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CMS RVU26D · Effective 2026-10-01

28002 Foot infection drainage Medicare reimbursement rates in Pennsylvania

Reports operative drainage of one deep foot infection beneath the fascia, including cases with tendon-sheath involvement, when a single infected space is treated. Compare 28002 office and facility rates across CMS payment localities in Pennsylvania.

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

What does Medicare pay for 28002 in Pennsylvania?

Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$229.97–$251.26

2 of 2 localities have a supported rate.

Lowest: Rest Of Pennsylvania

Highest: Metropolitan Philadelphia

A spread of $21.29 per service.

Facility setting

$124.50–$131.65

2 of 2 localities have a supported rate.

Lowest: Rest Of Pennsylvania

Highest: Metropolitan Philadelphia

A spread of $7.15 per service.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 28002 in your payment locality →

Foot surgery

About 28002: Deep foot infection drainage, single space

Reports operative drainage of one deep foot infection beneath the fascia, including cases with tendon-sheath involvement, when a single infected space is treated.

CPT 28002 represents operative drainage of a deep infection in one foot space beneath the superficial fascia; the infection may extend into a tendon sheath. A typical case involves a deep abscess requiring surgical exposure rather than drainage limited to the skin. Podiatric and orthopedic surgeons commonly perform the procedure in an operating room or ambulatory surgery setting; an appropriately equipped office may be used when the case and patient permit.

Choose this code when the operative findings and report support treatment of one infected space. Document the involved foot site, depth, extent of infection, tendon-sheath involvement when present, and the number of areas treated. The 0-day global period includes same-day preoperative and postoperative care. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery; co-surgeons and team surgery are not permitted.

CMS billing rules for 28002

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.72 · 38%
  • Practice expense (office) RVU4.28 · 59%
  • Malpractice RVU0.25 · 3%

4.4K

Medicare services in 2024 · #1958 by national volume

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.

28002 compared with similar codes

Office rates for Pennsylvania, from the same CMS release.

28003

Foot infection drainage

Multiple deep areas

$357.39–$387.52

This is the close sibling for drainage involving multiple areas. Use 28002 when the operative treatment is confined to one deep infected space.

28001

Bursa drainage

Foot bursa

$159.12–$173.62

28001 is directed to drainage of a foot bursa. Choose 28002 when the treated infection is a deep foot space rather than an infected bursa.

10060

Abscess drainage

Simple, single abscess

$121.43–$133.61

10060 describes drainage of a simple or single superficial abscess. 28002 is for operative drainage of a deep infection beneath the foot fascia.

10061

Abscess drainage

Complex or multiple

$208.91–$228.98

10061 is for complicated or multiple superficial abscesses. It does not represent drainage of a deep foot space beneath the fascia.

Compare 28002 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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28002 billing questions

How does 28002 differ from 28003?

28002 is for drainage of one deep infected space. Use 28003 when the operative treatment involves multiple areas.

Is modifier 50 appropriate for infection in both feet?

No. CMS identifies bilateral adjustment as inappropriate for this code. The anatomy or descriptor makes modifier 50 unsuitable.

What same-day care is included in the global period?

The 0-day global period includes preoperative and postoperative care provided on the procedure date.

Can an assistant or co-surgeon be reported?

Medicare does not pay for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What documentation supports 28002 rather than a superficial abscess code?

Document the deep location beneath the fascia, the infected space treated, and operative findings supporting surgical drainage. A superficial skin or subcutaneous abscess is a different service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 28002PPRRVU2026_Oct_nonQPP.csv, line 3,088 (RVU26D)