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

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 Washington, DC area, Medicare pays $548.02 for 28112 in the office and $330.05 when it’s performed in a hospital or facility.

$548.02Office (non-facility)
$330.05Hospital or facility
+13.7%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $548.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

28112 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$548.02
  2. Los Angeles, CA · California$540.29−$7.73
  3. Miami, FL · Florida$519.91−$28.11
  4. Chicago, IL · Illinois$505.80−$42.22
  5. Manhattan, NY · New York$552.23+$4.21
  6. Alaska · Alaska$570.42+$22.40
  7. Alabama · Alabama$435.50−$112.52

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

28112 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$429.63$270.68
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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 28112 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.51× 1.0544.7535
Practice expense9.43× 1.17811.1085
Malpractice0.49× 1.1130.5454
Total RVUs16.4074
Conversion factor× 33.4009

Office rate, Washington, DC area$548.02

Office: (4.51 × 1.054 + 9.43 × 1.178 + 0.49 × 1.113) × $33.4009 = $548.02

Facility: (4.51 × 1.054 + 3.89 × 1.178 + 0.49 × 1.113) × $33.4009 = $330.05

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, Washington, DC area
Same family
28111Metatarsal excision, first metatarsal headResection of the first metatarsal head rather than the second.$535.16
28113Metatarsal excision, third, fourth, or fifth metatarsalResection of the third metatarsal head rather than the second.$662.57
28114Metatarsal head excision, second through fourth metatarsalResection of the fourth metatarsal head rather than the second.$1,259.28

How 28112 has changed in Washington, DC area

28112 · Office / nonfacility

$548.02

Effective 2026-10-01

The base rate is $12.63 higher than on 2025-10-01, moving from $535.39 to $548.02 (2.4%).

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

    $535.39changed to$548.02

    • 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
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $552.94changed to$535.39

    • 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

    $543.92changed to$552.94

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $566.67changed to$543.92

    • 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
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $583.54changed to$566.67

    • 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
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $593.04changed to$583.54

    • 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

    $592.29changed to$593.04

    • 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
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $587.01changed to$592.29

    • 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
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $587.71changed to$587.01

    • 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

    $586.57changed to$587.71

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $585.41changed to$586.57

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.01 changed to 9.02
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $590.58changed to$585.41

    • 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

    $587.65changed to$590.58

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $578.96changed to$587.65

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.90 changed to 9.07
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $589.98changed to$578.96

    • 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
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $589.98

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$548.02$330.05RVU26D
2026-07-01$548.02$330.05RVU26C
2026-04-01$548.02$330.05RVU26B
2026-01-01$548.02$330.05RVU26A
2025-10-01$535.39$349.16RVU25D
2025-07-01$535.39$349.16RVU25C
2025-04-01$535.39$349.16RVU25B
2025-01-01$535.39$349.16RVU25A
2024-10-01$552.94$355.35RVU24D
2024-07-01$552.94$355.35RVU24C
2024-04-01$552.94$355.35RVU24B
2024-03-09$552.94$355.35RVU24AR
2024-01-01$543.92$349.55RVU24A
2023-10-01$566.67$360.57RVU23D
2023-07-01$566.67$360.57RVU23C
2023-04-01$566.67$360.57RVU23B
2023-01-01$566.67$360.57RVU23A
2022-10-01$583.54$365.40RVU22D
2022-07-01$583.54$365.40RVU22C
2022-04-01$583.54$365.40RVU22B
2022-01-01$583.54$365.40RVU22A
2021-10-01$593.04$363.60RVU21D
2021-07-01$593.04$363.60RVU21C
2021-04-01$593.04$363.60RVU21B
2021-01-01$593.04$363.60RVU21A
2020-10-01$592.29$368.88RVU20D
2020-07-01$592.29$368.88RVU20C
2020-04-01$592.29$368.88RVU20B
2020-01-01$592.29$368.88RVU20A
2019-10-01$587.01$364.66RVU19D
2019-07-01$587.01$364.66RVU19C
2019-04-01$587.01$364.66RVU19B
2019-01-01$587.01$364.66RVU19A
2018-10-01$587.71$364.73RVU18D
2018-07-01$587.71$364.73RVU18C
2018-04-01$587.71$364.73RVU18B
2018-01-01$587.71$364.73RVU18AR1
2017-10-01$586.57$365.15RVU17D
2017-07-01$586.57$365.15RVU17C
2017-04-01$586.57$365.15RVU17B
2017-01-01$586.57$365.15RVU17A
2016-10-01$585.41$364.95RVU16D
2016-07-01$585.41$364.95RVU16C
2016-04-01$585.41$364.95RVU16B
2016-01-01$585.41$364.95RVU16A
2015-10-01$590.58$366.72RVU15D
2015-07-01$590.58$366.72RVU15C
2015-04-01$587.65$364.90RVU15B
2015-01-01$587.65$364.90RVU15A
2014-10-01$578.96$361.94RVU14D
2014-07-01$578.96$361.94RVU14C
2014-04-01$578.96$361.94RVU14B
2014-01-01$578.96$361.94RVU14A
2013-10-01$589.98$359.28RVU13D
2013-07-01$589.98$359.28RVU13C
2013-04-01$589.98$359.28RVU13B
2013-01-01$589.98$359.28RVU13AR

Price 28112 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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