$385.23–$406.40
Choose 28150 when the toe is removed through the MTP joint. Choose 28160 when the amputation level is an interphalangeal joint.
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CMS RVU26D · Effective 2026-10-01
28150 Toe amputation Medicare reimbursement rates in Michigan
Report this service when a surgeon removes an entire toe through its metatarsophalangeal joint, such as for a nonviable or severely infected toe. Compare 28150 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 28150 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
$393.21–$414.85
2 of 2 localities have a supported rate.
Facility setting
$257.51–$271.42
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 28150: Toe amputation at the metatarsophalangeal joint
Report this service when a surgeon removes an entire toe through its metatarsophalangeal joint, such as for a nonviable or severely infected toe.
A surgeon removes the toe by disarticulating it at the metatarsophalangeal joint. This operation may be performed by a podiatrist or orthopedic surgeon when a toe is nonviable from ischemia or gangrene, or when severe infection makes preservation unsuitable. The operative report should identify the affected digit and document the amputation level; removal limited to a toe bone or joint is a different service.
Report 28150 for the complete toe removal at the MTP joint, not for an amputation through an interphalangeal joint. Medicare treats it as major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for bilateral reporting. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 28150
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU4.12 · 33%
- Practice expense (office) RVU7.85 · 63%
- Malpractice RVU0.43 · 3%
432
Medicare services in 2024 · #3672 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.
28150 compared with similar codes
Office rates for Michigan, from the same CMS release.
$450.60–$474.72
28124 describes partial excision of toe phalanx bone. It is not the code for removing the entire toe at the MTP joint.
$366.49–$386.87
28126 is for resection of toe phalanx condyle(s); 28150 represents complete toe removal through the MTP joint.
Compare 28150 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
$414.85
Facility
$271.42
Rest Of Michigan →
Office / nonfacility
$393.21
Facility
$257.51
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28150 billing questions
How does 28150 differ from 28160?
28150 is for removing the toe through the metatarsophalangeal joint. 28160 is for an amputation through an interphalangeal joint.
Can 28150 be used when only part of a toe bone is removed?
No. Use 28150 for removal of the toe through the MTP joint; a limited bone excision, such as 28124, describes a different extent of surgery.
What documentation supports reporting 28150?
Document the affected digit, the MTP-joint amputation level, and the operative work performed. The record should make clear that the procedure removed the toe rather than only a portion of a phalanx.
Can modifier 50 be used when both feet are treated?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.
Is an assistant surgeon or co-surgeon payable?
Medicare does not pay an assistant at surgery 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.
3,13528126,,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
3,14028160,,Partial removal of toe,A,,3.78,8.01,,3.48,,0.39,12.18,7.65,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14128171,,Resect tarsal tumor,A,,16.00,10.91,NA,10.91,,3.40,30.31,30.31,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00