$225.96
28002 treats a foot infection at a non-bone site; 28005 is selected when the operative incision is through bone cortex for a bone process.
On this page
CMS RVU26D · Effective 2026-10-01
28005 Foot bone treatment Medicare reimbursement rates in Nebraska
Report this operation when a surgeon incises the cortex of a foot bone to treat a process such as osteomyelitis or bone abscess. Compare 28005 office and facility rates across CMS payment localities in Nebraska.
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 28005 in Nebraska?
Nebraska 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
No supported rate
Facility setting
$499.76
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 28005: Foot bone cortex incision
Report this operation when a surgeon incises the cortex of a foot bone to treat a process such as osteomyelitis or bone abscess.
CPT 28005 describes an operative incision through the cortex of a foot bone to treat a bone process such as osteomyelitis or a bone abscess. An orthopedic or foot-and-ankle surgeon, including a podiatric surgeon, typically performs it in an operating room, exposing the involved bone for treatment. The target is bone itself, rather than an overlying bursa, fascia, joint lining, or soft-tissue mass.
Document the bone and site involved, the diagnosis and operative findings, and the bone-directed work performed. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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 this code. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 28005
- 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 RVU9.20 · 57%
- Practice expense (office) RVU5.85 · 37%
- Malpractice RVU0.96 · 6%
4.9K
Medicare services in 2024 · #1876 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.
28005 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$393.37
28008 is directed at foot fascia. Choose 28005 when the treated structure is the cortex of a foot bone.
$442.77
28039 concerns a subcutaneous soft-tissue tumor of the foot or toe. It does not describe incision of bone cortex for osteomyelitis or bone abscess.
Compare 28005 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$499.76
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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 28005 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,090
- Code
- 28005
- Physician work
- 9.20
- Practice expense
- 5.85
- Malpractice
- 0.96
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.20 | × 1.000 | 9.2000 |
| Practice expense | 5.85 | × 0.923 | 5.3995 |
| Malpractice | 0.96 | × 0.378 | 0.3629 |
| Total RVUs | 14.9624 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$499.76
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.2 | 1 |
| Practice expense | 5.85 | 0.923 |
| Malpractice | 0.96 | 0.378 |
(9.2 × 1 + 5.85 × 0.923 + 0.96 × 0.378) × $33.4009 = $499.76
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.
28005 billing questions
How is 28005 distinguished from foot infection drainage codes?
Use 28005 when the operative target is the bone cortex, such as for osteomyelitis or a bone abscess. Codes 28002 and 28003 concern treatment of foot infection rather than incision of bone cortex.
Is modifier 50 appropriate for this code?
No. CMS identifies bilateral adjustment as inapplicable because the descriptor or anatomy makes modifier 50 inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 28005 paid when another procedure is done in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 28005. 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.
3,08728001,,Drainage of bursa of foot,A,,1.95,2.88,,0.47,,0.18,5.01,2.60,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08828002,,Treatment of foot infection,A,,2.72,4.28,,0.84,,0.25,7.25,3.81,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08928003,,Treatment of foot infection,A,,5.15,5.49,,1.22,,0.54,11.18,6.91,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09028005,,Treat foot bone lesion,A,,9.20,5.85,NA,5.85,,0.96,16.01,16.01,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09128008,,Incision of foot fascia,A,,4.48,7.73,,3.36,,0.43,12.64,8.27,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09228010,,Incision of toe tendon,A,,2.90,3.89,,2.77,,0.26,7.05,5.93,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,09328011,,Incision of toe tendons,A,,4.17,5.02,,3.34,,0.41,9.60,7.92,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068