$528.31–$573.01
Both address an enlarged toe, but 28340 describes resection focused on enlarged toe tissue. Use 28341 when the documented procedure is resection to reduce the enlarged toe.
On this page
CMS RVU26D · Effective 2026-10-01
28341 Toe reduction Medicare reimbursement rates in Texas
Reports operative resection to reduce an enlarged toe, such as a toe affected by macrodactyly, when surgical size reduction is performed. Compare 28341 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 28341 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
$615.67–$665.52
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 28341 pays more and less in Texas
8 payment localities
$615.67 to $665.52
Foot surgery
About 28341: Resection to reduce an enlarged toe
Reports operative resection to reduce an enlarged toe, such as a toe affected by macrodactyly, when surgical size reduction is performed.
This procedure reduces an enlarged toe by surgically removing tissue as part of the operative correction. A foot and ankle orthopedic surgeon or podiatric surgeon may perform it, commonly for macrodactyly when the toe's size causes functional or footwear problems. The operative report should identify the treated toe, the enlargement being corrected, and the resection performed.
Report the code for the documented enlarged-toe resection, distinguishing it from a procedure directed specifically at enlarged toe tissue or one correcting angular deformity. It has a 90-day global period: the day-before preoperative visit and related postoperative care during that period are included. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for it; co-surgeons and team surgery are not permitted.
CMS billing rules for 28341
- 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 RVU8.50 · 44%
- Practice expense (office) RVU10.18 · 52%
- Malpractice RVU0.72 · 4%
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.
28341 compared with similar codes
Office rates for Texas, from the same CMS release.
$512.19–$564.01
28313 corrects a toe's angular deformity using soft-tissue procedures. Choose 28341 when the surgical objective is reduction of toe enlargement by resection.
$556.44–$617.75
28312 is an osteotomy for shortening or angular correction of a toe. It is not the enlarged-toe resection service described by 28341.
Compare 28341 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 $665.52 | Facility $456.68 |
| Beaumont | Office $615.67 | Facility $436.03 |
| Brazoria | Office $641.90 | Facility $446.28 |
| Dallas | Office $645.76 | Facility $449.15 |
| Fort Worth | Office $642.67 | Facility $448.03 |
| Galveston | Office $643.73 | Facility $447.71 |
| Houston | Office $656.91 | Facility $460.89 |
| Rest Of Texas | Office $628.30 | Facility $440.97 |
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28341 billing questions
How is 28341 distinguished from 28340?
Use 28341 for resection to reduce an enlarged toe. Code 28340 describes resection directed at enlarged toe tissue; the operative approach and structures removed should support the selection.
Does the 90-day global period include postoperative visits?
Yes. Related postoperative care during the 90-day period is included, as is the day-before preoperative visit.
Can modifier 50 be reported for two enlarged toes?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Can an assistant surgeon or co-surgeon be paid?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens if another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the 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.
3,19128320,,Repair of foot bones,A,,9.14,6.77,NA,6.77,,1.39,17.30,17.30,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19228322,,Repair of metatarsals,A,,8.32,14.74,,6.55,,1.31,24.37,16.18,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19328340,,Resect enlarged toe tissue,A,,6.97,9.12,,3.84,,0.59,16.68,11.40,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19428341,,Resect enlarged toe,A,,8.50,10.18,,4.27,,0.72,19.40,13.49,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19528344,,Repair extra toe(s),A,,4.29,7.62,,3.24,,0.37,12.28,7.90,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19628345,,Repair webbed toe(s),A,,5.94,8.62,,3.71,,0.49,15.05,10.14,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,19728360,,Reconstruct cleft foot,A,,14.55,13.05,NA,13.05,,3.09,30.69,30.69,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00