Billing code 28175: Bone tumor resectionMedicare rate & RVUs in Florida
Reports operative resection of a tumor involving a toe phalanx, when the surgeon removes the tumor-bearing bone rather than a soft-tissue lesion.
CMS doesn’t publish an office rate for 28175 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 28175 covers
An orthopedic or podiatric surgeon uses this operation to remove a tumor involving a toe phalanx through operative exposure and resection of the affected bone. It is generally performed in an operating-room setting when a bone lesion requires removal beyond a superficial soft-tissue excision. The operative report should identify the involved toe and phalanx, the lesion, and the extent of bone removed.
Report 28175 for resection of a tumor in a toe phalanx, not for a lesion confined to skin or soft tissue. Documentation should connect the tumor to the phalanx and describe the resection; distinguish it from excision or curettage of a benign bone lesion. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; 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 28175 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 | $457.11 |
| Miami | Unavailable | $477.53 |
| Rest Of Florida | Unavailable | $441.96 |
How the 28175 rate is calculated
Each of 28175’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 · 28175
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.08Practice expense 4.32Malpractice 0.68
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28175
28175 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28175
Bone tumor resection
| 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) | 1 | Not paid (statutory restriction). |
| 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 · 28175
Bone tumor resection
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
28175 without 51 · national facility
$436.88
Bone tumor resection
28175-51 · Second procedure: 50%
$218.44
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%).
28175 compared with similar codes
Compare codes
28175 vs 28108 vs 28173 vs 28171 vs 28124: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28108Toe bone lesion
- Use 28175 for resection of a tumor involving a toe phalanx. Code 28108 describes excision or curettage of a bone cyst or benign tumor in a foot phalanx.
- 28173Bone tumor surgery
- Both codes describe tumor resection, but 28173 is for a metatarsal; 28175 is for a toe phalanx.
- 28171Bone tumor resection
- Both codes describe tumor resection, but 28171 is for a tarsal bone; 28175 is for a toe phalanx.
- 28124Toe bone excision
- Code 28124 describes partial excision of a toe bone. Use 28175 when the documented procedure is resection of a tumor involving the phalanx.
28175 billing questions
How does 28175 differ from 28108?
28175 is for resection of a tumor involving a toe phalanx. Code 28108 describes excision or curettage of a bone cyst or benign tumor in a foot phalanx; the documented procedure and lesion determine which code fits.
Does the code include related postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can modifier 50 be used for tumors in both feet?
No. CMS identifies bilateral adjustment as inappropriate for this code. The operative documentation should specify the treated toe and side.
What should the operative report document?
Identify the toe phalanx containing the tumor and describe the bone resected. The record should support that the service was tumor resection rather than treatment of a soft-tissue lesion or a different bone condition.
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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