Missouri
Missouri · 28047
Office
Unavailable
Facility
$913.71
No comparable office rate is available.
Mississippi
Mississippi · 28047
Office
Unavailable
Facility
$892.14
No comparable office rate is available.
Montana**
Montana · 28047
Office
Unavailable
Facility
$957.09
No comparable office rate is available.
North Carolina
North Carolina · 28047
Office
Unavailable
Facility
$904.59
No comparable office rate is available.
North Dakota**
North Dakota · 28047
Office
Unavailable
Facility
$903.50
No comparable office rate is available.
Nebraska
Nebraska · 28047
Office
Unavailable
Facility
$877.98
No comparable office rate is available.
New Hampshire
New Hampshire · 28047
Office
Unavailable
Facility
$958.20
No comparable office rate is available.
Northern Nj
New Jersey · 28047
Office
Unavailable
Facility
$1046.99
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 28047
Office
Unavailable
Facility
$1016.25
No comparable office rate is available.
New Mexico
New Mexico · 28047
Office
Unavailable
Facility
$950.68
No comparable office rate is available.
Nevada**
Nevada · 28047
Office
Unavailable
Facility
$942.45
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 28047
Office
Unavailable
Facility
$1127.64
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 28047
Office
Unavailable
Facility
$1030.21
No comparable office rate is available.
Queens
New York · 28047
Office
Unavailable
Facility
$1087.99
No comparable office rate is available.
Rest Of New York
New York · 28047
Office
Unavailable
Facility
$915.46
No comparable office rate is available.
Ohio
Ohio · 28047
Office
Unavailable
Facility
$932.02
No comparable office rate is available.
Oklahoma
Oklahoma · 28047
Office
Unavailable
Facility
$905.13
No comparable office rate is available.
Portland
Oregon · 28047
Office
Unavailable
Facility
$976.33
No comparable office rate is available.
Rest Of Oregon
Oregon · 28047
Office
Unavailable
Facility
$929.19
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 28047
Office
Unavailable
Facility
$997.21
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 28047
Office
Unavailable
Facility
$927.81
No comparable office rate is available.
Puerto Rico
Puerto Rico · 28047
Office
Unavailable
Facility
$959.20
No comparable office rate is available.
Rhode Island
Rhode Island · 28047
Office
Unavailable
Facility
$968.14
No comparable office rate is available.
South Carolina
South Carolina · 28047
Office
Unavailable
Facility
$921.00
No comparable office rate is available.
South Dakota**
South Dakota · 28047
Office
Unavailable
Facility
$897.17
No comparable office rate is available.
Tennessee
Tennessee · 28047
Office
Unavailable
Facility
$888.19
No comparable office rate is available.
Austin
Texas · 28047
Office
Unavailable
Facility
$965.41
No comparable office rate is available.
Beaumont
Texas · 28047
Office
Unavailable
Facility
$923.97
No comparable office rate is available.
Brazoria
Texas · 28047
Office
Unavailable
Facility
$939.21
No comparable office rate is available.
Dallas
Texas · 28047
Office
Unavailable
Facility
$948.34
No comparable office rate is available.
Fort Worth
Texas · 28047
Office
Unavailable
Facility
$946.53
No comparable office rate is available.
Galveston
Texas · 28047
Office
Unavailable
Facility
$944.16
No comparable office rate is available.
Houston
Texas · 28047
Office
Unavailable
Facility
$993.76
No comparable office rate is available.
Rest Of Texas
Texas · 28047
Office
Unavailable
Facility
$933.26
No comparable office rate is available.
Utah
Utah · 28047
Office
Unavailable
Facility
$930.12
No comparable office rate is available.
Virginia
Virginia · 28047
Office
Unavailable
Facility
$925.58
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 28047
Office
Unavailable
Facility
$959.20
No comparable office rate is available.
Vermont
Vermont · 28047
Office
Unavailable
Facility
$909.57
No comparable office rate is available.
Rest Of Washington
Washington · 28047
Office
Unavailable
Facility
$958.85
No comparable office rate is available.
Seattle (King Cnty)
Washington · 28047
Office
Unavailable
Facility
$1036.90
No comparable office rate is available.
Wisconsin
Wisconsin · 28047
Office
Unavailable
Facility
$882.09
No comparable office rate is available.
West Virginia
West Virginia · 28047
Office
Unavailable
Facility
$957.17
No comparable office rate is available.
Wyoming**
Wyoming · 28047
Office
Unavailable
Facility
$933.74
No comparable office rate is available.
See how rates vary across the country
28047 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 28047 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1142.96
$1039.05 × 110% = $1142.96
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 28047 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
3,103
- Code
- 28047
- Physician work
- 17.01
- Practice expense
- 8.94
- Malpractice
- 2.71
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.01 | × 1.063 | 18.0816 |
| Practice expense | 8.94 | × 1.318 | 11.7829 |
| Malpractice | 2.71 | × 0.459 | 1.2439 |
| Total RVUs | 31.1084 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vallejo$1039.05
Open 28047 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.01 | 1.063 |
| Practice expense | 8.94 | 1.318 |
| Malpractice | 2.71 | 0.459 |
(17.01 × 1.063 + 8.94 × 1.318 + 2.71 × 0.459) × $33.4009 = $1039.05
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
28047 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1039.05 | RVU26D |
| 2026-07-01 | Not available in this setting | $1039.05 | RVU26C |
| 2026-04-01 | Not available in this setting | $1039.05 | RVU26B |
| 2026-01-01 | Not available in this setting | $1039.05 | RVU26A |
| 2025-10-01 | Not available in this setting | $1116.70 | RVU25D |
| 2025-07-01 | Not available in this setting | $1116.70 | RVU25C |
| 2025-04-01 | Not available in this setting | $1116.70 | RVU25B |
| 2025-01-01 | Not available in this setting | $1116.70 | RVU25A |
28047 billing questions
How does this code differ from 28046?
Both describe resection of a foot or toe soft-tissue tumor. Use 28047 for a tumor measuring 3 cm or larger; 28046 is for one under 3 cm.
Should a layer-specific excision code be used instead?
Compare the documented procedure with codes 28039, 28041, 28043, and 28045, which describe tumor excision by tissue plane and size. The operative report should support the procedure and selection criteria, not just the diagnosis.
What documentation supports reporting 28047?
Document the foot or toe site, tumor dimensions of at least 3 cm, and the operative resection performed. A pathology diagnosis alone does not establish the operative size or extent.
How is modifier 50 handled for bilateral procedures?
CMS identifies this as a bilateral procedure; when reported with modifier 50, payment is at 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%. The code has a 90-day global period that includes the day-before preoperative visit and related postoperative care for 90 days.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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.
3,10028043,,Exc foot/toe tum sc < 1.5 cm,A,,3.86,7.18,,3.15,,0.40,11.44,7.41,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,10128045,,Exc foot/toe tum deep <1.5cm,A,,5.31,8.67,,4.01,,0.54,14.52,9.86,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,10228046,,Resect foot/toe tumor < 3 cm,A,,12.07,6.28,NA,6.28,,1.46,19.81,19.81,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,10328047,,Resect foot/toe tumor 3 cm/>,A,,17.01,8.94,NA,8.94,,2.71,28.66,28.66,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,10428050,,Biopsy of foot joint lining,A,,4.28,7.54,,3.23,,0.37,12.19,7.88,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,10528052,,Biopsy of foot joint lining,A,,3.96,7.10,,2.95,,0.35,11.41,7.26,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,10628054,,Biopsy of toe joint lining,A,,3.48,6.94,,2.89,,0.29,10.71,6.66,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3001182,CA,74,SANTA MARIA-SANTA BARBARA,1.028,1.166,0.536
3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536
3201112,CA,68,STOCKTON,1.017,1.096,0.536
3301112,CA,53,VALLEJO,1.063,1.318,0.459
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536