$592.79
Both include autograft, but 28100 is for the talus or calcaneus; this code is for another tarsal or a metatarsal bone.
On this page
CMS RVU26D · Effective 2026-10-01
28102 Bone lesion excision Medicare reimbursement rates in Tennessee
Removal or curettage of a benign lesion in a tarsal or metatarsal bone with an autologous bone graft to fill the defect. Compare 28102 office and facility rates across CMS payment localities in Tennessee.
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 28102 in Tennessee?
Tennessee has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$533.20
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
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 28102: Foot bone lesion excision with autograft
Removal or curettage of a benign lesion in a tarsal or metatarsal bone with an autologous bone graft to fill the defect.
This service treats a bone cyst or benign tumor in a tarsal or metatarsal bone of the foot. The surgeon exposes the involved bone, removes or curettes the lesion, and fills the resulting defect with the patient’s own bone. Obtaining the autograft is included. Orthopedic foot and ankle surgeons and podiatric surgeons may perform the procedure in a hospital or ambulatory surgical setting.
Select this code when the treated bone is tarsal or metatarsal and the defect is filled with autograft; document the lesion, exact bone, removal or curettage, and graft use. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 28102
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.72 · 44%
- Practice expense (office) RVU8.10 · 46%
- Malpractice RVU1.64 · 9%
77
Medicare services in 2024 · #5084 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.
28102 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$499.19
The treated bone is also tarsal or metatarsal, but 28104 uses allograft rather than the patient’s own bone.
$463.54
This code includes autograft for the tarsal or metatarsal defect; 28107 describes the corresponding lesion procedure without graft.
Compare 28102 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.
1 of 1 payment localities
Tennessee →
Office / nonfacility
Unavailable
Facility
$533.20
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 28102 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
3,118
- Code
- 28102
- Physician work
- 7.72
- Practice expense
- 8.10
- Malpractice
- 1.64
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.72 | × 1.000 | 7.7200 |
| Practice expense | 8.10 | × 0.909 | 7.3629 |
| Malpractice | 1.64 | × 0.537 | 0.8807 |
| Total RVUs | 15.9636 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$533.20
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.72 | 1 |
| Practice expense | 8.1 | 0.909 |
| Malpractice | 1.64 | 0.537 |
(7.72 × 1 + 8.1 × 0.909 + 1.64 × 0.537) × $33.4009 = $533.20
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
28102 billing questions
When is this code appropriate instead of 28100?
Use this code for a lesion in a tarsal or metatarsal bone treated with autograft. Code 28100 is for the talus or calcaneus with autograft.
Is graft harvest included?
Yes. The service includes obtaining and using the patient’s own bone graft to fill the defect.
Can the graft be billed separately?
The autograft and its procurement are included in this service. The operative note should identify the graft as autologous and describe its use in the defect.
How is bilateral treatment reported?
CMS lists this as a bilateral procedure; modifier 50 is paid at 150%. Document the treated bone and lesion on each side.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. CMS does not permit co-surgeon or team-surgery payment 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 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.
3,11528090,,Removal of foot lesion,A,,4.44,9.13,,3.90,,0.48,14.05,8.82,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,11628092,,Removal of toe lesions,A,,3.69,8.57,,3.73,,0.39,12.65,7.81,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,11728100,,Removal of ankle/heel lesion,A,,5.68,12.75,,5.51,,0.89,19.32,12.08,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,11828102,,Remove/graft foot lesion,A,,7.72,8.10,NA,8.10,,1.64,17.46,17.46,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,11928103,,Remove/graft foot lesion,A,,6.50,3.78,NA,3.78,,0.55,10.83,10.83,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12028104,,Removal of foot lesion,A,,5.13,10.42,,4.39,,0.64,16.19,10.16,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12128106,,Remove/graft foot lesion,A,,7.17,4.11,NA,4.11,,0.60,11.88,11.88,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780