CPT code 28193: Foreign body removal2026 Medicare rate & RVUs in Nevada
Surgical removal of a complicated foreign body from the foot when extraction requires more involved operative work than routine superficial or deep removal.
Medicare pays $508.38 for 28193 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 28193 covers
This code represents operative removal of a foreign object from the foot when the extraction is complicated. A podiatric or orthopedic surgeon may use surgical exposure and dissection to locate and remove an embedded object, such as a fragment that cannot be retrieved through a simple opening. The procedure may be performed in an office procedure room or an operating room, depending on the clinical circumstances and required exposure.
Select this level based on the documented complexity of the removal, not simply the fact that an object was present. The record should identify the foot site and foreign body, explain the operative approach and work needed to extract it, and describe the findings and closure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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.
28193 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $508.38 | $338.20 |
How the 28193 rate is calculated
Each of 28193’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 · 28193
RVUs × geographic indexes × conversion factor
Work5.75
5.75 RVUs× 1.000 GPCI
Practice expense9.02
9.02 RVUs× 1.000 GPCI
Malpractice0.53
0.53 RVUs× 1.000 GPCI
Adjusted RVUs
15.3000
Conversion factor
$33.4009
Medicare rate
$511.03
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28193
28193 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28193
Foreign body removal
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 · 28193
Foreign body removal
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 50 · payment effect
With and without the modifier
28193 without 50 · national office
$511.03
Foreign body removal
28193-50 · Bilateral: 150%
$766.55
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
28193 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28190Foot foreign body removal
- 28190 applies to subcutaneous foot foreign body removal. Choose 28193 when the operative removal is complicated, not merely because the object is in the foot.
- 28192Foot foreign body removal
- 28192 identifies deep foot foreign body removal. 28193 is distinguished by complicated removal work rather than depth alone.
- 10121Foreign body removal
- 10121 is for complicated removal from subcutaneous tissue outside the foot. Use the foot-specific family when the foreign body is in the foot.
28193 billing questions
How is 28193 distinguished from 28192?
28193 is for complicated removal. 28192 describes removal at the deep level; depth alone does not establish that the procedure was complicated.
When would 28190 be a better choice?
Use 28190 for removal of a subcutaneous foot foreign body when the work fits that level, rather than a complicated operative removal.
What documentation supports 28193?
Document the foreign body's location, the operative exposure and dissection, why removal was complicated, and the removal findings.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle bilateral reporting and other procedures in the same session?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted 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 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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