CPT code 28114: Metatarsal head excision, second through fourth metatarsal2026 Medicare rate & RVUs in Washington, DC area
Reports complete surgical removal of a second, third, or fourth metatarsal head, commonly to address forefoot pressure, pain, or deformity.
In Washington, DC area, Medicare pays $1,259.28 for 28114 in the office and $887.46 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 28114 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 28114 covers
A foot and ankle surgeon or podiatric surgeon removes the metatarsal head at the end of the second, third, or fourth metatarsal. The procedure may be performed for a painful prominent head, pressure-related plantar keratosis or ulceration, or forefoot deformity such as rheumatoid metatarsalgia. It is generally performed in an operating-room setting; the operative note should identify the metatarsal head removed and describe complete excision rather than a limited bone shave or removal of the entire metatarsal.
Select this code for complete excision of a second, third, or fourth metatarsal head, and document the side, specific head, extent of bone removal, and clinical indication. The code is subject to a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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% multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires 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 28114
Across 109 of 109 payment localities, the office rate for 28114 runs from $991.97 in Arkansas to $1,424.43 in San Benito County, CA. Washington, DC area pays $1,259.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1,259.28
- Los Angeles, CA · California$1,232.19−$27.09
- Miami, FL · Florida$1,226.87−$32.41
- Chicago, IL · Illinois$1,192.42−$66.86
- Manhattan, NY · New York$1,279.24+$19.96
- Alaska · Alaska$1,326.59+$67.31
- Alabama · Alabama$1,005.50−$253.78
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $991.97 | $720.83 |
| ArizonaArizona | $1,084.48 | $778.62 |
| Bakersfield, CACalifornia | $1,162.54 | $816.60 |
| Chico, CACalifornia | $1,157.64 | $811.70 |
| El Centro, CACalifornia | $1,157.92 | $811.98 |
| Fresno, CACalifornia | $1,157.64 | $811.70 |
| Hanford, CACalifornia | $1,157.64 | $811.70 |
| Madera, CACalifornia | $1,157.64 | $811.70 |
| Merced, CACalifornia | $1,157.64 | $811.70 |
| Modesto, CACalifornia | $1,157.64 | $811.70 |
| Napa, CACalifornia | $1,321.89 | $905.88 |
| Oxnard, CACalifornia | $1,224.13 | $851.04 |
| Redding, CACalifornia | $1,157.64 | $811.70 |
| Rest of CaliforniaCalifornia | $1,157.64 | $811.70 |
| Riverside, CACalifornia | $1,175.93 | $829.99 |
| Sacramento, CACalifornia | $1,209.69 | $842.60 |
| Salinas, CACalifornia | $1,205.07 | $839.25 |
| San Diego, CACalifornia | $1,229.66 | $852.16 |
| Marin County, CACalifornia | $1,392.90 | $947.85 |
| San Francisco, CACalifornia | $1,390.99 | $945.94 |
| San Benito County, CACalifornia | $1,424.43 | $969.27 |
| Santa Clara County, CACalifornia | $1,416.58 | $961.43 |
| San Luis Obispo, CACalifornia | $1,186.28 | $826.77 |
| Santa Cruz, CACalifornia | $1,238.46 | $854.96 |
| Santa Maria, CACalifornia | $1,208.56 | $840.53 |
| Santa Rosa, CACalifornia | $1,250.64 | $863.03 |
| Stockton, CACalifornia | $1,157.64 | $811.70 |
| Vallejo, CACalifornia | $1,319.13 | $903.11 |
