$535.20
Both concern benign cyst or tumor treatment in tarsal or metatarsal bone. Choose 28106 when autograft fills the defect; 28104 is the no-graft option.
On this page
CMS RVU26D · Effective 2026-10-01
28106 Foot bone lesion Medicare reimbursement rates in Wyoming
Reports curettage or excision of a benign cyst or tumor in a tarsal or metatarsal bone when the resulting defect is filled with the patient's own bone graft. Compare 28106 office and facility rates across CMS payment localities in Wyoming.
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 28106 in Wyoming?
Wyoming 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
$391.59
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 28106: Tarsal or metatarsal lesion removal with autograft
Reports curettage or excision of a benign cyst or tumor in a tarsal or metatarsal bone when the resulting defect is filled with the patient's own bone graft.
An orthopedic surgeon or podiatric surgeon uses this code to remove or curette a benign bone cyst or tumor in a tarsal or metatarsal bone and fill the resulting defect with the patient’s own bone graft. The service includes obtaining the autograft. It is generally performed in an operating room or other surgical setting when the lesion requires operative treatment.
Select the code when the operative report supports the tarsal or metatarsal site, removal or curettage of the lesion, and placement of autograft. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 28106
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.17 · 60%
- Practice expense (office) RVU4.11 · 35%
- Malpractice RVU0.60 · 5%
68
Medicare services in 2024 · #5162 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.
28106 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$493.59
This is the grafted counterpart using allograft. Choose 28106 when the graft is harvested from the patient.
$637.58
This code concerns a similar lesion procedure in the talus or calcaneus, rather than another tarsal or metatarsal bone.
$427.56
This code is for a lesion in a toe phalanx, not a tarsal or metatarsal bone.
Compare 28106 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$391.59
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 28106 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,121
- Code
- 28106
- Physician work
- 7.17
- Practice expense
- 4.11
- Malpractice
- 0.60
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.17 | × 1.000 | 7.1700 |
| Practice expense | 4.11 | × 1.000 | 4.1100 |
| Malpractice | 0.60 | × 0.740 | 0.4440 |
| Total RVUs | 11.7240 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$391.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.17 | 1 |
| Practice expense | 4.11 | 1 |
| Malpractice | 0.6 | 0.74 |
(7.17 × 1 + 4.11 × 1 + 0.6 × 0.74) × $33.4009 = $391.59
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.
28106 billing questions
When should this code be chosen over 28104?
Use 28106 when the tarsal or metatarsal lesion is treated with autograft. Code 28104 describes the corresponding lesion procedure without graft.
How does 28106 differ from 28107?
Both address a tarsal or metatarsal bone cyst or benign tumor with grafting. 28106 uses the patient’s own bone; 28107 uses allograft.
Is graft harvest separately reported?
Obtaining the autograft is included in 28106, so the harvest is part of this service.
Should modifier 50 be appended for lesions on both feet?
No. CMS identifies bilateral adjustment as inappropriate for this code.
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 allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
3,11828102,,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
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,