$448.14
Use 28111 when the resected head is the first metatarsal; this code identifies the second metatarsal head.
On this page
CMS RVU26D · Effective 2026-10-01
28112 Metatarsal head resection Medicare reimbursement rates in Ohio
Reports surgical removal of the second metatarsal head, such as for a painful pressure prominence or deformity affecting the forefoot. Compare 28112 office and facility rates across CMS payment localities in Ohio.
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 28112 in Ohio?
Ohio 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
$454.70
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$285.76
1 of 1 localities have a supported rate.
Payment area: Ohio
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 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 Ohio, from the same CMS release.
$552.89
Use 28113 for resection of the third metatarsal head. The metatarsal identified in the operative report determines the code.
$440.03
28110 describes partial excision of the fifth metatarsal head. This code concerns resection of the second metatarsal head.
$535.98
28140 is for removal of a metatarsal, rather than resection limited to the second metatarsal head.
Compare 28112 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
Ohio →
Office / nonfacility
$454.70
Facility
$285.76
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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 28112 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
3,126
- Code
- 28112
- Physician work
- 4.51
- Practice expense
- 9.43
- Malpractice
- 0.49
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.51 | × 1.000 | 4.5100 |
| Practice expense | 9.43 | × 0.913 | 8.6096 |
| Malpractice | 0.49 | × 1.008 | 0.4939 |
| Total RVUs | 13.6135 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$454.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.51 | 1 |
| Practice expense | 9.43 | 0.913 |
| Malpractice | 0.49 | 1.008 |
(4.51 × 1 + 9.43 × 0.913 + 0.49 × 1.008) × $33.4009 = $454.70
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.51 | 1 |
| Practice expense | 3.89 | 0.913 |
| Malpractice | 0.49 | 1.008 |
(4.51 × 1 + 3.89 × 0.913 + 0.49 × 1.008) × $33.4009 = $285.76
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.
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.
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
3,12828114,,Removal of metatarsal heads,A,,11.70,19.94,,10.49,,1.69,33.33,23.88,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,12928116,,Revision of foot,A,,8.91,10.42,,4.87,,0.76,20.09,14.54,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703