$587.73
Choose 28119 for removal of a calcaneal spur. Choose 28118 for calcaneal ostectomy when the operative target is not a spur.
On this page
CMS RVU26D · Effective 2026-10-01
28119 Heel spur removal Medicare reimbursement rates in Indiana
Reports operative removal of a symptomatic calcaneal heel spur, with plantar fascial release included when performed as part of the procedure. Compare 28119 office and facility rates across CMS payment localities in Indiana.
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 28119 in Indiana?
Indiana 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
$496.21
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$325.30
1 of 1 localities have a supported rate.
Payment area: Indiana
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 surgery
About 28119: Calcaneal heel spur excision
Reports operative removal of a symptomatic calcaneal heel spur, with plantar fascial release included when performed as part of the procedure.
A foot-and-ankle surgeon or podiatrist uses this service to remove a calcaneal spur associated with persistent heel symptoms, commonly a plantar spur in a patient with chronic plantar heel pain. The operation may include release of the plantar fascia when the surgeon performs it with spur removal. It is generally performed in an operating room or ambulatory surgery setting after conservative treatment has not resolved the problem.
Report the code when the operative work removes a heel spur, rather than a broader portion of the calcaneus or a bone lesion. The operative note should identify the spur's location and describe its removal; document plantar fascial release if performed. A 90-day global period includes 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 are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 28119
- 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 RVU5.42 · 34%
- Practice expense (office) RVU9.87 · 62%
- Malpractice RVU0.59 · 4%
1.2K
Medicare services in 2024 · #2817 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.
28119 compared with similar codes
Office rates for Indiana, from the same CMS release.
$639.84
28120 describes partial excision of the talus or calcaneus; 28119 is specific to removal of a calcaneal spur.
$598.94
28100 is for excision or curettage of a bone cyst or benign tumor in the talus or calcaneus, not a heel spur.
Compare 28119 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
Indiana →
Office / nonfacility
$496.21
Facility
$325.30
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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 28119 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
3,131
- Code
- 28119
- Physician work
- 5.42
- Practice expense
- 9.87
- Malpractice
- 0.59
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.42 | × 1.000 | 5.4200 |
| Practice expense | 9.87 | × 0.927 | 9.1495 |
| Malpractice | 0.59 | × 0.486 | 0.2867 |
| Total RVUs | 14.8562 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$496.21
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.42 | 1 |
| Practice expense | 9.87 | 0.927 |
| Malpractice | 0.59 | 0.486 |
(5.42 × 1 + 9.87 × 0.927 + 0.59 × 0.486) × $33.4009 = $496.21
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.42 | 1 |
| Practice expense | 4.35 | 0.927 |
| Malpractice | 0.59 | 0.486 |
(5.42 × 1 + 4.35 × 0.927 + 0.59 × 0.486) × $33.4009 = $325.30
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.
28119 billing questions
How is 28119 different from 28118?
Use 28119 when the operative target is a calcaneal spur. Code 28118 describes calcaneal ostectomy for work other than spur removal.
Can plantar fascia release be included?
Yes. The service covers heel spur removal with or without plantar fascial release when the release is performed as part of the spur operation.
What documentation supports 28119?
Document the symptomatic calcaneal spur, its location, and the operative removal. If the plantar fascia is released, describe that work in the operative report.
How is bilateral heel spur surgery reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
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 reported?
Assistant-at-surgery payment is restricted, and team surgery is not permitted. Co-surgeon payment requires supporting documentation.
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.
3,12828114,,Removal of metatarsal heads,A,,11.70,19.94,,10.49,,1.69,33.33,23.88,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12928116,,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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915