| Visalia, CACalifornia | $1,157.64 | $811.70 |
| Yuba City, CACalifornia | $1,157.64 | $811.70 |
| ColoradoColorado | $1,148.20 | $812.36 |
| ConnecticutConnecticut | $1,184.20 | $844.26 |
| DelawareDelaware | $1,101.51 | $789.66 |
| Fort Lauderdale, FLFlorida | $1,167.52 | $847.78 |
| Rest of FloridaFlorida | $1,112.34 | $810.59 |
| Atlanta, GAGeorgia | $1,136.43 | $815.74 |
| Rest of GeorgiaGeorgia | $1,052.16 | $770.61 |
| Hawaii, Guam, HIHawaii | $1,180.73 | $821.85 |
| IowaIowa | $1,022.60 | $733.79 |
| IdahoIdaho | $1,030.22 | $739.84 |
| East St. Louis, ILIllinois | $1,117.21 | $826.82 |
| Rest of IllinoisIllinois | $1,087.09 | $798.91 |
| Suburban Chicago, ILIllinois | $1,177.55 | $853.39 |
| IndianaIndiana | $1,035.62 | $743.02 |
| KansasKansas | $1,021.32 | $735.98 |
| KentuckyKentucky | $1,034.53 | $753.92 |
| New Orleans, LALouisiana | $1,081.63 | $784.62 |
| Rest of LouisianaLouisiana | $1,034.29 | $754.95 |
| Metropolitan Boston, MAMassachusetts | $1,252.27 | $875.40 |
| Rest of MassachusettsMassachusetts | $1,143.34 | $810.98 |
| Baltimore area, MDMaryland | $1,181.50 | $842.82 |
| Rest of MarylandMaryland | $1,120.52 | $801.10 |
| Rest of MaineMaine | $1,038.63 | $748.25 |
| Southern Maine, MEMaine | $1,086.43 | $773.63 |
| Detroit, MIMichigan | $1,128.66 | $824.07 |
| Rest of MichiganMichigan | $1,062.59 | $774.41 |
| MinnesotaMinnesota | $1,092.83 | $768.04 |
| Metropolitan Kansas City, MOMissouri | $1,071.33 | $774.94 |
| Metropolitan St. Louis, MOMissouri | $1,081.40 | $780.91 |
| Rest of MissouriMissouri | $1,019.87 | $747.79 |
| MississippiMississippi | $1,005.94 | $734.18 |
| MontanaMontana | $1,113.14 | $797.50 |
| North CarolinaNorth Carolina | $1,048.25 | $753.76 |
| North DakotaNorth Dakota | $1,079.72 | $764.08 |
| NebraskaNebraska | $1,026.86 | $735.52 |
| New HampshireNew Hampshire | $1,133.50 | $804.92 |
| Northern New JerseyNew Jersey | $1,248.27 | $882.13 |
| Rest of New JerseyNew Jersey | $1,195.63 | $850.96 |
| New MexicoNew Mexico | $1,069.32 | $779.88 |
| NevadaNevada | $1,104.49 | $788.54 |
| NYC suburbs and Long Island, NYNew York | $1,312.51 | $937.22 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,205.96 | $860.34 |
| Queens, NYNew York | $1,284.43 | $911.34 |
| Rest of New YorkNew York | $1,063.19 | $763.33 |
| OhioOhio | $1,055.76 | $767.58 |
| OklahomaOklahoma | $1,029.40 | $747.54 |
| Portland, OROregon | $1,178.98 | $828.31 |
| Rest of OregonOregon | $1,093.82 | $779.45 |
| Metropolitan Philadelphia, PAPennsylvania | $1,158.49 | $829.91 |
| Rest of PennsylvaniaPennsylvania | $1,055.53 | $765.78 |
| Puerto RicoPuerto Rico | $1,119.73 | $800.62 |
| Rhode IslandRhode Island | $1,136.56 | $810.50 |
| South CarolinaSouth Carolina | $1,054.17 | $762.52 |
| South DakotaSouth Dakota | $1,075.77 | $760.13 |
| TennesseeTennessee | $1,026.51 | $739.59 |
| Austin, TXTexas | $1,146.23 | $812.28 |
| Beaumont, TXTexas | $1,049.30 | $762.07 |
| Brazoria, TXTexas | $1,097.97 | $785.17 |
| Dallas, TXTexas | $1,106.09 | $791.71 |
| Fort Worth, TXTexas | $1,100.16 | $788.94 |
| Galveston, TXTexas | $1,102.01 | $788.58 |
| Houston, TXTexas | $1,132.94 | $819.51 |
| Rest of TexasTexas | $1,073.81 | $774.27 |
| UtahUtah | $1,067.53 | $770.83 |
| VirginiaVirginia | $1,085.33 | $775.06 |
