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CPT code 28140: Metatarsal excision, complete bone removal2026 Medicare rate & RVUs in Fort Worth, TX

Reports complete removal of a metatarsal, such as for severe bone infection or destructive disease requiring excision of the entire bone.

CMS RVU26DEffective Oct 1, 2026One payment locality752 Medicare services in 2024

In Fort Worth, TX, Medicare pays $555.87 for 28140 in the office and $392.52 when it’s performed in a hospital or facility.

$555.87Office (non-facility)
$392.52Hospital or facility
−1.1%vs the national office rate ($561.80)

Check a contract rate as a % of Medicare · 28140 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 28140 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fort Worth, TX
  2. What 28140 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 28140 covers

This service removes an entire metatarsal bone in the foot. An orthopedic surgeon or podiatric surgeon may perform it when disease or damage requires complete bone excision, such as severe metatarsal osteomyelitis. The operative report should identify the metatarsal and describe removal of the whole bone, rather than only its head or a limited portion.

Report 28140 when the documented procedure removes the complete metatarsal; use a partial-excision code when only part is removed. The day-before preoperative visit and 90 days of related postoperative care are included in its major-surgery global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; 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 Fort Worth, TX compares for 28140

Across 109 of 109 payment localities, the office rate for 28140 runs from $505.14 in Arkansas to $706.01 in San Benito County, CA. Fort Worth, TX pays $555.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

28140 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$555.87
  2. Austin, TX · Texas$576.26+$20.39
  3. Beaumont, TX · Texas$532.73−$23.14
  4. Brazoria, TX · Texas$554.43−$1.44
  5. Dallas, TX · Texas$558.48+$2.61
  6. Galveston, TX · Texas$556.45+$0.58
  7. Houston, TX · Texas$572.74+$16.87

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

Every other payment area

28140 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$543.64$386.42
Los Angeles, CACalifornia$616.17$420.19
Washington, DC areaDistrict of Columbia$631.05$435.89
Miami, FLFlorida$619.54$447.08
Chicago, ILIllinois$603.42$436.93
Manhattan, NYNew York$642.64$450.13
AlaskaAlaska$684.17$507.73
AlabamaAlabama$511.45$366.49

28140 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.

$505.14

$684.17

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

View every state and territory as a table
28140 office rate range by state
State / territoryOffice rate rangeLocalities
AK$684.171
AL$511.451
AR$505.141
AZ$548.231
CA$580.72–$706.0129
CO$577.261
CT$595.761
DC$631.051
DE$556.371
FL$563.57–$619.543
GA$535.15–$573.272
GU$590.331
HI$590.331
IA$518.411
ID$522.171
IL$552.47–$603.424
IN$524.651
KS$518.301
KY$526.021
LA$526.10–$548.172
MA$575.37–$626.192
MD$565.29–$631.053
ME$526.60–$548.142
MI$539.57–$571.712
MN$549.561
MO$519.68–$547.483
MS$512.401
MT$561.741
NC$531.001
ND$544.151
NE$520.241
NH$570.371
NJ$601.55–$626.412
NM$542.911
NV$557.141
NY$537.99–$658.785
OH$535.981
OK$523.121
OR$551.78–$591.172
PA$535.60–$584.012
PR$564.651
RI$572.901
SC$534.571
SD$542.061
TN$520.781
TX$532.73–$576.268
UT$540.791
VA$547.97–$631.052
VI$564.651
VT$544.121
WA$573.60–$636.002
WI$528.651
WV$535.371
WY$554.071

See 28140 in every payment locality

How the 28140 rate is calculated

Each of 28140’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 · 28140

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.96

6.96 RVUs× 1.000 GPCI

Practice expense8.97

8.97 RVUs× 1.000 GPCI

Malpractice0.89

0.89 RVUs× 1.000 GPCI

Adjusted RVUs

16.8200

Conversion factor

$33.4009

Medicare rate

$561.80

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

The exact Fort Worth, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,137

Code
28140
Physician work
6.96
Practice expense
8.97
Malpractice
0.89

GPCI2026.csv

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 28140 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work6.96× 1.0097.0226
Practice expense8.97× 0.9868.8444
Malpractice0.89× 0.8710.7752
Total RVUs16.6423
Conversion factor× 33.4009

Office rate, Fort Worth, TX$555.87

Office: (6.96 × 1.009 + 8.97 × 0.986 + 0.89 × 0.871) × $33.4009 = $555.87

Facility: (6.96 × 1.009 + 4.01 × 0.986 + 0.89 × 0.871) × $33.4009 = $392.52

Open 28140 in the RVU calculator

Payment rules and modifiers for 28140

28140 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28140

Metatarsal excision, complete bone removal

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)0The 150% bilateral adjustment doesn’t apply.
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 · 28140

Metatarsal excision, complete bone removal

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 51 · payment effect

With and without the modifier

28140 without 51 · national office

$561.80

Metatarsal excision, complete bone removal

28140-51 · Second procedure: 50%

$280.90

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 28140

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

Codes related to 28140
CodeHow it relatesOffice range, Fort Worth, TX
Same family
28110Metatarsal resection, partial fifth-head excisionPartial excision at the fifth metatarsal head, rather than complete removal of the metatarsal.$462.13
28111Metatarsal excision, first metatarsal headComplete excision of the first metatarsal head; distinguishes head removal from whole-bone removal.$468.08
28112Metatarsal head resection, second metatarsal headComplete excision of the second metatarsal head, not the entire metatarsal.$476.81
28113Metatarsal excision, third, fourth, or fifth metatarsalComplete excision of the third metatarsal head, not the entire metatarsal.$578.61
28114Metatarsal head excision, second through fourth metatarsalMetatarsal head excision; compare the documented extent with complete metatarsal removal.$1,100.16
Used instead
28122Tarsal bone excision, other tarsal bonesPartial excision of a tarsal or metatarsal bone when the entire metatarsal is not removed.$593.00
28173Bone tumor surgery, metatarsalMetatarsal tumor resection when the operation is specifically for a metatarsal tumor.No office rate

How 28140 has changed in Fort Worth, TX

28140 · Office / nonfacility

$555.87

Effective 2026-10-01

The base rate is $8.10 higher than on 2025-10-01, moving from $547.77 to $555.87 (1.5%).

