CPT code 28113: Metatarsal excision, third, fourth, or fifth metatarsal2026 Medicare rate & RVUs

Medicare pays $584.52 for 28113 nationally in the office and $406.49 in a hospital or facility. Local office rates run $523.27–$758.62.

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

What 28113 covers

This service removes the head of a third, fourth, or fifth metatarsal. Foot and ankle surgeons and podiatrists may perform it for a painful prominence, deformity, or pressure problem such as a recurrent ulcer beneath the affected metatarsal head. The operative report should identify the bone and side, describe the extent of bone removed, and explain the clinical indication. A procedure that reshapes the bone without removing the head is a different service.

Report this code when the documented work is complete excision of one of these metatarsal heads, rather than partial removal of the fifth metatarsal head or excision of a different metatarsal. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are 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 28113 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

28113 rates by state

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

How the 28113 rate is calculated

Each of 28113’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 28113

28113 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

28113 compared with similar codes

How to choose

28110Metatarsal resectionPartial fifth-head excision

Use 28110 for partial excision of the fifth metatarsal head. This code describes complete excision of a third, fourth, or fifth metatarsal head.

28112Metatarsal head resectionSecond metatarsal head

Code 28112 applies to complete excision of the second metatarsal head; this code is for the third, fourth, or fifth.

28114Metatarsal head excisionSecond through fourth metatarsal

Code 28114 describes metatarsal head resection on an each-head basis. Select the code that matches the documented procedure and its specific coding instructions.

28140Metatarsal excisionComplete bone removal

Code 28140 removes a metatarsal, not just its head. This code is limited to complete excision of a third, fourth, or fifth metatarsal head.

Codes related to 28113

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