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

Reports surgical removal of the second metatarsal head, such as for a painful pressure prominence or deformity affecting the forefoot.

CMS RVU26DEffective Oct 1, 2026One payment locality4.6K Medicare services in 2024

In Arkansas, Medicare pays $429.63 for 28112 in the office and $270.68 when it’s performed in a hospital or facility.

$429.63Office (non-facility)
$270.68Hospital or facility
−10.9%vs the national office rate ($481.97)

Check a contract rate as a % of Medicare · 28112 nationwide

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

We’ll open 28112 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 28112 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Arkansas compares for 28112

Across 109 of 109 payment localities, the office rate for 28112 runs from $429.63 in Arkansas to $630.17 in San Benito County, CA. Arkansas pays $429.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

28112 in Arkansas vs other payment areas
  1. Arkansas · this page$429.63
  2. Los Angeles, CA · California$540.29+$110.66
  3. Washington, DC area · District of Columbia$548.02+$118.39
  4. Miami, FL · Florida$519.91+$90.28
  5. Chicago, IL · Illinois$505.80+$76.17
  6. Manhattan, NY · New York$552.23+$122.60
  7. Alaska · Alaska$570.42+$140.79

Other areas in Arkansas first, then benchmark localities. Bars start at $0.

Every other payment area

28112 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$435.50$273.59
ArizonaArizona$469.85$290.55
Bakersfield, CACalifornia$508.67$305.87
Chico, CACalifornia$507.18$304.37
El Centro, CACalifornia$507.26$304.46
Fresno, CACalifornia$507.18$304.37
Hanford, CACalifornia$507.18$304.37
Madera, CACalifornia$507.18$304.37

28112 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$429.63

$570.42

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
28112 office rate range by state
State / territoryOffice rate rangeLocalities
AK$570.421
AL$435.501
AR$429.631
AZ$469.851
CA$507.18–$630.1729
CO$500.361
CT$512.681
DC$548.021
DE$477.301
FL$476.35–$519.913
GA$451.10–$490.762
GU$518.241
HI$518.241
IA$445.331
ID$448.151
IL$463.79–$505.804
IN$450.571
KS$443.621
KY$445.621
LA$445.07–$465.622
MA$497.76–$547.462
MD$485.92–$548.023
ME$450.59–$473.102
MI$456.68–$482.182
MN$479.591
MO$438.08–$466.893
MS$433.921
MT$481.941
NC$454.961
ND$472.251
NE$447.541
NH$492.841
NJ$518.57–$542.972
NM$459.121
NV$479.561
NY$461.37–$565.175
OH$454.701
OK$444.621
OR$475.85–$515.162
PA$455.25–$500.762
PR$485.191
RI$493.461
SC$455.581
SD$471.111
TN$445.741
TX$452.47–$498.688
UT$461.411
VA$471.81–$548.022
VI$485.191
VT$470.741
WA$496.72–$558.012
WI$457.421
WV$447.771
WY$477.721

See 28112 in every payment locality

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.

How the rate is built · 28112

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.51

4.51 RVUs× 1.000 GPCI

Practice expense9.43

9.43 RVUs× 1.000 GPCI

Malpractice0.49

0.49 RVUs× 1.000 GPCI

Adjusted RVUs

14.4300

Conversion factor

$33.4009

Medicare rate

$481.97

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,126

Code
28112
Physician work
4.51
Practice expense
9.43
Malpractice
0.49

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office calculation for 28112 in Arkansas
ComponentRVULocality factorAdjusted
Physician work4.51× 1.0004.5100
Practice expense9.43× 0.8598.1004
Malpractice0.49× 0.5150.2524
Total RVUs12.8627
Conversion factor× 33.4009

Office rate, Arkansas$429.63

Office: (4.51 × 1 + 9.43 × 0.859 + 0.49 × 0.515) × $33.4009 = $429.63

Facility: (4.51 × 1 + 3.89 × 0.859 + 0.49 × 0.515) × $33.4009 = $270.68

Open 28112 in the RVU calculator

Payment rules and modifiers for 28112

28112 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28112

Metatarsal head resection, second metatarsal head

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 28112

Metatarsal head resection, second metatarsal head

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

28112 without 50 · national office

$481.97

Metatarsal head resection, second metatarsal head

28112-50 · Bilateral: 150%

$722.96

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 28112

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

Codes related to 28112
CodeHow it relatesOffice range, Arkansas
Same family
28111Metatarsal excision, first metatarsal headResection of the first metatarsal head rather than the second.$423.59
28113Metatarsal excision, third, fourth, or fifth metatarsalResection of the third metatarsal head rather than the second.$523.27
28114Metatarsal head excision, second through fourth metatarsalResection of the fourth metatarsal head rather than the second.$991.97

How 28112 has changed in Arkansas

28112 · Office / nonfacility

$429.63

Effective 2026-10-01

The base rate is $13.06 higher than on 2025-10-01, moving from $416.57 to $429.63 (3.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $416.57changed to$429.63

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.63 changed to 4.51
    • Practice expense RVU 9.29 changed to 9.43
    • Malpractice RVU 0.50 changed to 0.49
    • Practice expense GPCI 0.860 changed to 0.859
    • Malpractice GPCI 0.518 changed to 0.515

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $430.12changed to$416.57

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.34 changed to 9.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $423.10changed to$430.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $432.20changed to$423.10

