No office rate
Use 28107 when an allograft fills the defect; 28106 is the corresponding tarsal or metatarsal lesion service with an autograft.
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CMS RVU26D · Effective 2026-10-01
28107 Bone lesion surgery Medicare reimbursement rates in Texas
Reports removal or curettage of a benign bone lesion or cyst in a tarsal or metatarsal bone when an allograft is used to fill the defect. Compare 28107 office and facility rates across CMS payment localities in Texas.
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 28107 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$469.99–$513.38
8 of 8 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.
Where 28107 pays more and less in Texas
8 payment localities
$469.99 to $513.38
Foot surgery
About 28107: Tarsal or metatarsal bone lesion excision with allograft
Reports removal or curettage of a benign bone lesion or cyst in a tarsal or metatarsal bone when an allograft is used to fill the defect.
A foot-and-ankle orthopedic surgeon or podiatric surgeon removes or curettes a bone cyst or benign tumor in a tarsal or metatarsal bone and uses donor bone material to fill the resulting defect. The service is generally performed in an operating room or other surgical facility. The code is specific to these foot bones; a lesion in the talus or calcaneus belongs to a different code group.
Select this code when the operative report identifies the tarsal or metatarsal bone treated, the lesion removal or curettage, and use of an allograft. The grafting work is represented in the service, so do not separately report a graft procedure for that same defect. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 28107
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.59 · 38%
- Practice expense (office) RVU8.84 · 59%
- Malpractice RVU0.47 · 3%
80
Medicare services in 2024 · #5049 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.
28107 compared with similar codes
Office rates for Texas, from the same CMS release.
$507.92–$558.85
This code identifies allograft use for the tarsal or metatarsal defect. Code 28104 describes lesion removal in those bones without that graft distinction.
No office rate
Both involve grafting a bone lesion, but 28103 is for the talus or calcaneus; 28107 is for another tarsal or metatarsal bone.
Compare 28107 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $513.38 | Facility $330.68 |
| Beaumont | Office $469.99 | Facility $312.84 |
| Brazoria | Office $493.06 | Facility $321.93 |
| Dallas | Office $495.94 | Facility $323.95 |
| Fort Worth | Office $493.20 | Facility $322.93 |
| Galveston | Office $494.40 | Facility $322.93 |
| Houston | Office $503.00 | Facility $331.53 |
| Rest Of Texas | Office $481.09 | Facility $317.22 |
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28107 billing questions
How is this code distinguished from 28106?
Both apply to a tarsal or metatarsal bone lesion, but 28107 is for use of an allograft. Code 28106 is the corresponding service when an autograft is used.
Can the allograft be billed separately?
The allograft use is included in this service for the treated bone defect. Do not separately report a graft procedure for that same defect.
What documentation supports code selection?
Document the specific tarsal or metatarsal bone, removal or curettage of the cyst or benign tumor, and use of an allograft to fill the defect.
Can modifier 50 be appended when both feet are treated?
No. CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
3,11928103,,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
3,12228107,,Remove/graft foot lesion,A,,5.59,8.84,,3.67,,0.47,14.90,9.73,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12328108,,Removal of toe lesions,A,,4.19,8.30,,3.60,,0.42,12.91,8.21,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12428110,,Part removal of metatarsal,A,,4.11,9.42,,3.88,,0.46,13.99,8.45,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12528111,,Part removal of metatarsal,A,,5.02,8.59,,3.48,,0.55,14.16,9.05,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00