Billing code 28055: Foot neurectomyMedicare rate & RVUs in Georgia
Reports surgical removal of a nerve serving intrinsic foot musculature when that nerve is the operative target, rather than an interdigital neuroma.
CMS doesn’t publish an office rate for 28055 in Georgia.
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 28055 covers
This procedure removes a nerve associated with the intrinsic muscles of the foot. It is performed by a foot and ankle surgeon, such as an orthopedic surgeon or podiatrist, when the operative plan targets that nerve for a focal nerve-related problem. The operative report should identify the nerve and side and describe the surgical work performed. This is distinct from removing an interdigital neuroma, which has its own code.
Report the service for the nerve resection actually performed, supported by the surgeon’s diagnosis and operative findings. Medicare treats it as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. When other procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral surgery, modifier 50 results in payment at 150%. An assistant is paid only when medical necessity is documented; 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.
Where 28055 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $379.30 |
| Rest Of Georgia | Unavailable | $360.63 |
How the 28055 rate is calculated
Each of 28055’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 · 28055
RVUs × geographic indexes × conversion factor
Work6.13
6.13 RVUs× 1.000 GPCI
Practice expense4.31
4.31 RVUs× 1.000 GPCI
Malpractice0.69
0.69 RVUs× 1.000 GPCI
Adjusted RVUs
11.1300
Conversion factor
$33.4009
Medicare rate
$371.75
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28055
28055 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28055
Foot neurectomy
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 28055
Foot neurectomy
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
28055 without 50 · national facility
$371.75
Foot neurectomy
28055-50 · Bilateral: 150%
$557.63
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).
28055 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28080Neuroma excision
- Choose 28080 for an interdigital (Morton) neuroma. This code describes resection of a nerve associated with intrinsic foot musculature.
- 28035Nerve decompression
- Code 28035 describes tibial nerve decompression. This code is for resection of a nerve associated with intrinsic foot musculature.
- 64704Nerve neuroplasty
- Code 64704 is for neuroplasty of a nerve of the foot or hand. Use this code when the documented procedure is nerve resection associated with intrinsic foot musculature.
28055 billing questions
How is this different from code 28080?
This code is for resection of a nerve associated with intrinsic foot musculature. Code 28080 is for an interdigital, or Morton, neuroma.
What documentation supports reporting this procedure?
Document the nerve targeted, the side, the clinical indication, and the resection performed. The operative report should make clear that the work was not removal of an interdigital neuroma.
Can modifier 50 be used for bilateral surgery?
Yes. CMS identifies this as a bilateral procedure; modifier 50 results in payment at 150%.
Is routine postoperative care separately reported?
Related postoperative care for 90 days is included in the major-surgery global period, as is the day-before preoperative visit.
When is an assistant at surgery payable?
Only when documentation supports medical necessity. Co-surgeons and team surgery are not permitted for this code under the CMS facts provided.
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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