28054 Biopsy of toe joint lining
Also known as: synovial biopsy toe, toe joint biopsy, MTP joint biopsy
Biopsy of the synovial membrane (lining) of a toe joint (metatarsophalangeal or interphalangeal joint). This procedure obtains tissue from toe joint linings for diagnosis.
In Plain Language
taking a sample of joint lining from a toe; toe joint tissue sample
Clinical Context
Performed for hallux limitus, gout, or other toe joint pathology. Useful in differentiating inflammatory conditions from mechanical joint disease.
RVU Breakdown
| Work RVU | 3.48 |
| Total RVU | 3.48 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.48, this code ranks in the 24th percentile among Surgery codes — 2.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28054?
CPT 28054 (Biopsy of toe joint lining) is a Surgery code. Biopsy of the synovial membrane (lining) of a toe joint (metatarsophalangeal or interphalangeal joint). This procedure obtains tissue from toe joint linings for diagnosis.
What is the wRVU value for CPT 28054?
The work RVU for CPT 28054 is 3.48. This code is primarily used by orthopedic surgery, foot and ankle surgery. It has a 90-day global period.
When is CPT 28054 used?
Performed for hallux limitus, gout, or other toe joint pathology. Useful in differentiating inflammatory conditions from mechanical joint disease.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.