| Virgin Islands, VIUnited States Virgin Islands | $1,119.73 | $800.62 |
| VermontVermont | $1,078.71 | $766.22 |
| Rest of WashingtonWashington | $1,140.14 | $807.77 |
| King County, WAWashington | $1,273.65 | $886.36 |
| WisconsinWisconsin | $1,046.22 | $743.84 |
| West VirginiaWest Virginia | $1,050.33 | $776.04 |
| WyomingWyoming | $1,098.58 | $782.94 |
28114 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$991.97
$1,326.59
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,326.59 | 1 |
| AL | $1,005.50 | 1 |
| AR | $991.97 | 1 |
| AZ | $1,084.48 | 1 |
| CA | $1,157.64–$1,424.43 | 29 |
| CO | $1,148.20 | 1 |
| CT | $1,184.20 | 1 |
| DC | $1,259.28 | 1 |
| DE | $1,101.51 | 1 |
| FL | $1,112.34–$1,226.87 | 3 |
| GA | $1,052.16–$1,136.43 | 2 |
| GU | $1,180.73 | 1 |
| HI | $1,180.73 | 1 |
| IA | $1,022.60 | 1 |
| ID | $1,030.22 | 1 |
| IL | $1,087.09–$1,192.42 | 4 |
| IN | $1,035.62 | 1 |
| KS | $1,021.32 | 1 |
| KY | $1,034.53 | 1 |
| LA | $1,034.29–$1,081.63 | 2 |
| MA | $1,143.34–$1,252.27 | 2 |
| MD | $1,120.52–$1,259.28 | 3 |
| ME | $1,038.63–$1,086.43 | 2 |
| MI | $1,062.59–$1,128.66 | 2 |
| MN | $1,092.83 | 1 |
| MO | $1,019.87–$1,081.40 | 3 |
| MS | $1,005.94 | 1 |
| MT | $1,113.14 | 1 |
| NC | $1,048.25 | 1 |
| ND | $1,079.72 | 1 |
| NE | $1,026.86 | 1 |
| NH | $1,133.50 | 1 |
| NJ | $1,195.63–$1,248.27 | 2 |
| NM | $1,069.32 | 1 |
| NV | $1,104.49 | 1 |
| NY | $1,063.19–$1,312.51 | 5 |
| OH | $1,055.76 | 1 |
| OK | $1,029.40 | 1 |
| OR | $1,093.82–$1,178.98 | 2 |
| PA | $1,055.53–$1,158.49 | 2 |
| PR | $1,119.73 | 1 |
| RI | $1,136.56 | 1 |
| SC | $1,054.17 | 1 |
| SD | $1,075.77 | 1 |
| TN | $1,026.51 | 1 |
| TX | $1,049.30–$1,146.23 | 8 |
| UT | $1,067.53 | 1 |
| VA | $1,085.33–$1,259.28 | 2 |
| VI | $1,119.73 | 1 |
| VT | $1,078.71 | 1 |
| WA | $1,140.14–$1,273.65 | 2 |
| WI | $1,046.22 | 1 |
| WV | $1,050.33 | 1 |
| WY | $1,098.58 | 1 |
How the 28114 rate is calculated
Each of 28114’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 · 28114
RVUs × geographic indexes × conversion factor
Work11.70
11.70 RVUs× 1.000 GPCI
Practice expense19.94
19.94 RVUs× 1.000 GPCI
Malpractice1.69
1.69 RVUs× 1.000 GPCI
Adjusted RVUs
33.3300
Conversion factor
$33.4009
Medicare rate
$1,113.25
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
3,128
- Code
- 28114
- Physician work
- 11.70
- Practice expense
- 19.94
- Malpractice
- 1.69
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.70 | × 1.054 | 12.3318 |
| Practice expense | 19.94 | × 1.178 | 23.4893 |
| Malpractice | 1.69 | × 1.113 | 1.8810 |
| Total RVUs | 37.7021 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$1259.28
Office: (11.7 × 1.054 + 19.94 × 1.178 + 1.69 × 1.113) × $33.4009 = $1259.28
Facility: (11.7 × 1.054 + 10.49 × 1.178 + 1.69 × 1.113) × $33.4009 = $887.46
Payment rules and modifiers for 28114
28114 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28114
Metatarsal head excision, second through fourth metatarsal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 28114
Metatarsal head excision, second through fourth 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
28114 without 50 · national office
$1,113.25
Metatarsal head excision, second through fourth metatarsal
28114-50 · Bilateral: 150%
$1,669.88
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).
How 28114 has changed in Washington, DC area
28114 · Office / nonfacility
$1259.28
Effective 2026-10-01
The base rate is $71.41 higher than on 2025-10-01, moving from $1187.87 to $1259.28 (6.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$1187.87changed to$1259.28
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 12.00 changed to 11.70
- Practice expense RVU 18.57 changed to 19.94
- Malpractice RVU 1.63 changed to 1.69
- 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.
January 1, 2025
RVU25A
$1216.87changed to$1187.87
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 18.43 changed to 18.57
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1197.01changed to$1216.87
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1245.32changed to$1197.01
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 18.19 changed to 18.43
- Malpractice RVU 1.62 changed to 1.63
- 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
January 1, 2023
RVU23A
$1276.86changed to$1245.32
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 17.86 changed to 18.19
- Malpractice RVU 1.68 changed to 1.62
- 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.
January 1, 2022
RVU22A
$1287.26changed to$1276.86
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 17.95 changed to 17.86
- Malpractice RVU 1.59 changed to 1.68
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1272.22changed to$1287.26
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 16.93 changed to 17.95
- Malpractice RVU 1.56 changed to 1.59
- 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.
January 1, 2020
RVU20A
$1268.86changed to$1272.22
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 17.20 changed to 16.93
- Malpractice RVU 1.54 changed to 1.56
- 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.
January 1, 2019
RVU19A
$1279.20changed to$1268.86
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 17.46 changed to 17.20
- Malpractice RVU 1.55 changed to 1.54
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1277.64changed to$1279.20
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 17.43 changed to 17.46
- Malpractice RVU 1.59 changed to 1.55
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1275.14changed to$1277.64
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 17.40 changed to 17.43
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1289.43changed to$1275.14
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 17.56 changed to 17.40
- Malpractice RVU 1.65 changed to 1.59
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1283.01changed to$1289.43
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1259.32changed to$1283.01
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 17.18 changed to 17.56
- Malpractice RVU 1.58 changed to 1.65
- 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.
January 1, 2014
RVU14A
$1261.67changed to$1259.32
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 18.89 changed to 17.18
- Malpractice RVU 1.65 changed to 1.58
- 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.
