$425.35
Choose 28190 for a subcutaneous foot foreign body. Choose 28192 when the removal extends into deeper tissue.
On this page
CMS RVU26D · Effective 2026-10-01
28190 Foot foreign body removal Medicare reimbursement rates in Nebraska
Removal of a foreign object from subcutaneous tissue of the foot, reported when the operative service is limited to that depth. Compare 28190 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 28190 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
$222.26
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$118.99
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 28190: Subcutaneous foot foreign body removal
Removal of a foreign object from subcutaneous tissue of the foot, reported when the operative service is limited to that depth.
This procedure removes a retained foreign object from the subcutaneous tissue of the foot through an incision and operative exposure. Podiatrists and orthopedic or other foot surgeons may perform it when an object such as a splinter or piece of glass remains embedded and requires surgical removal, in an office procedure room or an outpatient surgical setting. The code is specific to the foot and to the subcutaneous depth of the removal.
Choose this level when the documented operative depth is subcutaneous; a deeper removal is represented by a different code in the series, with complexity also distinguishing the deepest level. The operative note should identify the foot and location, describe the depth and approach, and document removal of the foreign object. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 28190
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU1.96 · 27%
- Practice expense (office) RVU5.00 · 70%
- Malpractice RVU0.21 · 3%
6.4K
Medicare services in 2024 · #1719 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.
28190 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$476.82
28193 is for deep, complicated removal. Subcutaneous removal is reported with 28190.
$145.72
10120 describes simple subcutaneous foreign body removal at a site not covered by the foot-specific code. For a subcutaneous foreign body in the foot, consider 28190.
Compare 28190 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
$222.26
Facility
$118.99
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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 28190 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,144
- Code
- 28190
- Physician work
- 1.96
- Practice expense
- 5.00
- Malpractice
- 0.21
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.96 | × 1.000 | 1.9600 |
| Practice expense | 5.00 | × 0.923 | 4.6150 |
| Malpractice | 0.21 | × 0.378 | 0.0794 |
| Total RVUs | 6.6544 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$222.26
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.96 | 1 |
| Practice expense | 5 | 0.923 |
| Malpractice | 0.21 | 0.378 |
(1.96 × 1 + 5 × 0.923 + 0.21 × 0.378) × $33.4009 = $222.26
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.96 | 1 |
| Practice expense | 1.65 | 0.923 |
| Malpractice | 0.21 | 0.378 |
(1.96 × 1 + 1.65 × 0.923 + 0.21 × 0.378) × $33.4009 = $118.99
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.
28190 billing questions
How does 28190 differ from 28192?
28190 is for removal from subcutaneous tissue of the foot. Use 28192 when the operative documentation supports removal from deeper tissue.
When is 28193 the better choice?
28193 represents deep, complicated foreign body removal from the foot. The operative report should support both the depth and the added complexity.
Can 28190 be reported for both feet?
Yes. For a bilateral procedure, modifier 50 applies, and CMS pays the code at 150%.
Are postoperative visits billed separately?
Related postoperative visits during the 10-day global period are included in the procedure.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 28190. Co-surgeons and team surgery are not permitted.
How does 28190 differ from 10120?
28190 is the foot-specific code for subcutaneous foreign body removal. 10120 describes simple removal from subcutaneous tissue at a site not represented by the foot-specific code.
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.
3,14128171,,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
3,14228173,,Resect metatarsal tumor,A,,13.81,4.93,NA,4.93,,1.19,19.93,19.93,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14328175,,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
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