$636.50
28130 is reported for a talectomy involving part or all of the talus. 28120 describes a partial excision involving the talus or calcaneus; use the code that matches the documented procedure.
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CMS RVU26D · Effective 2026-10-01
28130 Talectomy Medicare reimbursement rates in Idaho
Removal of part or all of the talus for severe talar disease or deformity when treatment requires talectomy rather than a limited lesion excision. Compare 28130 office and facility rates across CMS payment localities in Idaho.
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 28130 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$554.96
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
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 28130: Partial or complete talectomy
Removal of part or all of the talus for severe talar disease or deformity when treatment requires talectomy rather than a limited lesion excision.
Code 28130 represents talectomy: operative removal of part or all of the talus, the ankle bone. An orthopedic or foot-and-ankle surgeon may perform it as salvage treatment when the talus is severely damaged, infected, or deformed and cannot be preserved with a more limited procedure. It is generally performed in an operating room or other surgical facility.
Report 28130 when the operative note supports removal of talar bone as a talectomy; document the indication, side, and extent of removal. CMS assigns major-surgery status with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28130
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.26 · 52%
- Practice expense (office) RVU7.28 · 41%
- Malpractice RVU1.39 · 8%
136
Medicare services in 2024 · #4627 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.
28130 compared with similar codes
Office rates for Idaho, from the same CMS release.
$595.57
28100 targets a bone cyst or benign tumor in the talus or calcaneus. 28130 describes talar removal rather than lesion-directed curettage or excision.
$557.69
28122 describes partial excision of a tarsal or metatarsal bone other than the talus or calcaneus. 28130 applies to talar removal.
Compare 28130 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.
1 of 1 payment localities
Idaho →
Office / nonfacility
Unavailable
Facility
$554.96
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 28130 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
3,136
- Code
- 28130
- Physician work
- 9.26
- Practice expense
- 7.28
- Malpractice
- 1.39
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.26 | × 1.000 | 9.2600 |
| Practice expense | 7.28 | × 0.920 | 6.6976 |
| Malpractice | 1.39 | × 0.473 | 0.6575 |
| Total RVUs | 16.6151 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$554.96
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.26 | 1 |
| Practice expense | 7.28 | 0.92 |
| Malpractice | 1.39 | 0.473 |
(9.26 × 1 + 7.28 × 0.92 + 1.39 × 0.473) × $33.4009 = $554.96
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
28130 billing questions
Does 28130 include removal of only part of the talus?
Yes. The code covers talectomy involving partial or complete removal of the talus; document the extent in the operative report.
How is 28130 distinguished from 28120?
28130 represents a talectomy, while 28120 describes partial bone excision involving the talus or calcaneus. Choose based on the operation performed and its documented purpose and extent.
When is 28100 a better fit?
Use 28100 for excision or curettage directed at a bone cyst or benign tumor of the talus or calcaneus, rather than a talectomy.
How should bilateral talectomy be reported?
CMS identifies this as a bilateral procedure; report modifier 50 when both sides are treated. CMS payment is 150%.
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.
3,13328122,,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
3,13628130,,Removal of ankle bone,A,,9.26,7.28,NA,7.28,,1.39,17.93,17.93,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13728140,,Removal of metatarsal,A,,6.96,8.97,,4.01,,0.89,16.82,11.86,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13828150,,Removal of toe,A,,4.12,7.85,,3.40,,0.43,12.40,7.95,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13928153,,Partial removal of toe,A,,3.71,7.86,,3.44,,0.36,11.93,7.51,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772