$605.02–$658.66
28100 describes excisional bone biopsy in the foot. Use 28120 when the operative service is partial removal of talus or calcaneus bone, not biopsy alone.
On this page
CMS RVU26D · Effective 2026-10-01
28120 Bone excision Medicare reimbursement rates in Georgia
Reports surgical removal of part of the talus or calcaneus, such as for diseased bone requiring partial excision or sequestrectomy. Compare 28120 office and facility rates across CMS payment localities in Georgia.
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 28120 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$647.90–$700.55
2 of 2 localities have a supported rate.
Facility setting
$453.34–$478.95
2 of 2 localities have a supported rate.
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 and ankle surgery
About 28120: Partial talus or calcaneus excision
Reports surgical removal of part of the talus or calcaneus, such as for diseased bone requiring partial excision or sequestrectomy.
An orthopedic or foot and ankle surgeon removes a portion of the talus or calcaneus. The work may involve shaping or scooping out bone, removing a sequestrum, or excising a segment. Typical clinical reasons include osteomyelitis or a localized bone lesion. The service is generally performed in an operating room, with the operative report identifying the affected bone and the extent of removal.
Choose this code when the documented procedure is a partial excision of the talus or calcaneus, rather than a biopsy alone or removal of a different foot bone. The operative note should support the bone treated, the indication, and the partial excision performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28120
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.13 · 35%
- Practice expense (office) RVU12.47 · 61%
- Malpractice RVU0.96 · 5%
5.4K
Medicare services in 2024 · #1823 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.
28120 compared with similar codes
Office rates for Georgia, from the same CMS release.
$565.78–$610.57
28122 covers partial excision of other tarsal or metatarsal bones. For the talus or calcaneus, use 28120.
$593.88–$644.77
28118 is calcaneal ostectomy. Select between it and 28120 based on the specific procedure documented, including whether the work is a partial excision as described for 28120.
No office rate
28130 reports removal of the talus. Code 28120 is for partial excision of the talus or calcaneus.
Compare 28120 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$700.55
Facility
$478.95
Rest Of Georgia →
Office / nonfacility
$647.90
Facility
$453.34
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28120 billing questions
How does this differ from code 28122?
Code 28120 is for partial excision of the talus or calcaneus. Code 28122 addresses partial excision of other tarsal or metatarsal bones.
When is code 28100 a better fit?
Use 28100 for an excisional bone biopsy in the foot when the service is a biopsy, rather than the partial therapeutic excision reported by 28120.
What documentation supports reporting 28120?
The operative report should identify the talus or calcaneus, describe the portion and type of bone removal, and state the clinical reason, such as diseased bone or a localized lesion.
How is bilateral work reported?
When the procedure is performed on both sides, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
CMS restricts payment for an assistant at surgery for this code. Co-surgeon payment requires supporting documentation, and team surgery is 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.
3,12928116,,Revision of foot,A,,8.91,10.42,,4.87,,0.76,20.09,14.54,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13028118,,Removal of heel bone,A,,5.98,12.08,,5.31,,0.86,18.92,12.15,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13128119,,Removal of heel spur,A,,5.42,9.87,,4.35,,0.59,15.88,10.36,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13228120,,Part removal of ankle/heel,A,,7.13,12.47,,5.94,,0.96,20.56,14.03,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13328122,,Partial removal of foot bone,A,,6.59,10.60,,5.13,,0.75,17.94,12.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13428124,,Partial removal of toe,A,,4.88,8.85,,4.17,,0.47,14.20,9.52,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13528126,,Partial removal of toe,A,,3.55,7.66,,3.20,,0.38,11.59,7.13,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00