Billing code 28112: Metatarsal head resectionMedicare rate & RVUs in Nevada
Reports surgical removal of the second metatarsal head, such as for a painful pressure prominence or deformity affecting the forefoot.
Medicare pays $479.56 for 28112 in the office in Nevada (Nevada**). Which amount applies depends on the service address.
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 9 sections
What 28112 covers
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.
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 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $479.56 | $294.33 |
How the 28112 rate is calculated
Each of 28112’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 · 28112
RVUs × geographic indexes × conversion factor
Work4.51
4.51 RVUs× 1.000 GPCI
Practice expense9.43
9.43 RVUs× 1.000 GPCI
Malpractice0.49
0.49 RVUs× 1.000 GPCI
Adjusted RVUs
14.4300
Conversion factor
$33.4009
Medicare rate
$481.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 28112
28112 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 28112
Metatarsal head resection
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 · 28112
Metatarsal head resection
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 50 · payment effect
With and without the modifier
28112 without 50 · national office
$481.97
Metatarsal head resection
28112-50 · Bilateral: 150%
$722.96
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
28112 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 28111Metatarsal excision
- Use 28111 when the resected head is the first metatarsal; this code identifies the second metatarsal head.
- 28113Metatarsal excision
- Use 28113 for resection of the third metatarsal head. The metatarsal identified in the operative report determines the code.
- 28110Metatarsal resection
- 28110 describes partial excision of the fifth metatarsal head. This code concerns resection of the second metatarsal head.
- 28140Metatarsal excision
- 28140 is for removal of a metatarsal, rather than resection limited to the second metatarsal head.
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 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
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