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.23 changed to 9.34
    • Malpractice RVU 0.51 changed to 0.50
    • Practice expense GPCI 0.853 changed to 0.860
    • Malpractice GPCI 0.492 changed to 0.518

  5. January 1, 2023

    RVU23A

    $436.79changed to$432.20

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.15 changed to 9.23
    • Malpractice RVU 0.52 changed to 0.51
    • Practice expense GPCI 0.847 changed to 0.853
    • Malpractice GPCI 0.465 changed to 0.492

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $444.20changed to$436.79

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.30 changed to 9.15
    • Malpractice RVU 0.48 changed to 0.52

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $453.52changed to$444.20

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.93 changed to 9.30
    • Malpractice RVU 0.51 changed to 0.48
    • Practice expense GPCI 0.859 changed to 0.847
    • Malpractice GPCI 0.521 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $459.77changed to$453.52

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.01 changed to 8.93
    • Malpractice RVU 0.47 changed to 0.51
    • Practice expense GPCI 0.872 changed to 0.859
    • Malpractice GPCI 0.576 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $459.99changed to$459.77

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.02 changed to 9.01
    • Malpractice RVU 0.49 changed to 0.47

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $457.56changed to$459.99

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.870 changed to 0.872
    • Malpractice GPCI 0.555 changed to 0.576

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $454.83changed to$457.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.01 changed to 9.02
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.534 changed to 0.555

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $458.54changed to$454.83

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.07 changed to 9.01
    • Malpractice RVU 0.50 changed to 0.49

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $456.25changed to$458.54

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $450.77changed to$456.25

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.90 changed to 9.07
    • Practice expense GPCI 0.866 changed to 0.867
    • Malpractice GPCI 0.492 changed to 0.534

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $457.73changed to$450.77

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.93 changed to 8.90
    • Malpractice RVU 0.52 changed to 0.50
    • Practice expense GPCI 0.865 changed to 0.866
    • Malpractice GPCI 0.450 changed to 0.492

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $457.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$429.63$270.68RVU26D
2026-07-01$429.63$270.68RVU26C
2026-04-01$429.63$270.68RVU26B
2026-01-01$429.63$270.68RVU26A
2025-10-01$416.57$282.21RVU25D
2025-07-01$416.57$282.21RVU25C
2025-04-01$416.57$282.21RVU25B
2025-01-01$416.57$282.21RVU25A
2024-10-01$430.12$287.56RVU24D
2024-07-01$430.12$287.56RVU24C
2024-04-01$430.12$287.56RVU24B
2024-03-09$430.12$287.56RVU24AR
2024-01-01$423.10$282.86RVU24A
2023-10-01$432.20$287.38RVU23D
2023-07-01$432.20$287.38RVU23C
2023-04-01$432.20$287.38RVU23B
2023-01-01$432.20$287.38RVU23A
2022-10-01$436.79$287.31RVU22D
2022-07-01$436.79$287.31RVU22C
2022-04-01$436.79$287.31RVU22B
2022-01-01$436.79$287.31RVU22A
2021-10-01$444.20$286.97RVU21D
2021-07-01$444.20$286.97RVU21C
2021-04-01$444.20$286.97RVU21B
2021-01-01$444.20$286.97RVU21A
2020-10-01$453.52$296.35RVU20D
2020-07-01$453.52$296.35RVU20C
2020-04-01$453.52$296.35RVU20B
2020-01-01$453.52$296.35RVU20A
2019-10-01$459.77$298.87RVU19D
2019-07-01$459.77$298.87RVU19C
2019-04-01$459.77$298.87RVU19B
2019-01-01$459.77$298.87RVU19A
2018-10-01$459.99$298.64RVU18D
2018-07-01$459.99$298.64RVU18C
2018-04-01$459.99$298.64RVU18B
2018-01-01$459.99$298.64RVU18AR1
2017-10-01$457.56$297.69RVU17D
2017-07-01$457.56$297.69RVU17C
2017-04-01$457.56$297.69RVU17B
2017-01-01$457.56$297.69RVU17A
2016-10-01$454.83$296.21RVU16D
2016-07-01$454.83$296.21RVU16C
2016-04-01$454.83$296.21RVU16B
2016-01-01$454.83$296.21RVU16A
2015-10-01$458.54$297.47RVU15D
2015-07-01$458.54$297.47RVU15C
2015-04-01$456.25$295.99RVU15B
2015-01-01$456.25$295.99RVU15A
2014-10-01$450.77$294.42RVU14D
2014-07-01$450.77$294.42RVU14C
2014-04-01$450.77$294.42RVU14B
2014-01-01$450.77$294.42RVU14A
2013-10-01$457.73$291.15RVU13D
2013-07-01$457.73$291.15RVU13C
2013-04-01$457.73$291.15RVU13B
2013-01-01$457.73$291.15RVU13AR

Price 28112 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

28112 billing questions

How is this code distinguished from 28111 or 28113?

This code is for resection of the second metatarsal head. Codes 28111 and 28113 identify the first and third metatarsal heads, respectively.

Does the 90-day global include postoperative care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral surgery reported?

For bilateral procedures, modifier 50 applies; CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is barred by statutory restriction. Co-surgeons are paid only when supporting documentation is provided.

What documentation supports selecting this code?

The operative report should establish that the second metatarsal head was resected, identify the side, and describe the indication and extent of the bone removal.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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

Show the CMS file lines behind this rate
RVUs for 28112PPRRVU2026_Oct_nonQPP.csv, line 3,126 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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