CPT code 28160: Toe bone excision2026 Medicare rate & RVUs in Nevada
Reports excision at a toe interphalangeal joint or removal of part of a phalanx, such as for a painful rigid toe deformity.
Medicare pays $404.92 for 28160 in the office in Nevada (Nevada**). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 28160 covers
This service covers operative removal involving a toe interphalangeal joint or part of a toe phalanx. Podiatrists and orthopedic foot and ankle surgeons may perform it for a painful toe deformity when the planned procedure is joint excision or removal of part of the phalanx. For example, documentation may describe the specific toe and the bone or joint excised to address a rigid deformity or focal pressure.
Select this code from the operative work, not just the diagnosis: document the affected toe, the extent of bone removed, and whether the surgeon excised the joint or part of a phalanx. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
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.
28160 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $404.92 | $253.46 |
How the 28160 rate is calculated
Each of 28160’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.
How the rate is built · 28160
RVUs × geographic indexes × conversion factor
Work3.78
3.78 RVUs× 1.000 GPCI
Practice expense8.01
8.01 RVUs× 1.000 GPCI
Malpractice0.39
0.39 RVUs× 1.000 GPCI
Adjusted RVUs
12.1800
Conversion factor
$33.4009
Medicare rate
$406.82
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28160
28160 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28160
Toe bone excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28160
Toe bone excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
28160 without 51 · national office
$406.82
Toe bone excision
28160-51 · Second procedure: 50%
$203.41
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
28160 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 28124Toe bone excision
- Use 28124 for partial excision of a toe phalanx when that is the documented procedure. This code describes excision involving an interphalangeal joint or part of a phalanx.
- 28126Toe bone excision
- 28126 concerns resection of toe phalanx condyle(s). Distinguish it from the joint or partial-phalanx excision documented for 28160.
- 28150Toe amputation
- 28150 describes more extensive removal of a toe. Use 28160 when the documented work is limited to the specified joint or part of a phalanx.
- 28285Hammertoe repair
- 28285 is for hammertoe correction. Code 28160 describes joint or partial-phalanx excision; select according to the procedure actually performed.
28160 billing questions
How does this differ from partial phalanx excision code 28124?
Choose based on the operative work documented. Code 28160 describes excision involving a toe interphalangeal joint or part of a phalanx; 28124 is for partial phalanx excision.
Is this the same as hammertoe correction?
No. Code 28160 represents the specified joint or phalanx excision. Use 28285 when the surgeon performs the hammertoe correction described by that code.
Can modifier 50 be reported when both feet are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code. Do not use modifier 50.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be paid?
Medicare does not pay an assistant at surgery for this code, and 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 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
Show the CMS file lines behind this rate
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