Billing code 28046: Tumor resectionMedicare rate & RVUs in Oklahoma
Reports radical removal of a small soft-tissue tumor from the foot or toe when the operative approach involves resection rather than routine local excision.
CMS doesn’t publish an office rate for 28046 in Oklahoma.
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 28046 covers
This code describes radical resection of a soft-tissue tumor in the foot or toe when the tumor is less than 3 cm. The surgeon removes the tumor with a wider operative resection than a routine local excision. Orthopedic surgeons, podiatric surgeons, and surgeons treating soft-tissue tumors may perform the operation, commonly in a facility operating room. The operative report should identify the foot or toe site and document the tumor’s size and the extent of tissue removed.
Select this code for the radical resection approach and size threshold, not simply because a tumor was removed; use the appropriate local-excision code when the operative method and tissue depth fit that code instead. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is 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.
28046 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $628.35 |
How the 28046 rate is calculated
Each of 28046’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 · 28046
RVUs × geographic indexes × conversion factor
Work12.07
12.07 RVUs× 1.000 GPCI
Practice expense6.28
6.28 RVUs× 1.000 GPCI
Malpractice1.46
1.46 RVUs× 1.000 GPCI
Adjusted RVUs
19.8100
Conversion factor
$33.4009
Medicare rate
$661.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28046
28046 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28046
Tumor resection
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 28046
Tumor resection
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
28046 without 50 · national facility
$661.67
Tumor resection
28046-50 · Bilateral: 150%
$992.51
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).
28046 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28047Tumor resection
- Both describe radical soft-tissue tumor resection; choose 28046 for a tumor under 3 cm and 28047 for one 3 cm or larger.
- 28045Foot mass excision
- Code 28045 is for local excision of a deep tumor under 1.5 cm. Code 28046 describes radical resection and uses the under-3-cm threshold.
- 28039Tumor excision
- Code 28039 is for local excision of a subcutaneous tumor 1.5 cm or larger. Code 28046 is for radical resection, not a size-and-depth local-excision category.
28046 billing questions
How is this different from the local-excision codes for foot or toe tumors?
Code 28046 describes radical resection of a soft-tissue tumor under 3 cm. Local-excision codes are selected by whether the tumor is subcutaneous or deep and by its size threshold.
When should 28047 be used instead?
Use 28047 for the corresponding radical soft-tissue tumor resection when the tumor is 3 cm or larger. Code 28046 is for tumors under 3 cm.
What should the operative report document?
Document the foot or toe location, tumor size, and the extent of the resection so the record supports both the size category and the radical approach.
Does the 90-day global period include related postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
Can an assistant surgeon or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is provided.
How does CMS handle bilateral procedures or other procedures in the same session?
With modifier 50, the bilateral procedure is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%.
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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