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

Reports complete removal of a third, fourth, or fifth metatarsal head, such as for a symptomatic bony prominence or pressure-related forefoot problem.

CMS RVU26DEffective Oct 1, 2026One payment locality3K Medicare services in 2024

In Galveston, TX, Medicare pays $580.10 for 28113 in the office and $403.32 when it’s performed in a hospital or facility.

$580.10Office (non-facility)
$403.32Hospital or facility
−0.8%vs the national office rate ($584.52)

Check a contract rate as a % of Medicare · 28113 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 28113 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Galveston, TX
  2. What 28113 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 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.

How Galveston, TX compares for 28113

Across 109 of 109 payment localities, the office rate for 28113 runs from $523.27 in Arkansas to $758.62 in San Benito County, CA. Galveston, TX pays $580.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

28113 in Galveston, TX vs other payment areas
  1. Galveston, TX · this page$580.10
  2. Austin, TX · Texas$603.82+$23.72
  3. Beaumont, TX · Texas$550.21−$29.89
  4. Brazoria, TX · Texas$578.41−$1.69
  5. Dallas, TX · Texas$582.00+$1.90
  6. Fort Worth, TX · Texas$578.61−$1.49
  7. Houston, TX · Texas$591.09+$10.99

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

Every other payment area

28113 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$563.94$394.99
Los Angeles, CACalifornia$652.81$442.21
Washington, DC areaDistrict of Columbia$662.57$452.86
Miami, FLFlorida$630.14$444.81
Chicago, ILIllinois$613.69$434.77
Manhattan, NYNew York$668.20$461.33
AlaskaAlaska$698.80$509.21
AlabamaAlabama$530.14$374.37

28113 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.

$523.27

$698.80

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

View every state and territory as a table
28113 office rate range by state
State / territoryOffice rate rangeLocalities
AK$698.801
AL$530.141
AR$523.271
AZ$570.301
CA$613.68–$758.6229
CO$605.901
CT$620.841
DC$662.571
DE$579.101
FL$578.52–$630.143
GA$548.90–$594.992
GU$626.141
HI$626.141
IA$541.371
ID$544.721
IL$564.01–$613.694
IN$547.541
KS$539.501
KY$542.251
LA$541.65–$565.682
MA$603.00–$661.362
MD$589.25–$662.573
ME$547.71–$573.832
MI$555.31–$585.472
MN$581.001
MO$533.57–$567.023
MS$528.491
MT$584.481
NC$552.801
ND$572.611
NE$543.911
NH$596.991
NJ$628.04–$656.882
NM$558.221
NV$581.531
NY$560.29–$683.495
OH$552.891
OK$540.951
OR$577.10–$623.132
PA$553.45–$606.952
PR$588.231
RI$598.191
SC$553.741
SD$571.211
TN$541.991
TX$550.21–$603.828
UT$560.551
VA$572.41–$662.572
VI$588.231
VT$570.961
WA$601.68–$673.752
WI$555.301
WV$545.291
WY$579.311

See 28113 in every payment locality

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.

How the rate is built · 28113

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.96

5.96 RVUs× 1.000 GPCI

Practice expense10.94

10.94 RVUs× 1.000 GPCI

Malpractice0.60

0.60 RVUs× 1.000 GPCI

Adjusted RVUs

17.5000

Conversion factor

$33.4009

Medicare rate

$584.52

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

The exact Galveston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,127

Code
28113
Physician work
5.96
Practice expense
10.94
Malpractice
0.60

GPCI2026.csv

101

Locality
Galveston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
0.828
Office calculation for 28113 in Galveston, TX
ComponentRVULocality factorAdjusted
Physician work5.96× 1.0086.0077
Practice expense10.94× 0.99310.8634
Malpractice0.60× 0.8280.4968
Total RVUs17.3679
Conversion factor× 33.4009

Office rate, Galveston, TX$580.10

Office: (5.96 × 1.008 + 10.94 × 0.993 + 0.6 × 0.828) × $33.4009 = $580.10

Facility: (5.96 × 1.008 + 5.61 × 0.993 + 0.6 × 0.828) × $33.4009 = $403.32

Open 28113 in the RVU calculator

Payment rules and modifiers for 28113

28113 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28113

Metatarsal excision, third, fourth, or fifth metatarsal

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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
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 · 28113

Metatarsal excision, third, fourth, or fifth metatarsal

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

28113 without 50 · national office

$584.52

Metatarsal excision, third, fourth, or fifth metatarsal

28113-50 · Bilateral: 150%

$876.78

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 28113

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

Codes related to 28113
CodeHow it relatesOffice range, Galveston, TX
Same family
28110Metatarsal resection, partial fifth-head excisionPartial excision of the fifth metatarsal head rather than complete head excision.$463.53
28111Metatarsal excision, first metatarsal headComplete excision of the first metatarsal head.$469.13
28112Metatarsal head resection, second metatarsal headComplete excision of the second metatarsal head.$478.16
28114Metatarsal head excision, second through fourth metatarsalMetatarsal head resection reported for each head removed.$1,102.01
Used instead
28140Metatarsal excision, complete bone removalRemoval of a metatarsal rather than excision limited to its head.$556.45
28308Metatarsal osteotomy, other than first metatarsalMetatarsal osteotomy when the treatment reshapes or repositions bone rather than excising its head.$580.35

How 28113 has changed in Galveston, TX

28113 · Office / nonfacility

$580.10

Effective 2026-10-01

The base rate is $11.82 higher than on 2025-10-01, moving from $568.28 to $580.10 (2.1%).

