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CMS RVU26D · Effective 2026-10-01

28140 in El Centro

Office / nonfacility

$580.87

Base rate per service

Facility setting

$399.30

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 28140: Complete metatarsal excision

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

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.

CMS billing rules for 28140

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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
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 RVU6.96 · 41%
  • Practice expense (office) RVU8.97 · 53%
  • Malpractice RVU0.89 · 5%

752

Medicare services in 2024 · #3206 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.

28140 compared with similar codes

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

28110

Metatarsal resection

Partial fifth-head excision

$492.77

28110 describes partial excision at the fifth metatarsal head. Use 28140 when the entire metatarsal is removed.

28114

Metatarsal head excision

Second through fourth metatarsal

$1,157.92

28114 addresses metatarsal head removal. 28140 represents complete removal of the metatarsal, not just its head.

28122

Tarsal bone excision

Other tarsal bones

$625.44

28122 is for partial excision of a tarsal or metatarsal bone. Choose 28140 when the full metatarsal is excised.

28173

Bone tumor surgery

Metatarsal

No office rate

28173 is for resection of a metatarsal tumor. For complete metatarsal excision for another indication, consider 28140.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 28140 is $583.36—$2.49 higher than the $580.87 rate in El Centro. Both use the same code, release and participation basis.

28140 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $580.87

  2. Bakersfield

    $583.36

    $2.49 higher than El Centro

  3. Chico

    $580.72

    $0.15 lower than El Centro

  4. Fresno

    $580.72

    $0.15 lower than El Centro

  5. Hanford-Corcoran

    $580.72

    $0.15 lower than El Centro

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

    $616.17

    $35.30 higher than El Centro

  7. Madera

    $580.72

    $0.15 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, 28140 ranges from $505.14 in Arkansas to $706.01 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 · 28140

    Office

    $580.72

    Facility

    $399.15

    $0.15 lower than El Centro for the office setting.

  • Modesto

    California · 28140

    Office

    $580.72

    Facility

    $399.15

    $0.15 lower than El Centro for the office setting.

  • Napa

    California · 28140

    Office

    $657.10

    Facility

    $438.75

    $76.23 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28140

    Office

    $611.63

    Facility

    $415.81

    $30.76 higher than El Centro for the office setting.

  • Redding

    California · 28140

    Office

    $580.72

    Facility

    $399.15

    $0.15 lower than El Centro for the office setting.

  • Rest Of California

    California · 28140

    Office

    $580.72

    Facility

    $399.15

    $0.15 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28140

    Office

    $590.38

    Facility

    $408.81

    $9.51 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28140

    Office

    $605.21

    Facility

    $412.54

    $24.34 higher than El Centro for the office setting.

  • Salinas

    California · 28140

    Office

    $602.85

    Facility

    $410.84

    $21.98 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28140

    Office

    $613.89

    Facility

    $415.75

    $33.02 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28140

    Office

    $690.64

    Facility

    $457.05

    $109.77 higher than El Centro for the office setting.

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

    California · 28140

    Office

    $689.63

    Facility

    $456.04

    $108.76 higher than El Centro for the office setting.

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

    California · 28140

    Office

    $706.01

    Facility

    $467.11

    $125.14 higher than El Centro for the office setting.

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

    California · 28140

    Office

    $701.88

    Facility

    $462.98

    $121.01 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28140

    Office

    $593.61

    Facility

    $404.91

    $12.74 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 28140

    Office

    $617.31

    Facility

    $416.02

    $36.44 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 28140

    Office

    $604.25

    Facility

    $411.08

    $23.38 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 28140

    Office

    $623.29

    Facility

    $419.85

    $42.42 higher than El Centro for the office setting.

  • Stockton

    California · 28140

    Office

    $580.72

    Facility

    $399.15

    $0.15 lower than El Centro for the office setting.

  • Vallejo

    California · 28140

    Office

    $655.64

    Facility

    $437.29

    $74.77 higher than El Centro for the office setting.

  • Visalia

    California · 28140

    Office

    $580.72

    Facility

    $399.15

    $0.15 lower than El Centro for the office setting.

  • Yuba City

    California · 28140

    Office

    $580.72

    Facility

    $399.15

    $0.15 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 28140

    Office

    $631.05

    Facility

    $435.89

    $50.18 higher than El Centro for the office setting.

  • Miami

    Florida · 28140

    Office

    $619.54

    Facility

    $447.08

    $38.67 higher than El Centro for the office setting.

  • Chicago

    Illinois · 28140

    Office

    $603.42

    Facility

    $436.93

    $22.55 higher than El Centro for the office setting.

  • Manhattan

    New York · 28140

    Office

    $642.64

    Facility

    $450.13

    $61.77 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 28140

    Office

    $684.17

    Facility

    $507.73

    $103.30 higher than El Centro for the office setting.

