$433.49
28110 describes partial excision at the fifth metatarsal head. Use 28140 when the entire metatarsal is removed.
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CMS RVU26D · Effective 2026-10-01
28140 Metatarsal excision Medicare reimbursement rates in Nebraska
Reports complete removal of a metatarsal, such as for severe bone infection or destructive disease requiring excision of the entire bone. Compare 28140 office and facility rates across CMS payment localities in Nebraska.
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 28140 in Nebraska?
Nebraska 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
$520.24
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$367.33
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 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 Nebraska, from the same CMS release.
$1,026.86
28114 addresses metatarsal head removal. 28140 represents complete removal of the metatarsal, not just its head.
$556.37
28122 is for partial excision of a tarsal or metatarsal bone. Choose 28140 when the full metatarsal is excised.
No office rate
28173 is for resection of a metatarsal tumor. For complete metatarsal excision for another indication, consider 28140.
Compare 28140 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
Nebraska →
Office / nonfacility
$520.24
Facility
$367.33
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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 28140 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
3,137
- Code
- 28140
- Physician work
- 6.96
- Practice expense
- 8.97
- Malpractice
- 0.89
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.96 | × 1.000 | 6.9600 |
| Practice expense | 8.97 | × 0.923 | 8.2793 |
| Malpractice | 0.89 | × 0.378 | 0.3364 |
| Total RVUs | 15.5757 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$520.24
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.96 | 1 |
| Practice expense | 8.97 | 0.923 |
| Malpractice | 0.89 | 0.378 |
(6.96 × 1 + 8.97 × 0.923 + 0.89 × 0.378) × $33.4009 = $520.24
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.96 | 1 |
| Practice expense | 4.01 | 0.923 |
| Malpractice | 0.89 | 0.378 |
(6.96 × 1 + 4.01 × 0.923 + 0.89 × 0.378) × $33.4009 = $367.33
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.
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.
3,13428124,,Partial removal of toe,A,,4.88,8.85,,4.17,,0.47,14.20,9.52,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13528126,,Partial removal of toe,A,,3.55,7.66,,3.20,,0.38,11.59,7.13,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13628130,,Removal of ankle bone,A,,9.26,7.28,NA,7.28,,1.39,17.93,17.93,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13728140,,Removal of metatarsal,A,,6.96,8.97,,4.01,,0.89,16.82,11.86,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13828150,,Removal of toe,A,,4.12,7.85,,3.40,,0.43,12.40,7.95,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,13928153,,Partial removal of toe,A,,3.71,7.86,,3.44,,0.36,11.93,7.51,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,14028160,,Partial removal of toe,A,,3.78,8.01,,3.48,,0.39,12.18,7.65,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068