$654.62–$694.14
28120 describes partial excision of the talus or calcaneus. Use 28116 when removing a tarsal coalition, rather than excising bone for another indication.
On this page
CMS RVU26D · Effective 2026-10-01
28116 Coalition resection Medicare reimbursement rates in Michigan
Resection of a tarsal coalition is reported when a surgeon removes an abnormal connection between foot bones, such as a calcaneonavicular or talocalcaneal coalition. Compare 28116 office and facility rates across CMS payment localities in Michigan.
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 28116 in Michigan?
Michigan 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
$644.02–$676.26
2 of 2 localities have a supported rate.
Facility setting
$474.77–$497.37
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 28116: Tarsal coalition resection
Resection of a tarsal coalition is reported when a surgeon removes an abnormal connection between foot bones, such as a calcaneonavicular or talocalcaneal coalition.
A foot and ankle orthopedic surgeon or podiatric surgeon uses this service to remove a bridge connecting tarsal bones, often for a symptomatic coalition that restricts hindfoot motion or causes pain. Common examples include calcaneonavicular and talocalcaneal coalitions. The procedure may include interposition of tissue or another material between the bones, or be performed without interposition.
Report the code for the coalition resection, whether or not interposition is used. The operative report should identify the coalition, the bones involved, the resection performed, and whether interposition was used. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 28116
- 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 RVU8.91 · 44%
- Practice expense (office) RVU10.42 · 52%
- Malpractice RVU0.76 · 4%
121
Medicare services in 2024 · #4733 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.
28116 compared with similar codes
Office rates for Michigan, from the same CMS release.
$571.64–$604.01
28122 describes partial excision of a tarsal or metatarsal bone other than the talus or calcaneus. It is not the specific code for coalition resection.
No office rate
28725 describes subtalar arthrodesis, which fuses the joint. Code 28116 describes resection of a coalition rather than joint fusion.
Compare 28116 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
Detroit →
Office / nonfacility
$676.26
Facility
$497.37
Rest Of Michigan →
Office / nonfacility
$644.02
Facility
$474.77
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28116 billing questions
Does this code include interposition?
Yes. The code covers coalition resection with or without interposition; document whether an interposition material was used.
How is this different from partial excision of a tarsal bone?
Use this code when the target is a coalition connecting tarsal bones. Partial-excision codes describe bone removal for other indications, rather than resection of a coalition.
Is related postoperative care separately reported?
The 90-day global period includes related postoperative care for 90 days and the day-before preoperative visit.
How does Medicare handle bilateral procedures?
When the service is performed bilaterally, report modifier 50; Medicare pays it at 150%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and other procedures at 50%.
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.
3,12628112,,Part removal of metatarsal,A,,4.51,9.43,,3.89,,0.49,14.43,8.89,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12728113,,Part removal of metatarsal,A,,5.96,10.94,,5.61,,0.60,17.50,12.17,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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