  • Alabama

    Alabama · 28140

    Office

    $511.45

    Facility

    $366.49

    $69.42 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 28140

    Office

    $505.14

    Facility

    $362.83

    $75.73 lower than El Centro for the office setting.

  • Arizona

    Arizona · 28140

    Office

    $548.23

    Facility

    $387.70

    $32.64 lower than El Centro for the office setting.

  • Colorado

    Colorado · 28140

    Office

    $577.26

    Facility

    $400.99

    $3.61 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 28140

    Office

    $595.76

    Facility

    $417.34

    $14.89 higher than El Centro for the office setting.

  • Delaware

    Delaware · 28140

    Office

    $556.37

    Facility

    $392.69

    $24.50 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 28140

    Office

    $589.72

    Facility

    $421.90

    $8.85 higher than El Centro for the office setting.

  • Rest Of Florida

    Florida · 28140

    Office

    $563.57

    Facility

    $405.19

    $17.30 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 28140

    Office

    $573.27

    Facility

    $404.95

    $7.60 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 28140

    Office

    $535.15

    Facility

    $387.38

    $45.72 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 28140

    Office

    $590.33

    Facility

    $401.97

    $9.46 higher than El Centro for the office setting.

  • Iowa

    Iowa · 28140

    Office

    $518.41

    Facility

    $366.82

    $62.46 lower than El Centro for the office setting.

  • Idaho

    Idaho · 28140

    Office

    $522.17

    Facility

    $369.75

    $58.70 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 28140

    Office

    $567.98

    Facility

    $415.56

    $12.89 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 28140

    Office

    $552.47

    Facility

    $401.22

    $28.40 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 28140

    Office

    $594.47

    Facility

    $424.33

    $13.60 higher than El Centro for the office setting.

  • Indiana

    Indiana · 28140

    Office

    $524.65

    Facility

    $371.08

    $56.22 lower than El Centro for the office setting.

  • Kansas

    Kansas · 28140

    Office

    $518.30

    Facility

    $368.53

    $62.57 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 28140

    Office

    $526.02

    Facility

    $378.74

    $54.85 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 28140

    Office

    $548.17

    Facility

    $392.28

    $32.70 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 28140

    Office

    $526.10

    Facility

    $379.48

    $54.77 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 28140

    Office

    $626.19

    Facility

    $428.38

    $45.32 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28140

    Office

    $575.37

    Facility

    $400.92

    $5.50 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28140

    Office

    $594.44

    Facility

    $416.68

    $13.57 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 28140

    Office

    $565.29

    Facility

    $397.63

    $15.58 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 28140

    Office

    $526.60

    Facility

    $374.18

    $54.27 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 28140

    Office

    $548.14

    Facility

    $383.96

    $32.73 lower than El Centro for the office setting.

  • Detroit

    Michigan · 28140

    Office

    $571.71

    Facility

    $411.84

    $9.16 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 28140

    Office

    $539.57

    Facility

    $388.32

    $41.30 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 28140

    Office

    $549.56

    Facility

    $379.09

    $31.31 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 28140

    Office

    $542.84

    Facility

    $387.28

    $38.03 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 28140

    Office

    $547.48

    Facility

    $389.77

    $33.39 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 28140

    Office

    $519.68

    Facility

    $376.88

    $61.19 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 28140

    Office

    $512.40

    Facility

    $369.76

    $68.47 lower than El Centro for the office setting.

  • Montana**

    Montana · 28140

    Office

    $561.74

    Facility

    $396.08

    $19.13 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 28140

    Office

    $531.00

    Facility

    $376.43

    $49.87 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 28140

    Office

    $544.15

    Facility

    $378.48

    $36.72 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 28140

    Office

    $520.24

    Facility

    $367.33

    $60.63 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 28140

    Office

    $570.37

    Facility

    $397.91

    $10.50 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 28140

    Office

    $626.41

    Facility

    $434.23

    $45.54 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 28140

    Office

    $601.55

    Facility

    $420.64

    $20.68 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 28140

    Office

    $542.91

    Facility

    $390.99

    $37.96 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 28140

    Office

    $557.14

    Facility

    $391.30

    $23.73 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28140

    Office

    $658.78

    Facility

    $461.80

    $77.91 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28140

    Office

    $606.97

    Facility

    $425.56

    $26.10 higher than El Centro for the office setting.

  • Queens

    New York · 28140

    Office

    $644.35

    Facility

    $448.53

    $63.48 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 28140

    Office

    $537.99

    Facility

    $380.61

    $42.88 lower than El Centro for the office setting.

  • Ohio

    Ohio · 28140

    Office

    $535.98

    Facility

    $384.72

    $44.89 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 28140

    Office

    $523.12

    Facility

    $375.17

    $57.75 lower than El Centro for the office setting.

  • Portland

    Oregon · 28140

    Office

    $591.17

    Facility

    $407.11

    $10.30 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 28140

    Office

    $551.78

    Facility

    $386.77

    $29.09 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28140

    Office

    $584.01

    Facility

    $411.55

    $3.14 higher than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28140

    Office

    $535.60

    Facility

    $383.52

    $45.27 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 28140

    Office

    $564.65

    Facility

    $397.16

    $16.22 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 28140

    Office

    $572.90

    Facility

    $401.76

    $7.97 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 28140

    Office

    $534.57

    Facility

    $381.50

    $46.30 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 28140

    Office

    $542.06

    Facility

    $376.40

    $38.81 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 28140

    Office

    $520.78

    Facility

    $370.18

    $60.09 lower than El Centro for the office setting.

  • Austin

    Texas · 28140

    Office

    $576.26

    Facility

    $400.98

    $4.61 lower than El Centro for the office setting.

  • Beaumont

    Texas · 28140

    Office

    $532.73

    Facility

    $381.97

    $48.14 lower than El Centro for the office setting.

  • Brazoria

    Texas · 28140

    Office

    $554.43

    Facility

    $390.25

    $26.44 lower than El Centro for the office setting.

  • Dallas

    Texas · 28140

    Office

    $558.48

    Facility

    $393.47

    $22.39 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 28140

    Office

    $555.87

    Facility

    $392.52

    $25.00 lower than El Centro for the office setting.

  • Galveston

    Texas · 28140

    Office

    $556.45

    Facility

    $391.94

    $24.42 lower than El Centro for the office setting.

  • Houston

    Texas · 28140

    Office

    $572.74

    Facility

    $408.23

    $8.13 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 28140

    Office

    $543.64

    Facility

    $386.42

    $37.23 lower than El Centro for the office setting.

  • Utah

    Utah · 28140

    Office

    $540.79

    Facility

    $385.07

    $40.08 lower than El Centro for the office setting.

  • Virginia

    Virginia · 28140

    Office

    $547.97

    Facility

    $385.12

    $32.90 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28140

    Office

    $564.65

    Facility

    $397.16

    $16.22 lower than El Centro for the office setting.

  • Vermont

    Vermont · 28140

    Office

    $544.12

    Facility

    $380.11

    $36.75 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 28140

    Office

    $573.60

    Facility

    $399.15

    $7.27 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 28140

    Office

    $636.00

    Facility

    $432.72

    $55.13 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 28140

    Office

    $528.65

    Facility

    $369.94

    $52.22 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 28140

    Office

    $535.37

    Facility

    $391.40

    $45.50 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 28140

    Office

    $554.07

    Facility

    $388.41

    $26.80 lower than El Centro for the office setting.

See how rates vary across the country

28140 · 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.

$505.14

$684.17

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

View all state and territory rates as a table
State / territoryRate 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

Explore 28140 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 28140 in El Centro, the physician’s office rate is $580.87 and the facility-setting rate is $399.30: a difference of $181.57.

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 28140 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$638.96

$580.87 × 110% = $638.96

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 28140 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

3,137

Code
28140
Physician work
6.96
Practice expense
8.97
Malpractice
0.89

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 28140 in El Centro
ComponentRVULocality factorAdjusted
Physician work6.96× 1.0177.0783
Practice expense8.97× 1.0969.8311
Malpractice0.89× 0.5410.4815
Total RVUs17.3909
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$580.87

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

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Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.961.017
Practice expense8.971.096
Malpractice0.890.541

(6.96 × 1.017 + 8.97 × 1.096 + 0.89 × 0.541) × $33.4009 = $580.87

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.961.017
Practice expense4.011.096
Malpractice0.890.541

(6.96 × 1.017 + 4.01 × 1.096 + 0.89 × 0.541) × $33.4009 = $399.30

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

28140 · Office / nonfacility

$580.87

Effective 2026-10-01

The base rate is $14.39 higher than on 2025-10-01, moving from $566.48 to $580.87 (2.5%).

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

    $566.48changed to$580.87

    • 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 1.014 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: $566.48

    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$580.87$399.30RVU26D
2026-07-01$580.87$399.30RVU26C
2026-04-01$580.87$399.30RVU26B
2026-01-01$580.87$399.30RVU26A
2025-10-01$566.48$422.24RVU25D
2025-07-01$566.48$422.24RVU25C
2025-04-01$566.48$422.24RVU25B
2025-01-01$566.48$422.24RVU25A

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 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 28140PPRRVU2026_Oct_nonQPP.csv, line 3,137 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet