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CMS RVU26D · Effective 2026-10-01

28112 in El Centro

Office / nonfacility

$507.26

Base rate per service

Facility setting

$304.46

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Foot surgery

About 28112: Second metatarsal head resection

Reports surgical removal of the second metatarsal head, such as for a painful pressure prominence or deformity affecting the forefoot.

The surgeon removes the head of the second metatarsal to address a localized bone prominence, deformity, or other condition for which resection is clinically indicated. Podiatric and orthopedic surgeons typically perform this operation in an operating room or ambulatory surgery setting. The operative report should identify the second metatarsal, the side, the reason for surgery, and the bone removed.

Select this code when the documented resection is of the second metatarsal head; distinguish it from procedures involving another metatarsal or a different extent of bone removal. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted by statute; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

CMS billing rules for 28112

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.51 · 31%
  • Practice expense (office) RVU9.43 · 65%
  • Malpractice RVU0.49 · 3%

4.6K

Medicare services in 2024 · #1926 by national volume

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.

28112 compared with similar codes

Office rates for El Centro, from the same CMS release.

28111

Metatarsal excision

First metatarsal head

$494.92

Use 28111 when the resected head is the first metatarsal; this code identifies the second metatarsal head.

28113

Metatarsal excision

Third, fourth, or fifth metatarsal

$613.78

Use 28113 for resection of the third metatarsal head. The metatarsal identified in the operative report determines the code.

28110

Metatarsal resection

Partial fifth-head excision

$492.77

28110 describes partial excision of the fifth metatarsal head. This code concerns resection of the second metatarsal head.

28140

Metatarsal excision

Complete bone removal

$580.87

28140 is for removal of a metatarsal, rather than resection limited to the second metatarsal head.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 28112 is $508.67—$1.41 higher than the $507.26 rate in El Centro. Both use the same code, release and participation basis.

28112 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $507.26

  2. Bakersfield

    $508.67

    $1.41 higher than El Centro

  3. Chico

    $507.18

    $0.08 lower than El Centro

  4. Fresno

    $507.18

    $0.08 lower than El Centro

  5. Hanford-Corcoran

    $507.18

    $0.08 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $540.29

    $33.03 higher than El Centro

  7. Madera

    $507.18

    $0.08 lower than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 28112 ranges from $429.63 in Arkansas to $630.17 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 28112

    Office

    $507.18

    Facility

    $304.37

    $0.08 lower than El Centro for the office setting.

  • Modesto

    California · 28112

    Office

    $507.18

    Facility

    $304.37

    $0.08 lower than El Centro for the office setting.

  • Napa

    California · 28112

    Office

    $583.57

    Facility

    $339.69

    $76.31 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28112

    Office

    $537.35

    Facility

    $318.63

    $30.09 higher than El Centro for the office setting.

  • Redding

    California · 28112

    Office

    $507.18

    Facility

    $304.37

    $0.08 lower than El Centro for the office setting.

  • Rest Of California

    California · 28112

    Office

    $507.18

    Facility

    $304.37

    $0.08 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28112

    Office

    $512.52

    Facility

    $309.71

    $5.26 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28112

    Office

    $531.14

    Facility

    $315.94

    $23.88 higher than El Centro for the office setting.

  • Salinas

    California · 28112

    Office

    $529.13

    Facility

    $314.67

    $21.87 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28112

    Office

    $540.73

    Facility

    $319.42

    $33.47 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28112

    Office

    $616.57

    Facility

    $355.66

    $109.31 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 28112

    Office

    $616.01

    Facility

    $355.11

    $108.75 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 28112

    Office

    $630.17

    Facility

    $363.34

    $122.91 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 28112

    Office

    $627.89

    Facility

    $361.06

    $120.63 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28112

    Office

    $520.72

    Facility

    $309.96

    $13.46 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 28112

    Office

    $545.26

    Facility

    $320.44

    $38.00 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 28112

    Office

    $530.88

    Facility

    $315.13

    $23.62 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 28112

    Office

    $550.71

    Facility

    $323.48

    $43.45 higher than El Centro for the office setting.

  • Stockton

    California · 28112

    Office

    $507.18

    Facility

    $304.37

    $0.08 lower than El Centro for the office setting.

  • Vallejo

    California · 28112

    Office

    $582.77

    Facility

    $338.89

    $75.51 higher than El Centro for the office setting.

  • Visalia

    California · 28112

    Office

    $507.18

    Facility

    $304.37

    $0.08 lower than El Centro for the office setting.

  • Yuba City

    California · 28112

    Office

    $507.18

    Facility

    $304.37

    $0.08 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28112

    Office

    $548.02

    Facility

    $330.05

    $40.76 higher than El Centro for the office setting.

  • Miami

    Florida · 28112

    Office

    $519.91

    Facility

    $327.29

    $12.65 higher than El Centro for the office setting.

  • Chicago

    Illinois · 28112

    Office

    $505.80

    Facility

    $319.83

    $1.46 lower than El Centro for the office setting.

  • Manhattan

    New York · 28112

    Office

    $552.23

    Facility

    $337.21

    $44.97 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 28112

    Office

    $570.42

    Facility

    $373.35

    $63.16 higher than El Centro for the office setting.

  • Alabama

    Alabama · 28112

    Office

    $435.50

    Facility

    $273.59

    $71.76 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 28112

    Office

    $429.63

    Facility

    $270.68

    $77.63 lower than El Centro for the office setting.

  • Arizona

    Arizona · 28112

    Office

    $469.85

    Facility

    $290.55

    $37.41 lower than El Centro for the office setting.

  • Colorado

    Colorado · 28112

    Office

    $500.36

    Facility

    $303.47

    $6.90 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 28112

    Office

    $512.68

    Facility

    $313.39

    $5.42 higher than El Centro for the office setting.

  • Delaware

    Delaware · 28112

    Office

    $477.30

    Facility

    $294.48

    $29.96 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 28112

    Office

    $499.29

    Facility

    $311.85

    $7.97 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 28112

    Office

    $476.35

    Facility

    $299.45

    $30.91 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 28112

    Office

    $490.76

    Facility

    $302.75

    $16.50 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 28112

    Office

    $451.10

    Facility

    $286.04

    $56.16 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 28112

    Office

    $518.24

    Facility

    $307.84

    $10.98 higher than El Centro for the office setting.

  • Iowa

    Iowa · 28112

    Office

    $445.33

    Facility

    $276.02

    $61.93 lower than El Centro for the office setting.

  • Idaho

    Idaho · 28112

    Office

    $448.15

    Facility

    $277.91

    $59.11 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 28112

    Office

    $473.37

    Facility

    $303.14

    $33.89 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 28112

    Office

    $463.79

    Facility

    $294.84

    $43.47 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 28112

    Office

    $504.17

    Facility

    $314.13

    $3.09 lower than El Centro for the office setting.

  • Indiana

    Indiana · 28112

    Office

    $450.57

    Facility

    $279.04

    $56.69 lower than El Centro for the office setting.

  • Kansas

    Kansas · 28112

    Office

    $443.62

    Facility

    $276.34

    $63.64 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 28112

    Office

    $445.62

    Facility

    $281.12

    $61.64 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 28112

    Office

    $465.62

    Facility

    $291.49

    $41.64 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 28112

    Office

    $445.07

    Facility

    $281.30

    $62.19 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 28112

    Office

    $547.46

    Facility

    $326.52

    $40.20 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28112

    Office

    $497.76

    Facility

    $302.91

    $9.50 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28112

    Office

    $511.26

    Facility

    $312.71

    $4.00 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 28112

    Office

    $485.92

    Facility

    $298.66

    $21.34 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 28112

    Office

    $450.59

    Facility

    $280.35

    $56.67 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 28112

    Office

    $473.10

    Facility

    $289.73

    $34.16 lower than El Centro for the office setting.

  • Detroit

    Michigan · 28112

    Office

    $482.18

    Facility

    $303.61

    $25.08 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 28112

    Office

    $456.68

    Facility

    $287.74

    $50.58 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 28112

    Office

    $479.59

    Facility

    $289.18

    $27.67 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 28112

    Office

    $462.39

    Facility

    $288.63

    $44.87 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 28112

    Office

    $466.89

    Facility

    $290.73

    $40.37 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 28112

    Office

    $438.08

    Facility

    $278.58

    $69.18 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 28112

    Office

    $433.92

    Facility

    $274.60

    $73.34 lower than El Centro for the office setting.

  • Montana**

    Montana · 28112

    Office

    $481.94

    Facility

    $296.90

    $25.32 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 28112

    Office

    $454.96

    Facility

    $282.32

    $52.30 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 28112

    Office

    $472.25

    Facility

    $287.21

    $35.01 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 28112

    Office

    $447.54

    Facility

    $276.75

    $59.72 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 28112

    Office

    $492.84

    Facility

    $300.22

    $14.42 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 28112

    Office

    $542.97

    Facility

    $328.33

    $35.71 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 28112

    Office

    $518.57

    Facility

    $316.50

    $11.31 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 28112

    Office

    $459.12

    Facility

    $289.44

    $48.14 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 28112

    Office

    $479.56

    Facility

    $294.33

    $27.70 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28112

    Office

    $565.17

    Facility

    $345.16

    $57.91 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28112

    Office

    $522.11

    Facility

    $319.49

    $14.85 higher than El Centro for the office setting.

  • Queens

    New York · 28112

    Office

    $556.17

    Facility

    $337.46

    $48.91 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 28112

    Office

    $461.37

    Facility

    $285.58

    $45.89 lower than El Centro for the office setting.

  • Ohio

    Ohio · 28112

    Office

    $454.70

    Facility

    $285.76

    $52.56 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 28112

    Office

    $444.62

    Facility

    $279.38

    $62.64 lower than El Centro for the office setting.

  • Portland

    Oregon · 28112

    Office

    $515.16

    Facility

    $309.58

    $7.90 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 28112

    Office

    $475.85

    Facility

    $291.55

    $31.41 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28112

    Office

    $500.76

    Facility

    $308.13

    $6.50 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28112

    Office

    $455.25

    Facility

    $285.38

    $52.01 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 28112

    Office

    $485.19

    Facility

    $298.12

    $22.07 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 28112

    Office

    $493.46

    Facility

    $302.32

    $13.80 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 28112

    Office

    $455.58

    Facility

    $284.60

    $51.68 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 28112

    Office

    $471.11

    Facility

    $286.07

    $36.15 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 28112

    Office

    $445.74

    Facility

    $277.53

    $61.52 lower than El Centro for the office setting.

  • Austin

    Texas · 28112

    Office

    $498.68

    Facility

    $302.91

    $8.58 lower than El Centro for the office setting.

  • Beaumont

    Texas · 28112

    Office

    $452.47

    Facility

    $284.08

    $54.79 lower than El Centro for the office setting.

  • Brazoria

    Texas · 28112

    Office

    $476.74

    Facility

    $293.37

    $30.52 lower than El Centro for the office setting.

  • Dallas

    Texas · 28112

    Office

    $479.75

    Facility

    $295.45

    $27.51 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 28112

    Office

    $476.81

    Facility

    $294.36

    $30.45 lower than El Centro for the office setting.

  • Galveston

    Texas · 28112

    Office

    $478.16

    Facility

    $294.41

    $29.10 lower than El Centro for the office setting.

  • Houston

    Texas · 28112

    Office

    $487.13

    Facility

    $303.38

    $20.13 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 28112

    Office

    $464.32

    Facility

    $288.72

    $42.94 lower than El Centro for the office setting.

  • Utah

    Utah · 28112

    Office

    $461.41

    Facility

    $287.47

    $45.85 lower than El Centro for the office setting.

  • Virginia

    Virginia · 28112

    Office

    $471.81

    Facility

    $289.91

    $35.45 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28112

    Office

    $485.19

    Facility

    $298.12

    $22.07 lower than El Centro for the office setting.

  • Vermont

    Vermont · 28112

    Office

    $470.74

    Facility

    $287.55

    $36.52 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 28112

    Office

    $496.72

    Facility

    $301.87

    $10.54 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 28112

    Office

    $558.01

    Facility

    $330.96

    $50.75 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 28112

    Office

    $457.42

    Facility

    $280.15

    $49.84 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 28112

    Office

    $447.77

    Facility

    $286.97

    $59.49 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 28112

    Office

    $477.72

    Facility

    $292.68

    $29.54 lower than El Centro for the office setting.

See how rates vary across the country

28112 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$429.63

$570.42

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$570.421
AL$435.501
AR$429.631
AZ$469.851
CA$507.18–$630.1729
CO$500.361
CT$512.681
DC$548.021
DE$477.301
FL$476.35–$519.913
GA$451.10–$490.762
GU$518.241
HI$518.241
IA$445.331
ID$448.151
IL$463.79–$505.804
IN$450.571
KS$443.621
KY$445.621
LA$445.07–$465.622
MA$497.76–$547.462
MD$485.92–$548.023
ME$450.59–$473.102
MI$456.68–$482.182
MN$479.591
MO$438.08–$466.893
MS$433.921
MT$481.941
NC$454.961
ND$472.251
NE$447.541
NH$492.841
NJ$518.57–$542.972
NM$459.121
NV$479.561
NY$461.37–$565.175
OH$454.701
OK$444.621
OR$475.85–$515.162
PA$455.25–$500.762
PR$485.191
RI$493.461
SC$455.581
SD$471.111
TN$445.741
TX$452.47–$498.688
UT$461.411
VA$471.81–$548.022
VI$485.191
VT$470.741
WA$496.72–$558.012
WI$457.421
WV$447.771
WY$477.721

Explore 28112 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 28112 in El Centro, the physician’s office rate is $507.26 and the facility-setting rate is $304.46: a difference of $202.80.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 28112 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$557.99

$507.26 × 110% = $557.99

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 28112 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

3,126

Code
28112
Physician work
4.51
Practice expense
9.43
Malpractice
0.49

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 28112 in El Centro
ComponentRVULocality factorAdjusted
Physician work4.51× 1.0174.5867
Practice expense9.43× 1.09610.3353
Malpractice0.49× 0.5410.2651
Total RVUs15.1870
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$507.26

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 28112 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.511.017
Practice expense9.431.096
Malpractice0.490.541

(4.51 × 1.017 + 9.43 × 1.096 + 0.49 × 0.541) × $33.4009 = $507.26

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.511.017
Practice expense3.891.096
Malpractice0.490.541

(4.51 × 1.017 + 3.89 × 1.096 + 0.49 × 0.541) × $33.4009 = $304.46

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

28112 · Office / nonfacility

$507.26

Effective 2026-10-01

The base rate is $17.73 higher than on 2025-10-01, moving from $489.53 to $507.26 (3.6%).

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

    $489.53changed to$507.26

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.63 changed to 4.51
    • Practice expense RVU 9.29 changed to 9.43
    • Malpractice RVU 0.50 changed to 0.49
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $489.53

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$507.26$304.46RVU26D
2026-07-01$507.26$304.46RVU26C
2026-04-01$507.26$304.46RVU26B
2026-01-01$507.26$304.46RVU26A
2025-10-01$489.53$318.76RVU25D
2025-07-01$489.53$318.76RVU25C
2025-04-01$489.53$318.76RVU25B
2025-01-01$489.53$318.76RVU25A

28112 billing questions

How is this code distinguished from 28111 or 28113?

This code is for resection of the second metatarsal head. Codes 28111 and 28113 identify the first and third metatarsal heads, respectively.

Does the 90-day global include postoperative care?

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

How is bilateral surgery reported?

For bilateral procedures, modifier 50 applies; CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is barred by statutory restriction. Co-surgeons are paid only when supporting documentation is provided.

What documentation supports selecting this code?

The operative report should establish that the second metatarsal head was resected, identify the side, and describe the indication and extent of the bone removal.

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 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 28112PPRRVU2026_Oct_nonQPP.csv, line 3,126 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet