$449.19–$492.38
Choose 28288 for partial removal at a toe phalanx head; 28124 applies to partial excision of toe phalanx bone at another site.
On this page
CMS RVU26D · Effective 2026-10-01
28288 Toe bone removal Medicare reimbursement rates in Pennsylvania
Reports partial removal of a toe phalanx head, commonly to relieve a painful bony prominence or pressure associated with a toe deformity. Compare 28288 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 28288 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
$577.19–$634.54
2 of 2 localities have a supported rate.
Facility setting
$399.05–$432.53
2 of 2 localities have a supported rate.
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.
Foot surgery
About 28288: Toe phalangeal head bone removal
Reports partial removal of a toe phalanx head, commonly to relieve a painful bony prominence or pressure associated with a toe deformity.
A foot surgeon, commonly an orthopedic surgeon or podiatrist, removes part of a toe phalanx head to address a painful bony prominence and related pressure or irritation. The procedure may be performed in a surgical facility or office-based setting, depending on the case. The operative note should identify the toe and bone treated, the prominence or deformity prompting surgery, and the extent of bone removed.
Report 28288 for partial removal involving the head of a toe phalanx, rather than a different phalangeal site or a procedure directed at correcting the toe deformity itself. This major surgery has a 90-day global period, including 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 are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 28288
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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 RVU5.87 · 32%
- Practice expense (office) RVU11.73 · 64%
- Malpractice RVU0.68 · 4%
2.5K
Medicare services in 2024 · #2299 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.
28288 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$365.44–$402.19
28126 is for resection of a condyle at the distal end of a toe phalanx. 28288 concerns partial removal at a phalangeal head.
$519.04–$569.87
28285 describes hammertoe correction, while 28288 describes partial bone removal at a toe phalanx head. The operative work determines which code applies.
$440.63–$485.62
28110 addresses the fifth metatarsal head, not a toe phalanx head. Select by the bone and site treated.
Compare 28288 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
Metropolitan Philadelphia →
Office / nonfacility
$634.54
Facility
$432.53
Rest Of Pennsylvania →
Office / nonfacility
$577.19
Facility
$399.05
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28288 billing questions
How does 28288 differ from 28124?
28288 addresses partial removal at the head of a toe phalanx. 28124 is used for partial bone excision from a toe phalanx at a different site.
Is 28288 the code for hammertoe correction?
No. 28288 reports bone removal at a toe phalanx head; 28285 reports hammertoe correction. Use the code that matches the procedure actually performed and documented.
Does the 90-day global period include postoperative visits?
Yes. Related postoperative care for 90 days and the preoperative visit on the day before surgery are included in the global period.
Can modifier 50 be used when both feet are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 28288. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.
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.
3,16728280,,Fusion of toes,A,,5.20,9.17,,3.90,,0.54,14.91,9.64,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16828285,,Repair of hammertoe,A,,5.48,10.32,,5.00,,0.62,16.42,11.10,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,16928286,,Repair of hammertoe,A,,4.58,7.90,,3.34,,0.40,12.88,8.32,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17028288,,Partial removal of foot bone,A,,5.87,11.73,,5.92,,0.68,18.28,12.47,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17128289,,Corrj halux rigdus w/o implt,A,,6.73,13.47,,5.57,,0.84,21.04,13.14,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17228291,,Corrj halux rigdus w/implt,A,,7.81,11.54,,4.73,,0.72,20.07,13.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,17328292,,Cor hlx vlgs rsc prx phlx bs,A,,7.25,13.02,,5.74,,0.78,21.05,13.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00