CPT code 28112: Metatarsal head resection, second metatarsal head2026 Medicare rate & RVUs

Medicare pays $481.97 for 28112 nationally in the office and $296.93 in a hospital or facility. Local office rates run $429.63–$630.17.

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

What 28112 covers

The surgeon removes the head of the second metatarsal to address a localized bone prominence, deformity, or other condition for which resection is clinically indicated. Podiatric and orthopedic surgeons typically perform this operation in an operating room or ambulatory surgery setting. The operative report should identify the second metatarsal, the side, the reason for surgery, and the bone removed.

Select this code when the documented resection is of the second metatarsal head; distinguish it from procedures involving another metatarsal or a different extent of bone removal. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted by statute; 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.

Where 28112 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

28112 rates by state

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

How the 28112 rate is calculated

Each of 28112’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 28112

28112 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

28112 compared with similar codes

How to choose

28111Metatarsal excisionFirst metatarsal head

Use 28111 when the resected head is the first metatarsal; this code identifies the second metatarsal head.

28113Metatarsal excisionThird, fourth, or fifth metatarsal

Use 28113 for resection of the third metatarsal head. The metatarsal identified in the operative report determines the code.

28110Metatarsal resectionPartial fifth-head excision

28110 describes partial excision of the fifth metatarsal head. This code concerns resection of the second metatarsal head.

28140Metatarsal excisionComplete bone removal

28140 is for removal of a metatarsal, rather than resection limited to the second metatarsal head.

Codes related to 28112

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

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