CPT code 28080: Neuroma excision2026 Medicare rate & RVUs in Oklahoma

Removal of a symptomatic interdigital nerve thickening, commonly in the forefoot, when a podiatrist or foot surgeon excises the affected nerve segment.

CMS RVU26DEffective Oct 1, 20261 payment locality5.3K Medicare services in 2024

Medicare pays $503.67 for 28080 in the office in Oklahoma (Oklahoma). Which amount applies depends on the service address.

$503.67Office (non-facility)
$344.99Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 28080 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Oklahoma
  2. What 28080 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 28080 covers

This service removes a segment of an irritated, thickened interdigital nerve, commonly for a Morton's neuroma causing forefoot burning or a pebble-like sensation. Podiatrists and foot and ankle surgeons typically perform it in an operating room or ambulatory surgery setting. The third web space is a common site, but code selection follows the procedure performed, not a presumed location.

Report one unit for each neuroma excised, with documentation identifying the side, interspace, symptoms, and removal of the nerve segment. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When other procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% multiple-procedure reduction. Modifier 50 is inappropriate. An assistant is paid only when medical necessity is documented; 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.

28080 in Oklahoma

28080 office and facility rates by payment locality
Payment localityOfficeFacility
Oklahoma$503.67$344.99

How the 28080 rate is calculated

Each of 28080’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 · 28080

RVUs × geographic indexes × conversion factor

Work4.74

4.74 RVUs× 1.000 GPCI

Practice expense11.10

11.10 RVUs× 1.000 GPCI

Malpractice0.55

0.55 RVUs× 1.000 GPCI

Adjusted RVUs

16.3900

Conversion factor

$33.4009

Medicare rate

$547.44

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 28080

28080 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28080

Neuroma excision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 28080

Neuroma 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

28080 without 51 · national office

$547.44

Neuroma excision

28080-51 · Second procedure: 50%

$273.72

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%).

When to use modifier 51

28080 compared with similar codes

Compare codes · National

4 codes, side by side

  • 28080

    Neuroma excision4.74 wRVU

    $547.44

  • 64455

    Nerve injection0.73 wRVU

    $50.10−$497.34

  • 28039

    Tumor excision5.28 wRVU

    $476.63−$70.81

  • 28043

    Tumor excision3.86 wRVU

    $382.11−$165.33

How to choose

64455Nerve injection
This code is for surgical removal of an interdigital nerve segment; 64455 describes injection treatment of the plantar common digital nerve.
28039Tumor excision
Choose 28039 for a qualifying superficial soft-tissue tumor at its specified larger size threshold, not for excision of an interdigital neuroma.
28043Tumor excision
Choose 28043 for a qualifying smaller superficial soft-tissue tumor. Code 28080 is specific to excision of an interdigital neuroma rather than a tumor selected by size.

28080 billing questions

How is this different from an injection for Morton's neuroma?

Use 28080 when the surgeon excises the affected interdigital nerve segment. Code 64455 describes an injection treatment, not surgical removal.

Does this code cover removal of any forefoot mass?

No. It is specific to excision of an interdigital neuroma. Soft-tissue tumor codes such as 28039 or 28043 are selected according to tumor depth and size when those criteria describe the procedure.

Can modifier 50 be used when both feet are treated?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard 50% multiple-procedure reduction.

When can an assistant surgeon be paid?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this 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 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
RVUs for 28080PPRRVU2026_Oct_nonQPP.csv, line 3,112 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

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