Billing code 28106: Foot bone lesionMedicare rate & RVUs in Florida
Reports curettage or excision of a benign cyst or tumor in a tarsal or metatarsal bone when the resulting defect is filled with the patient's own bone graft.
CMS doesn’t publish an office rate for 28106 in Florida.
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 28106 covers
An orthopedic surgeon or podiatric surgeon uses this code to remove or curette a benign bone cyst or tumor in a tarsal or metatarsal bone and fill the resulting defect with the patient’s own bone graft. The service includes obtaining the autograft. It is generally performed in an operating room or other surgical setting when the lesion requires operative treatment.
Select the code when the operative report supports the tarsal or metatarsal site, removal or curettage of the lesion, and placement of autograft. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is 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.
Where 28106 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $414.78 |
| Miami | Unavailable | $433.07 |
| Rest Of Florida | Unavailable | $400.84 |
How the 28106 rate is calculated
Each of 28106’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 · 28106
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.17Practice expense 4.11Malpractice 0.60
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28106
28106 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28106
Foot bone lesion
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 28106
Foot bone lesion
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 51 · payment effect
With and without the modifier
28106 without 51 · national facility
$396.80
Foot bone lesion
28106-51 · Second procedure: 50%
$198.40
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
28106 compared with similar codes
Compare codes
28106 vs 28104 vs 28107 vs 28100 vs 28108: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28104Bone lesion excision
- Both concern benign cyst or tumor treatment in tarsal or metatarsal bone. Choose 28106 when autograft fills the defect; 28104 is the no-graft option.
- 28107Bone lesion surgery
- This is the grafted counterpart using allograft. Choose 28106 when the graft is harvested from the patient.
- 28100Bone lesion excision
- This code concerns a similar lesion procedure in the talus or calcaneus, rather than another tarsal or metatarsal bone.
- 28108Toe bone lesion
- This code is for a lesion in a toe phalanx, not a tarsal or metatarsal bone.
28106 billing questions
When should this code be chosen over 28104?
Use 28106 when the tarsal or metatarsal lesion is treated with autograft. Code 28104 describes the corresponding lesion procedure without graft.
How does 28106 differ from 28107?
Both address a tarsal or metatarsal bone cyst or benign tumor with grafting. 28106 uses the patient’s own bone; 28107 uses allograft.
Is graft harvest separately reported?
Obtaining the autograft is included in 28106, so the harvest is part of this service.
Should modifier 50 be appended for lesions on both feet?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be allowed. 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 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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