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

    $568.28changed to$580.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.11 changed to 5.96
    • Practice expense RVU 10.86 changed to 10.94
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.000 changed to 0.993
    • Malpractice GPCI 0.855 changed to 0.828

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $584.53changed to$568.28

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $574.99changed to$584.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $593.18changed to$574.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.70 changed to 10.86
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.013 changed to 1.000
    • Malpractice GPCI 0.703 changed to 0.855

  5. January 1, 2023

    RVU23A

    $603.70changed to$593.18

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.53 changed to 10.70
    • Malpractice RVU 0.61 changed to 0.59
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.026 changed to 1.013
    • Malpractice GPCI 0.550 changed to 0.703

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $614.07changed to$603.70

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.68 changed to 10.53

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $617.50changed to$614.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.23 changed to 10.68
    • Malpractice RVU 0.60 changed to 0.61
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.019 changed to 1.026
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $618.71changed to$617.50

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.36 changed to 10.23
    • Malpractice RVU 0.55 changed to 0.60
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.011 changed to 1.019
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $619.42changed to$618.71

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.39 changed to 10.36
    • Malpractice RVU 0.56 changed to 0.55

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $619.74changed to$619.42

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.40 changed to 10.39
    • Malpractice RVU 0.57 changed to 0.56
    • Practice expense GPCI 1.012 changed to 1.011
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $619.25changed to$619.74

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.39 changed to 10.40
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.013 changed to 1.012
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $625.41changed to$619.25

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.46 changed to 10.39
    • Malpractice RVU 0.61 changed to 0.57

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $622.30changed to$625.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $612.53changed to$622.30

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.27 changed to 10.46
    • Malpractice RVU 0.60 changed to 0.61
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.005 changed to 1.013
    • Malpractice GPCI 0.970 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $614.46changed to$612.53

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.32 changed to 10.27
    • Malpractice RVU 0.63 changed to 0.60
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.996 changed to 1.005
    • Malpractice GPCI 0.985 changed to 0.970

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $614.46

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$580.10$403.32RVU26D
2026-07-01$580.10$403.32RVU26C
2026-04-01$580.10$403.32RVU26B
2026-01-01$580.10$403.32RVU26A
2025-10-01$568.28$423.37RVU25D
2025-07-01$568.28$423.37RVU25C
2025-04-01$568.28$423.37RVU25B
2025-01-01$568.28$423.37RVU25A
2024-10-01$584.53$430.41RVU24D
2024-07-01$584.53$430.41RVU24C
2024-04-01$584.53$430.41RVU24B
2024-03-09$584.53$430.41RVU24AR
2024-01-01$574.99$423.38RVU24A
2023-10-01$593.18$432.18RVU23D
2023-07-01$593.18$432.18RVU23C
2023-04-01$593.18$432.18RVU23B
2023-01-01$593.18$432.18RVU23A
2022-10-01$603.70$434.33RVU22D
2022-07-01$603.70$434.33RVU22C
2022-04-01$603.70$434.33RVU22B
2022-01-01$603.70$434.33RVU22A
2021-10-01$614.07$434.71RVU21D
2021-07-01$614.07$434.71RVU21C
2021-04-01$614.07$434.71RVU21B
2021-01-01$614.07$434.71RVU21A
2020-10-01$617.50$442.45RVU20D
2020-07-01$617.50$442.45RVU20C
2020-04-01$617.50$442.45RVU20B
2020-01-01$617.50$442.45RVU20A
2019-10-01$618.71$443.09RVU19D
2019-07-01$618.71$443.09RVU19C
2019-04-01$618.71$443.09RVU19B
2019-01-01$618.71$443.09RVU19A
2018-10-01$619.42$442.54RVU18D
2018-07-01$619.42$442.54RVU18C
2018-04-01$619.42$442.54RVU18B
2018-01-01$619.42$442.54RVU18AR1
2017-10-01$619.74$443.95RVU17D
2017-07-01$619.74$443.95RVU17C
2017-04-01$619.74$443.95RVU17B
2017-01-01$619.74$443.95RVU17A
2016-10-01$619.25$443.71RVU16D
2016-07-01$619.25$443.71RVU16C
2016-04-01$619.25$443.71RVU16B
2016-01-01$619.25$443.71RVU16A
2015-10-01$625.41$447.77RVU15D
2015-07-01$625.41$447.77RVU15C
2015-04-01$622.30$445.55RVU15B
2015-01-01$622.30$445.55RVU15A
2014-10-01$612.53$440.80RVU14D
2014-07-01$612.53$440.80RVU14C
2014-04-01$612.53$440.80RVU14B
2014-01-01$612.53$440.80RVU14A
2013-10-01$614.46$434.86RVU13D
2013-07-01$614.46$434.86RVU13C
2013-04-01$614.46$434.86RVU13B
2013-01-01$614.46$434.86RVU13AR

Price 28113 for an earlier date of service

Where the Galveston, TX rate applies

Galveston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 16 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Galveston
  • Bacliff
  • Bayou Vista
  • Bolivar Peninsula
  • Clear Lake Shores
  • Dickinson
  • 28113 in Friendswood · multiple payment areas
  • Hitchcock

Browse all communities in Texas

28113 billing questions

How does this differ from code 28110?

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

What documentation supports reporting this code?

Document the affected side and metatarsal, the reason for surgery, and that the metatarsal head was completely excised. The operative report should distinguish this work from a partial resection or an osteotomy.

Are related postoperative visits included?

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

How is bilateral surgery reported?

Use modifier 50 for a bilateral procedure; CMS pays it at 150%.

Can an assistant surgeon or co-surgeon be paid?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.

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 50% 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 28113PPRRVU2026_Oct_nonQPP.csv, line 3,127 (RVU26D)
Geographic factors for Galveston, TXGPCI2026.csv, line 101 (RVU26D)

Open CMS sourceHow we calculate rates

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