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

    $547.77changed to$555.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.14 changed to 6.96
    • Practice expense RVU 8.94 changed to 8.97
    • Malpractice RVU 0.88 changed to 0.89
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $566.87changed to$547.77

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.99 changed to 8.94
    • Malpractice RVU 0.93 changed to 0.88

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $557.61changed to$566.87

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $569.07changed to$557.61

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.94 changed to 8.99
    • Malpractice RVU 0.91 changed to 0.93
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $577.63changed to$569.07

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.97 changed to 8.94
    • Malpractice RVU 0.95 changed to 0.91
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $588.29changed to$577.63

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.15 changed to 8.97
    • Malpractice RVU 0.93 changed to 0.95

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $601.01changed to$588.29

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.93 changed to 9.15
    • Malpractice RVU 0.91 changed to 0.93
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $605.72changed to$601.01

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.11 changed to 8.93
    • Malpractice RVU 0.85 changed to 0.91
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $610.21changed to$605.72

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.24 changed to 9.11
    • Malpractice RVU 0.87 changed to 0.85

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $608.44changed to$610.21

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.20 changed to 9.24
    • Malpractice RVU 0.86 changed to 0.87
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $610.62changed to$608.44

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.23 changed to 9.20
    • Malpractice RVU 0.90 changed to 0.86
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $610.40changed to$610.62

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.17 changed to 9.23
    • Malpractice RVU 0.89 changed to 0.90

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $607.36changed to$610.40

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $607.25changed to$607.36

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.23 changed to 9.17
    • Malpractice RVU 0.86 changed to 0.89
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $606.63changed to$607.25

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.16 changed to 9.23
    • Malpractice RVU 0.90 changed to 0.86
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $606.63

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$555.87$392.52RVU26D
2026-07-01$555.87$392.52RVU26C
2026-04-01$555.87$392.52RVU26B
2026-01-01$555.87$392.52RVU26A
2025-10-01$547.77$416.06RVU25D
2025-07-01$547.77$416.06RVU25C
2025-04-01$547.77$416.06RVU25B
2025-01-01$547.77$416.06RVU25A
2024-10-01$566.87$426.67RVU24D
2024-07-01$566.87$426.67RVU24C
2024-04-01$566.87$426.67RVU24B
2024-03-09$566.87$426.67RVU24AR
2024-01-01$557.61$419.71RVU24A
2023-10-01$569.07$425.29RVU23D
2023-07-01$569.07$425.29RVU23C
2023-04-01$569.07$425.29RVU23B
2023-01-01$569.07$425.29RVU23A
2022-10-01$577.63$426.81RVU22D
2022-07-01$577.63$426.81RVU22C
2022-04-01$577.63$426.81RVU22B
2022-01-01$577.63$426.81RVU22A
2021-10-01$588.29$429.28RVU21D
2021-07-01$588.29$429.28RVU21C
2021-04-01$588.29$429.28RVU21B
2021-01-01$588.29$429.28RVU21A
2020-10-01$601.01$442.93RVU20D
2020-07-01$601.01$442.93RVU20C
2020-04-01$601.01$442.93RVU20B
2020-01-01$601.01$442.93RVU20A
2019-10-01$605.72$445.46RVU19D
2019-07-01$605.72$445.46RVU19C
2019-04-01$605.72$445.46RVU19B
2019-01-01$605.72$445.46RVU19A
2018-10-01$610.21$447.29RVU18D
2018-07-01$610.21$447.29RVU18C
2018-04-01$610.21$447.29RVU18B
2018-01-01$610.21$447.29RVU18AR1
2017-10-01$608.44$446.62RVU17D
2017-07-01$608.44$446.62RVU17C
2017-04-01$608.44$446.62RVU17B
2017-01-01$608.44$446.62RVU17A
2016-10-01$610.62$448.17RVU16D
2016-07-01$610.62$448.17RVU16C
2016-04-01$610.62$448.17RVU16B
2016-01-01$610.62$448.17RVU16A
2015-10-01$610.40$447.36RVU15D
2015-07-01$610.40$447.36RVU15C
2015-04-01$607.36$445.14RVU15B
2015-01-01$607.36$445.14RVU15A
2014-10-01$607.25$447.08RVU14D
2014-07-01$607.25$447.08RVU14C
2014-04-01$607.25$447.08RVU14B
2014-01-01$607.25$447.08RVU14A
2013-10-01$606.63$438.09RVU13D
2013-07-01$606.63$438.09RVU13C
2013-04-01$606.63$438.09RVU13B
2013-01-01$606.63$438.09RVU13AR

Price 28140 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

28140 billing questions

How does 28140 differ from a partial metatarsal excision?

Use 28140 when the operative report supports removal of the entire metatarsal. Codes for partial excision apply when only a portion is removed.

Does removing only a metatarsal head support 28140?

No. A procedure limited to the metatarsal head is distinct from complete removal of the metatarsal; select the code that matches the documented extent.

What postoperative care is included?

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

Can modifier 50 be used when both feet are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard 50% multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is provided.

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 28140PPRRVU2026_Oct_nonQPP.csv, line 3,137 (RVU26D)
Geographic factors for Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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