Billing code 28341: Toe reductionMedicare rate & RVUs in Utah
Reports operative resection to reduce an enlarged toe, such as a toe affected by macrodactyly, when surgical size reduction is performed.
Medicare pays $625.12 for 28341 in the office in Utah (Utah). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 28341 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $625.12 | $439.57 |
How the 28341 rate is calculated
Each of 28341’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 28341
RVUs × geographic indexes × conversion factor
Work8.50
8.50 RVUs× 1.000 GPCI
Practice expense10.18
10.18 RVUs× 1.000 GPCI
Malpractice0.72
0.72 RVUs× 1.000 GPCI
Adjusted RVUs
19.4000
Conversion factor
$33.4009
Medicare rate
$647.98
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28341
28341 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28341
Toe reduction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28341
Toe reduction
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
28341 without 51 · national office
$647.98
Toe reduction
28341-51 · Second procedure: 50%
$323.99
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
28341 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 28340Toe reconstruction
- 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.
- 28313Toe deformity repair
- 28313 corrects a toe's angular deformity using soft-tissue procedures. Choose 28341 when the surgical objective is reduction of toe enlargement by resection.
- 28312Toe osteotomy
- 28312 is an osteotomy for shortening or angular correction of a toe. It is not the enlarged-toe resection service described by 28341.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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