$511.45
28140 represents removal of a metatarsal, not partial resection limited to the fifth metatarsal head.
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CMS RVU26D · Effective 2026-10-01
28110 Metatarsal resection Medicare reimbursement rates in Alabama
Reports partial removal of the fifth metatarsal head, commonly to relieve a painful lateral prominence that causes shoe pressure or irritation. Compare 28110 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 28110 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$421.28
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$259.37
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Foot surgery
About 28110: Partial fifth metatarsal head resection
Reports partial removal of the fifth metatarsal head, commonly to relieve a painful lateral prominence that causes shoe pressure or irritation.
This procedure removes part of the fifth metatarsal head, commonly for a painful bunionette (tailor’s bunion) with lateral prominence and shoe-related pressure or irritation. A podiatrist or orthopedic foot-and-ankle surgeon typically performs it in an operating room or ambulatory surgery center. The operative work is a partial resection of the fifth metatarsal head, rather than removal of the entire metatarsal or correction by metatarsal osteotomy.
Select the code when the documented operation removes only part of the fifth metatarsal head. The operative report should identify the bone and side, describe the extent of resection, and support the indication. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 28110
- 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 RVU4.11 · 29%
- Practice expense (office) RVU9.42 · 67%
- Malpractice RVU0.46 · 3%
2.7K
Medicare services in 2024 · #2241 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.
28110 compared with similar codes
Office rates for Alabama, from the same CMS release.
$527.60
Use 28308 when the documented procedure is a metatarsal osteotomy for structural correction, rather than partial resection of the fifth metatarsal head.
Compare 28110 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$421.28
Facility
$259.37
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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 28110 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
3,124
- Code
- 28110
- Physician work
- 4.11
- Practice expense
- 9.42
- Malpractice
- 0.46
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.11 | × 1.000 | 4.1100 |
| Practice expense | 9.42 | × 0.875 | 8.2425 |
| Malpractice | 0.46 | × 0.566 | 0.2604 |
| Total RVUs | 12.6129 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$421.28
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.11 | 1 |
| Practice expense | 9.42 | 0.875 |
| Malpractice | 0.46 | 0.566 |
(4.11 × 1 + 9.42 × 0.875 + 0.46 × 0.566) × $33.4009 = $421.28
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.11 | 1 |
| Practice expense | 3.88 | 0.875 |
| Malpractice | 0.46 | 0.566 |
(4.11 × 1 + 3.88 × 0.875 + 0.46 × 0.566) × $33.4009 = $259.37
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.
28110 billing questions
When is this code appropriate for a bunionette?
Use it when the surgeon partially removes the fifth metatarsal head. A bunionette diagnosis alone does not establish the procedure; the operative report must support the partial resection.
How does it differ from complete fifth metatarsal head removal?
This code represents partial removal of the fifth metatarsal head. Code 28115 is for complete excision of that head.
Does the 90-day global period include postoperative visits?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery paid under the CMS rule?
When reported bilaterally with modifier 50, CMS pays this procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only when supporting documentation is provided.
What happens when it is performed with another procedure in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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.
3,12128106,,Remove/graft foot lesion,A,,7.17,4.11,NA,4.11,,0.60,11.88,11.88,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12228107,,Remove/graft foot lesion,A,,5.59,8.84,,3.67,,0.47,14.90,9.73,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12328108,,Removal of toe lesions,A,,4.19,8.30,,3.60,,0.42,12.91,8.21,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12428110,,Part removal of metatarsal,A,,4.11,9.42,,3.88,,0.46,13.99,8.45,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12528111,,Part removal of metatarsal,A,,5.02,8.59,,3.48,,0.55,14.16,9.05,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12628112,,Part removal of metatarsal,A,,4.51,9.43,,3.89,,0.49,14.43,8.89,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12728113,,Part removal of metatarsal,A,,5.96,10.94,,5.61,,0.60,17.50,12.17,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515