Billing code 28190: Foot foreign body removalMedicare rate & RVUs in Oklahoma
Removal of a foreign object from subcutaneous tissue of the foot, reported when the operative service is limited to that depth.
Medicare pays $220.05 for 28190 in the office in Oklahoma (Oklahoma). 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 28190 covers
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.
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 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | $220.05 | $120.13 |
How the 28190 rate is calculated
Each of 28190’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 · 28190
RVUs × geographic indexes × conversion factor
Work1.96
1.96 RVUs× 1.000 GPCI
Practice expense5.00
5.00 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
7.1700
Conversion factor
$33.4009
Medicare rate
$239.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28190
28190 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28190
Foot foreign body removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28190
Foot foreign body removal
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28190 without 50 · national office
$239.48
Foot foreign body removal
28190-50 · Bilateral: 150%
$359.22
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).
28190 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28192Foot foreign body removal
- Choose 28190 for a subcutaneous foot foreign body. Choose 28192 when the removal extends into deeper tissue.
- 28193Foreign body removal
- 28193 is for deep, complicated removal. Subcutaneous removal is reported with 28190.
- 10120Foreign body removal
- 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.
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 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
Fee sheets
Put 28190 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →