Billing code 28140: Metatarsal excisionMedicare rate & RVUs
Reports complete removal of a metatarsal, such as for severe bone infection or destructive disease requiring excision of the entire bone.
Medicare pays $561.80 for 28140 nationally in the office and $396.13 in a hospital or facility. Local office rates run $505.14–$706.01.
Medicare rate · 28140
Metatarsal excision
Swap in your local Medicare rate.
- Work RVUs
- 6.96
- Total RVUs
- 16.82
- Global days
- 090
National rate · 2026
$561.80
Office setting, before claim adjustments.
See every locality for 28140 → · Billed by an NP, PA or therapist? →
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 10 sections
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.
Where 28140 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$505.14 to $706.01
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $511.45 | $366.49 |
| Alaska* | $684.17 | $507.73 |
| Arizona | $548.23 | $387.70 |
| Arkansas | $505.14 | $362.83 |
| Atlanta | $573.27 | $404.95 |
| Austin | $576.26 | $400.98 |
| Bakersfield | $583.36 | $401.79 |
| Baltimore/Surr. Cntys | $594.44 | $416.68 |
| Beaumont | $532.73 | $381.97 |
| Brazoria | $554.43 | $390.25 |
| Chicago | $603.42 | $436.93 |
| Chico | $580.72 | $399.15 |
| Colorado | $577.26 | $400.99 |
| Connecticut | $595.76 | $417.34 |
| Dallas | $558.48 | $393.47 |
| Dc + Md/Va Suburbs | $631.05 | $435.89 |
| Delaware | $556.37 | $392.69 |
| Detroit | $571.71 | $411.84 |
| East St. Louis | $567.98 | $415.56 |
| El Centro | $580.87 | $399.30 |
| Fort Lauderdale | $589.72 | $421.90 |
| Fort Worth | $555.87 | $392.52 |
| Fresno | $580.72 | $399.15 |
| Galveston | $556.45 | $391.94 |
| Hanford-Corcoran | $580.72 | $399.15 |
| Hawaii, Guam | $590.33 | $401.97 |
| Houston | $572.74 | $408.23 |
| Idaho | $522.17 | $369.75 |
| Indiana | $524.65 | $371.08 |
| Iowa | $518.41 | $366.82 |
| Kansas | $518.30 | $368.53 |
| Kentucky | $526.02 | $378.74 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $616.17 | $420.19 |
| Madera | $580.72 | $399.15 |
| Manhattan | $642.64 | $450.13 |
| Merced | $580.72 | $399.15 |
| Metropolitan Boston | $626.19 | $428.38 |
| Metropolitan Kansas City | $542.84 | $387.28 |
| Metropolitan Philadelphia | $584.01 | $411.55 |
| Metropolitan St. Louis | $547.48 | $389.77 |
| Miami | $619.54 | $447.08 |
| Minnesota | $549.56 | $379.09 |
| Mississippi | $512.40 | $369.76 |
| Modesto | $580.72 | $399.15 |
| Montana** | $561.74 | $396.08 |
| Napa | $657.10 | $438.75 |
| Nebraska | $520.24 | $367.33 |
| Nevada** | $557.14 | $391.30 |
| New Hampshire | $570.37 | $397.91 |
| New Mexico | $542.91 | $390.99 |
| New Orleans | $548.17 | $392.28 |
| North Carolina | $531.00 | $376.43 |
| North Dakota** | $544.15 | $378.48 |
| Northern Nj | $626.41 | $434.23 |
| Nyc Suburbs/Long Island | $658.78 | $461.80 |
| Ohio | $535.98 | $384.72 |
| Oklahoma | $523.12 | $375.17 |
| Oxnard-Thousand Oaks-Ventura | $611.63 | $415.81 |
| Portland | $591.17 | $407.11 |
| Poughkpsie/N Nyc Suburbs | $606.97 | $425.56 |
| Puerto Rico | $564.65 | $397.16 |
| Queens | $644.35 | $448.53 |
| Redding | $580.72 | $399.15 |
| Rest Of California | $580.72 | $399.15 |
| Rest Of Florida | $563.57 | $405.19 |
| Rest Of Georgia | $535.15 | $387.38 |
| Rest Of Illinois | $552.47 | $401.22 |
| Rest Of Louisiana | $526.10 | $379.48 |
| Rest Of Maine | $526.60 | $374.18 |
| Rest Of Maryland | $565.29 | $397.63 |
| Rest Of Massachusetts | $575.37 | $400.92 |
| Rest Of Michigan | $539.57 | $388.32 |
| Rest Of Missouri | $519.68 | $376.88 |
| Rest Of New Jersey | $601.55 | $420.64 |
| Rest Of New York | $537.99 | $380.61 |
| Rest Of Oregon | $551.78 | $386.77 |
| Rest Of Pennsylvania | $535.60 | $383.52 |
| Rest Of Texas | $543.64 | $386.42 |
| Rest Of Washington | $573.60 | $399.15 |
| Rhode Island | $572.90 | $401.76 |
| Riverside-San Bernardino-Ontario | $590.38 | $408.81 |
| Sacramento-Roseville-Folsom | $605.21 | $412.54 |
| Salinas | $602.85 | $410.84 |
| San Diego-Chula Vista-Carlsbad | $613.89 | $415.75 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $690.64 | $457.05 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $689.63 | $456.04 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $706.01 | $467.11 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $701.88 | $462.98 |
| San Luis Obispo-Paso Robles | $593.61 | $404.91 |
| Santa Cruz-Watsonville | $617.31 | $416.02 |
| Santa Maria-Santa Barbara | $604.25 | $411.08 |
| Santa Rosa-Petaluma | $623.29 | $419.85 |
| Seattle (King Cnty) | $636.00 | $432.72 |
| South Carolina | $534.57 | $381.50 |
| South Dakota** | $542.06 | $376.40 |
| Southern Maine | $548.14 | $383.96 |
| Stockton | $580.72 | $399.15 |
| Suburban Chicago | $594.47 | $424.33 |
| Tennessee | $520.78 | $370.18 |
| Utah | $540.79 | $385.07 |
| Vallejo | $655.64 | $437.29 |
| Vermont | $544.12 | $380.11 |
| Virgin Islands | $564.65 | $397.16 |
| Virginia | $547.97 | $385.12 |
| Visalia | $580.72 | $399.15 |
| West Virginia | $535.37 | $391.40 |
| Wisconsin | $528.65 | $369.94 |
| Wyoming** | $554.07 | $388.41 |
| Yuba City | $580.72 | $399.15 |
28140 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.
$505.14
$684.17
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 | $684.17 | 1 |
| AL | $511.45 | 1 |
| AR | $505.14 | 1 |
| AZ | $548.23 | 1 |
| CA | $580.72–$706.01 | 29 |
| CO | $577.26 | 1 |
| CT | $595.76 | 1 |
| DC | $631.05 | 1 |
| DE | $556.37 | 1 |
| FL | $563.57–$619.54 | 3 |
| GA | $535.15–$573.27 | 2 |
| GU | $590.33 | 1 |
| HI | $590.33 | 1 |
| IA | $518.41 | 1 |
| ID | $522.17 | 1 |
| IL | $552.47–$603.42 | 4 |
| IN | $524.65 | 1 |
| KS | $518.30 | 1 |
| KY | $526.02 | 1 |
| LA | $526.10–$548.17 | 2 |
| MA | $575.37–$626.19 | 2 |
| MD | $565.29–$631.05 | 3 |
| ME | $526.60–$548.14 | 2 |
| MI | $539.57–$571.71 | 2 |
| MN | $549.56 | 1 |
| MO | $519.68–$547.48 | 3 |
| MS | $512.40 | 1 |
| MT | $561.74 | 1 |
| NC | $531.00 | 1 |
| ND | $544.15 | 1 |
| NE | $520.24 | 1 |
| NH | $570.37 | 1 |
| NJ | $601.55–$626.41 | 2 |
| NM | $542.91 | 1 |
| NV | $557.14 | 1 |
| NY | $537.99–$658.78 | 5 |
| OH | $535.98 | 1 |
| OK | $523.12 | 1 |
| OR | $551.78–$591.17 | 2 |
| PA | $535.60–$584.01 | 2 |
| PR | $564.65 | 1 |
| RI | $572.90 | 1 |
| SC | $534.57 | 1 |
| SD | $542.06 | 1 |
| TN | $520.78 | 1 |
| TX | $532.73–$576.26 | 8 |
| UT | $540.79 | 1 |
| VA | $547.97–$631.05 | 2 |
| VI | $564.65 | 1 |
| VT | $544.12 | 1 |
| WA | $573.60–$636.00 | 2 |
| WI | $528.65 | 1 |
| WV | $535.37 | 1 |
| WY | $554.07 | 1 |
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
Swap in your local Medicare rate.
Work 6.96Practice expense 8.97Malpractice 0.89
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
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
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| 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 · 28140
Metatarsal excision
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 51 · payment effect
With and without the modifier
28140 without 51 · national office
$561.80
Metatarsal excision
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%).
28140 compared with similar codes
Compare codes
28140 vs 28110 vs 28114 vs 28122 vs 28173: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 28110Metatarsal resection
- 28110 describes partial excision at the fifth metatarsal head. Use 28140 when the entire metatarsal is removed.
- 28114Metatarsal head excision
- 28114 addresses metatarsal head removal. 28140 represents complete removal of the metatarsal, not just its head.
- 28122Tarsal bone excision
- 28122 is for partial excision of a tarsal or metatarsal bone. Choose 28140 when the full metatarsal is excised.
- 28173Bone tumor surgery
- 28173 is for resection of a metatarsal tumor. For complete metatarsal excision for another indication, consider 28140.
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
Fee sheets
Put 28140 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →