Billing code 28118: Heel bone resectionMedicare rate & RVUs in Oregon
Resection of calcaneal bone for a symptomatic heel prominence is reported when the surgeon performs an ostectomy rather than an isolated spur procedure.
Medicare pays $621.80–$672.57 for 28118 in the office in Oregon, from Rest Of Oregon to Portland. 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 28118 covers
billing code 28118 represents an ostectomy of the calcaneus, the heel bone. An orthopedic or podiatric surgeon may remove a bony prominence or reshape calcaneal bone for a symptomatic deformity, commonly through an operative approach to the heel. The operative report should identify the calcaneus and describe the bone resected; this is not simply a soft-tissue treatment of heel pain.
Choose 28118 when the documented work is a calcaneal ostectomy rather than a procedure specifically for a heel spur or a partial excision addressed by another code. The 90-day global includes 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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.
Where 28118 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $672.57 | $421.35 |
| Rest Of Oregon | $621.80 | $396.58 |
How the 28118 rate is calculated
Each of 28118’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 · 28118
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.98Practice expense 12.08Malpractice 0.86
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 28118
28118 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28118
Heel bone 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) | 2 | Paid. |
| 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 · 28118
Heel bone 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
28118 without 50 · national office
$631.95
Heel bone resection
28118-50 · Bilateral: 150%
$947.93
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).
28118 compared with similar codes
Compare codes
28118 vs 28119 vs 28120 vs 28100: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28119Heel spur removal
- Choose 28119 when the operation is for a calcaneal spur, whether or not plantar fascia is released. 28118 represents another calcaneal ostectomy.
- 28120Bone excision
- 28120 describes partial excision of the talus or calcaneus. Base selection on the documented procedure and extent of bone work.
- 28100Bone lesion excision
- 28100 is for excision or curettage of a bone cyst or benign tumor in the talus or calcaneus, rather than an ostectomy for a bony prominence.
28118 billing questions
How does 28118 differ from 28119?
28119 is specific to calcaneal spur surgery, with or without plantar fascial release. Use 28118 for a calcaneal ostectomy that is not the spur procedure described by 28119.
When is 28120 a better fit?
28120 describes partial excision of the talus or calcaneus. Select between the codes from the documented procedure and bone work, not merely because both may involve the calcaneus.
Are related postoperative visits included?
Yes. The 90-day global includes 90 days of related postoperative care, as well as the day-before preoperative visit.
How should bilateral calcaneal ostectomy be reported?
Report modifier 50 for a bilateral procedure. CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is 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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