$212.53
Choose 28190 for a subcutaneous foreign body in the foot. Choose 28192 when the object is embedded deeply and deeper dissection is required.
On this page
CMS RVU26D · Effective 2026-10-01
28192 Foot foreign body removal Medicare reimbursement rates in Arkansas
Reports surgical removal of a deeply embedded foreign body from the foot, such as glass or another object requiring dissection below superficial tissues. Compare 28192 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 28192 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$409.16
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$268.86
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Foot surgery
About 28192: Deep foreign body removal from foot
Reports surgical removal of a deeply embedded foreign body from the foot, such as glass or another object requiring dissection below superficial tissues.
A podiatrist or orthopedic surgeon reports 28192 when an incision and deeper dissection are needed to locate and remove a foreign object embedded in the foot. A deeply lodged piece of glass in the plantar foot is a typical example. The operative note should identify the foot and site, describe the object’s depth and the dissection used to reach it, and document its removal.
Choose this code for a deep foot foreign body rather than a superficial one or a complicated removal. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 28192
- 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 RVU4.66 · 34%
- Practice expense (office) RVU8.56 · 63%
- Malpractice RVU0.46 · 3%
1.4K
Medicare services in 2024 · #2731 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.
28192 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$459.97
28193 describes complicated foot foreign body removal. Depth alone supports 28192; documentation should establish when the removal is complicated.
$244.63
10121 is for complicated subcutaneous foreign body removal outside the foot-specific code family. For a deeply embedded object in the foot, consider 28192.
$499.91
28020 applies when removal is performed through arthrotomy at a foot interphalangeal joint. 28192 describes deep foreign body removal from the foot rather than that joint-specific approach.
Compare 28192 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$409.16
Facility
$268.86
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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 28192 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
3,145
- Code
- 28192
- Physician work
- 4.66
- Practice expense
- 8.56
- Malpractice
- 0.46
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.66 | × 1.000 | 4.6600 |
| Practice expense | 8.56 | × 0.859 | 7.3530 |
| Malpractice | 0.46 | × 0.515 | 0.2369 |
| Total RVUs | 12.2499 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$409.16
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.66 | 1 |
| Practice expense | 8.56 | 0.859 |
| Malpractice | 0.46 | 0.515 |
(4.66 × 1 + 8.56 × 0.859 + 0.46 × 0.515) × $33.4009 = $409.16
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.66 | 1 |
| Practice expense | 3.67 | 0.859 |
| Malpractice | 0.46 | 0.515 |
(4.66 × 1 + 3.67 × 0.859 + 0.46 × 0.515) × $33.4009 = $268.86
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.
28192 billing questions
How does 28192 differ from 28190?
28192 is for a foreign body embedded deeply in the foot and requiring deeper dissection. 28190 is the sibling code for a subcutaneous foreign body.
When is 28193 a better choice?
Use 28193 when the removal is complicated, rather than selecting it solely because the object is deep. The operative documentation should support the nature of the complicated removal.
What documentation supports 28192?
Document the foot and precise site, the object removed, its depth, and the dissection required to reach and remove it. This helps distinguish deep removal from subcutaneous removal.
How is bilateral removal reported?
CMS identifies this as a bilateral procedure; with modifier 50, payment is 150%. The record should support removal from both feet.
Can an assistant or co-surgeon be paid for this service?
CMS does not pay an assistant at surgery for 28192. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period 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.
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3,14328175,,Resect phalanx of toe tumor,A,,8.08,4.32,NA,4.32,,0.68,13.08,13.08,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14428190,,Removal of foot foreign body,A,,1.96,5.00,,1.65,,0.21,7.17,3.82,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14528192,,Removal of foot foreign body,A,,4.66,8.56,,3.67,,0.46,13.68,8.79,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14628193,,Removal of foot foreign body,A,,5.75,9.02,,3.93,,0.53,15.30,10.21,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14728200,,Repair of foot tendon,A,,4.62,9.92,,4.19,,0.56,15.10,9.37,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14828202,,Repair/graft of foot tendon,A,,6.89,10.58,,4.54,,0.75,18.22,12.18,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541