CPT 28054
Biopsy of toe joint lining
Last reviewed August 2026 · DataLily AI data team
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CPT 28054 at a glance
- Code
- 28054
- Code type
- CPT/HCPCS
- Short descriptor
- Biopsy of toe joint lining
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
- Medicare ASC rate
- $1,644.87 national · 2026Q2
What is CPT code 28054?
CPT 28054 is a CPT/HCPCS procedure code for biopsy of toe joint lining. Its official short descriptor is "Biopsy of toe joint lining". In the ASC context it is grouped under ASC Surgical.
Is CPT 28054 eligible in an ambulatory surgery center (ASC)?
CPT 28054 can be performed in a certified ambulatory surgery center.
Where is CPT 28054 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is the Medicare ASC payment rate for CPT 28054?
The national Medicare ASC payment rate for CPT 28054 is $1,644.87 (Medicare ASC Payment System, 2026Q2). This is the national, unadjusted Medicare amount; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.
Which specialties use CPT 28054?
CPT 28054 is most associated with General Surgery, Ortho – Foot & Ankle, Orthopaedic Surgery, Podiatry.
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association. Read the DataLily AI data methodology.