CPT code 28111: Metatarsal excision, first metatarsal head2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $462.04 for 28111 in the office and $291.37 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 28111 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 28111 covers

The surgeon removes a limited portion of the head of the first metatarsal, the long bone behind the great toe. This may address a painful prominence or localized bone problem. The procedure is performed by a foot and ankle surgeon or other qualified surgeon, commonly in an operating room or ambulatory surgery center. The operative report should identify the first metatarsal and describe the portion removed and the reason for excision.

Select this code when the work is a partial resection of the first metatarsal head, rather than a resection of another metatarsal or removal of the whole bone. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and the others are subject to the standard multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons are paid only with supporting documentation, and team surgery is 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.

How North Dakota compares for 28111

Across 109 of 109 payment localities, the office rate for 28111 runs from $423.59 in Arkansas to $609.69 in San Benito County, CA. North Dakota pays $462.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

28111 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 28111 in every payment locality

How the 28111 rate is calculated

Each of 28111’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.

Payment rules and modifiers for 28111

28111 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 28111

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 28111 has changed in North Dakota

Price 28111 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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

Open CMS sourceHow we calculate rates