CPT code 005282026 Medicare rate & RVUs in Ruby, Michigan

CMS doesn’t publish an office rate for 00528 in Ruby, Michigan.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

00528 in Rest Of Michigan

Ruby, Michigan maps to 1 Medicare payment locality in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

How payment areas work in Ruby

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

• Rest Of State · St. Clair County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 00528 rate is calculated

Each of 00528’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.

Payment rules and modifiers for 00528

00528 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

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

Open CMS sourceHow we calculate rates