January 1, 2013
RVU13AR
Earliest loaded release: $1261.67
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,259.28 | $887.46 | RVU26D |
| 2026-07-01 | $1,259.28 | $887.46 | RVU26C |
| 2026-04-01 | $1,259.28 | $887.46 | RVU26B |
| 2026-01-01 | $1,259.28 | $887.46 | RVU26A |
| 2025-10-01 | $1,187.87 | $933.39 | RVU25D |
| 2025-07-01 | $1,187.87 | $933.39 | RVU25C |
| 2025-04-01 | $1,187.87 | $933.39 | RVU25B |
| 2025-01-01 | $1,187.87 | $933.39 | RVU25A |
| 2024-10-01 | $1,216.87 | $949.04 | RVU24D |
| 2024-07-01 | $1,216.87 | $949.04 | RVU24C |
| 2024-04-01 | $1,216.87 | $949.04 | RVU24B |
| 2024-03-09 | $1,216.87 | $949.04 | RVU24AR |
| 2024-01-01 | $1,197.01 | $933.55 | RVU24A |
| 2023-10-01 | $1,245.32 | $965.57 | RVU23D |
| 2023-07-01 | $1,245.32 | $965.57 | RVU23C |
| 2023-04-01 | $1,245.32 | $965.57 | RVU23B |
| 2023-01-01 | $1,245.32 | $965.57 | RVU23A |
| 2022-10-01 | $1,276.86 | $983.44 | RVU22D |
| 2022-07-01 | $1,276.86 | $983.44 | RVU22C |
| 2022-04-01 | $1,276.86 | $983.44 | RVU22B |
| 2022-01-01 | $1,276.86 | $983.44 | RVU22A |
| 2021-10-01 | $1,287.26 | $980.19 | RVU21D |
| 2021-07-01 | $1,287.26 | $980.19 | RVU21C |
| 2021-04-01 | $1,287.26 | $980.19 | RVU21B |
| 2021-01-01 | $1,287.26 | $980.19 | RVU21A |
| 2020-10-01 | $1,272.22 | $978.74 | RVU20D |
| 2020-07-01 | $1,272.22 | $978.74 | RVU20C |
| 2020-04-01 | $1,272.22 | $978.74 | RVU20B |
| 2020-01-01 | $1,272.22 | $978.74 | RVU20A |
| 2019-10-01 | $1,268.86 | $974.43 | RVU19D |
| 2019-07-01 | $1,268.86 | $974.43 | RVU19C |
| 2019-04-01 | $1,268.86 | $974.43 | RVU19B |
| 2019-01-01 | $1,268.86 | $974.43 | RVU19A |
| 2018-10-01 | $1,279.20 | $979.02 | RVU18D |
| 2018-07-01 | $1,279.20 | $979.02 | RVU18C |
| 2018-04-01 | $1,279.20 | $979.02 | RVU18B |
| 2018-01-01 | $1,279.20 | $979.02 | RVU18AR1 |
| 2017-10-01 | $1,277.64 | $980.11 | RVU17D |
| 2017-07-01 | $1,277.64 | $980.11 | RVU17C |
| 2017-04-01 | $1,277.64 | $980.11 | RVU17B |
| 2017-01-01 | $1,277.64 | $980.11 | RVU17A |
| 2016-10-01 | $1,275.14 | $978.31 | RVU16D |
| 2016-07-01 | $1,275.14 | $978.31 | RVU16C |
| 2016-04-01 | $1,275.14 | $978.31 | RVU16B |
| 2016-01-01 | $1,275.14 | $978.31 | RVU16A |
| 2015-10-01 | $1,289.43 | $988.50 | RVU15D |
| 2015-07-01 | $1,289.43 | $988.50 | RVU15C |
| 2015-04-01 | $1,283.01 | $983.58 | RVU15B |
| 2015-01-01 | $1,283.01 | $983.58 | RVU15A |
| 2014-10-01 | $1,259.32 | $968.25 | RVU14D |
| 2014-07-01 | $1,259.32 | $968.25 | RVU14C |
| 2014-04-01 | $1,259.32 | $968.25 | RVU14B |
| 2014-01-01 | $1,259.32 | $968.25 | RVU14A |
| 2013-10-01 | $1,261.67 | $954.75 | RVU13D |
| 2013-07-01 | $1,261.67 | $954.75 | RVU13C |
| 2013-04-01 | $1,261.67 | $954.75 | RVU13B |
| 2013-01-01 | $1,261.67 | $954.75 | RVU13AR |
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
28114 billing questions
Which metatarsal heads are covered by this code?
It applies to complete excision of a second, third, or fourth metatarsal head. The first and fifth metatarsal heads have distinct codes.
How does this differ from a partial metatarsal excision?
Use this code when the metatarsal head is completely excised. A limited removal or reshaping of part of the metatarsal is a different service.
What should the operative note identify?
Document the side, the specific metatarsal head removed, complete excision, and the condition prompting surgery, such as a painful pressure prominence or deformity.
How is bilateral surgery reported?
For bilateral procedures, modifier 50 is paid at 150%.
Are assistant or co-surgeon services payable?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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
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