Billing code 28124: Toe bone excisionMedicare rate & RVUs in Delaware
Reports removal of a portion of a toe phalanx, such as a diseased or prominent bone segment, when the procedure does not target a specific condyle.
Medicare pays $469.98 for 28124 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 28124 covers
A podiatrist or orthopedic surgeon removes a portion of a toe phalanx to treat localized bone disease or a painful bony prominence. The procedure may be performed in an office-based surgical setting or a hospital or ambulatory surgery facility. The operative report should identify the toe, the phalanx involved, the portion removed, and the clinical reason for the excision.
Select this code when the work is partial removal of phalangeal bone, rather than a defined resection of a distal or proximal condyle or removal of a broader phalangeal segment. Related preoperative care on the day before surgery and related postoperative care for 90 days are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
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.
28124 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $469.98 | $315.53 |
How the 28124 rate is calculated
Each of 28124’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 28124
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.88Practice expense 8.85Malpractice 0.47
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28124
28124 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28124
Toe bone excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28124
Toe bone excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28124 without 50 · national office
$474.29
Toe bone excision
28124-50 · Bilateral: 150%
$711.44
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
28124 compared with similar codes
Compare codes
28124 vs 28126 vs 28153 vs 28150 vs 28160: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28126Toe bone excision
- 28126 is specific to resection of the distal phalanx condyle. Choose 28124 for partial phalangeal bone removal that is not a defined distal condyle resection.
- 28153Toe bone removal
- 28153 describes resection of a proximal phalanx condyle. 28124 is the better fit when the documented work is partial bone excision without that specific condylar target.
- 28150Toe amputation
- 28150 is for phalangectomy, a more extensive removal of toe phalangeal bone. Use 28124 when only a portion of the phalanx is excised.
- 28160Toe bone excision
- 28160 covers hemiphalangectomy or excision involving a toe interphalangeal joint. 28124 describes partial bone excision without that joint-focused procedure.
28124 billing questions
When should I use this code instead of a condyle-resection code?
Use this code for partial removal of phalangeal bone without a specifically defined condylar resection. A distal condyle resection points to 28126; a proximal condyle resection points to 28153.
What documentation supports reporting this procedure?
Document the affected toe and phalanx, the segment of bone removed, the reason for excision, and the operative work performed. The record should distinguish a partial phalanx excision from a condylar resection or more extensive phalangectomy.
Is related postoperative care separately reported?
Related postoperative care is included in the 90-day global period, along with the preoperative visit on the day before surgery.
How does Medicare handle bilateral procedures and other procedures in the same session?
A bilateral procedure reported with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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