$446.83
28110 addresses partial resection of the fifth metatarsal head; this code is for the first metatarsal head.
On this page
CMS RVU26D · Effective 2026-10-01
28111 Metatarsal excision Medicare reimbursement rates in Utah
Reports surgical removal of a limited portion of the first metatarsal head, such as a painful bony prominence, without removing the entire bone. Compare 28111 office and facility rates across CMS payment localities in Utah.
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 28111 in Utah?
Utah 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
$453.87
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$293.43
1 of 1 localities have a supported rate.
Payment area: Utah
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 28111: Partial first metatarsal head excision
Reports surgical removal of a limited portion of the first metatarsal head, such as a painful bony prominence, without removing the entire bone.
The surgeon removes a limited portion of the head of the first metatarsal, the long bone behind the great toe. This may address a painful prominence or localized bone problem. The procedure is performed by a foot and ankle surgeon or other qualified surgeon, commonly in an operating room or ambulatory surgery center. The operative report should identify the first metatarsal and describe the portion removed and the reason for excision.
Select this code when the work is a partial resection of the first metatarsal head, rather than a resection of another metatarsal or removal of the whole bone. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and the others are subject to the standard multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 28111
- 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 RVU5.02 · 35%
- Practice expense (office) RVU8.59 · 61%
- Malpractice RVU0.55 · 4%
698
Medicare services in 2024 · #3264 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.
28111 compared with similar codes
Office rates for Utah, from the same CMS release.
$540.79
28140 describes removal of a metatarsal, while this code is limited to partial resection of the first metatarsal head.
$845.41
Choose 28296 when hallux valgus is corrected with a distal metatarsal osteotomy. This code describes partial excision of the first metatarsal head.
Compare 28111 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
Utah →
Office / nonfacility
$453.87
Facility
$293.43
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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 28111 in Utah.
PPRRVU2026_Oct_nonQPP.csv
3,125
- Code
- 28111
- Physician work
- 5.02
- Practice expense
- 8.59
- Malpractice
- 0.55
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.02 | × 1.000 | 5.0200 |
| Practice expense | 8.59 | × 0.940 | 8.0746 |
| Malpractice | 0.55 | × 0.898 | 0.4939 |
| Total RVUs | 13.5885 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$453.87
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.02 | 1 |
| Practice expense | 8.59 | 0.94 |
| Malpractice | 0.55 | 0.898 |
(5.02 × 1 + 8.59 × 0.94 + 0.55 × 0.898) × $33.4009 = $453.87
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.02 | 1 |
| Practice expense | 3.48 | 0.94 |
| Malpractice | 0.55 | 0.898 |
(5.02 × 1 + 3.48 × 0.94 + 0.55 × 0.898) × $33.4009 = $293.43
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.
28111 billing questions
How is this code distinguished from 28110?
This code is for partial resection of the first metatarsal head. Code 28110 applies to the fifth metatarsal head.
When is 28112 more appropriate?
Use 28112 when the partial resection involves the second metatarsal head, rather than the first.
Does the global period include routine postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
What documentation supports reporting this code?
The operative report should establish that the surgeon removed part of the first metatarsal head and document the indication and extent of the resection.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment is restricted 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.
3,12228107,,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
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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985