$223.47–$235.39
28190 applies to subcutaneous foot foreign body removal. Choose 28193 when the operative removal is complicated, not merely because the object is in the foot.
On this page
CMS RVU26D · Effective 2026-10-01
28193 Foreign body removal Medicare reimbursement rates in Maine
Surgical removal of a complicated foreign body from the foot when extraction requires more involved operative work than routine superficial or deep removal. Compare 28193 office and facility rates across CMS payment localities in Maine.
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 28193 in Maine?
Maine 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
$480.24–$501.79
2 of 2 localities have a supported rate.
Facility setting
$323.83–$333.31
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 surgery
About 28193: Complicated foot foreign body removal
Surgical removal of a complicated foreign body from the foot when extraction requires more involved operative work than routine superficial or deep removal.
This code represents operative removal of a foreign object from the foot when the extraction is complicated. A podiatric or orthopedic surgeon may use surgical exposure and dissection to locate and remove an embedded object, such as a fragment that cannot be retrieved through a simple opening. The procedure may be performed in an office procedure room or an operating room, depending on the clinical circumstances and required exposure.
Select this level based on the documented complexity of the removal, not simply the fact that an object was present. The record should identify the foot site and foreign body, explain the operative approach and work needed to extract it, and describe the findings and closure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same 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-surgeons and team surgery are not permitted.
CMS billing rules for 28193
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.75 · 38%
- Practice expense (office) RVU9.02 · 59%
- Malpractice RVU0.53 · 3%
457
Medicare services in 2024 · #3643 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.
28193 compared with similar codes
Office rates for Maine, from the same CMS release.
$428.24–$448.68
28192 identifies deep foot foreign body removal. 28193 is distinguished by complicated removal work rather than depth alone.
$256.56–$268.98
10121 is for complicated removal from subcutaneous tissue outside the foot. Use the foot-specific family when the foreign body is in the foot.
Compare 28193 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
Rest Of Maine →
Office / nonfacility
$480.24
Facility
$323.83
Southern Maine →
Office / nonfacility
$501.79
Facility
$333.31
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28193 billing questions
How is 28193 distinguished from 28192?
28193 is for complicated removal. 28192 describes removal at the deep level; depth alone does not establish that the procedure was complicated.
When would 28190 be a better choice?
Use 28190 for removal of a subcutaneous foot foreign body when the work fits that level, rather than a complicated operative removal.
What documentation supports 28193?
Document the foreign body's location, the operative exposure and dissection, why removal was complicated, and the removal findings.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle bilateral reporting and other procedures in the same session?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.
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.
3,14328175,,Resect phalanx of toe tumor,A,,8.08,4.32,NA,4.32,,0.68,13.08,13.08,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14428190,,Removal of foot foreign body,A,,1.96,5.00,,1.65,,0.21,7.17,3.82,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14528192,,Removal of foot foreign body,A,,4.66,8.56,,3.67,,0.46,13.68,8.79,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14628193,,Removal of foot foreign body,A,,5.75,9.02,,3.93,,0.53,15.30,10.21,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14728200,,Repair of foot tendon,A,,4.62,9.92,,4.19,,0.56,15.10,9.37,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14828202,,Repair/graft of foot tendon,A,,6.89,10.58,,4.54,,0.75,18.22,12.18,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14928208,,Repair of foot tendon,A,,4.40,9.96,,4.31,,0.56,14.92,9.27,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00