$482.07–$542.75
Use 28110 for partial excision of the fifth metatarsal head. This code describes complete excision of a third, fourth, or fifth metatarsal head.
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CMS RVU26D · Effective 2026-10-01
28113 Metatarsal excision Medicare reimbursement rates in Washington
Reports complete removal of a third, fourth, or fifth metatarsal head, such as for a symptomatic bony prominence or pressure-related forefoot problem. Compare 28113 office and facility rates across CMS payment localities in Washington.
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 28113 in Washington?
Washington has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$601.68–$673.75
2 of 2 localities have a supported rate.
Facility setting
$414.22–$455.31
2 of 2 localities have a supported rate.
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 28113: Complete excision of a lesser metatarsal head
Reports complete removal of a third, fourth, or fifth metatarsal head, such as for a symptomatic bony prominence or pressure-related forefoot problem.
This service removes the head of a third, fourth, or fifth metatarsal. Foot and ankle surgeons and podiatrists may perform it for a painful prominence, deformity, or pressure problem such as a recurrent ulcer beneath the affected metatarsal head. The operative report should identify the bone and side, describe the extent of bone removed, and explain the clinical indication. A procedure that reshapes the bone without removing the head is a different service.
Report this code when the documented work is complete excision of one of these metatarsal heads, rather than partial removal of the fifth metatarsal head or excision of a different metatarsal. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 28113
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.96 · 34%
- Practice expense (office) RVU10.94 · 63%
- Malpractice RVU0.60 · 3%
3K
Medicare services in 2024 · #2168 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.
28113 compared with similar codes
Office rates for Washington, from the same CMS release.
$496.72–$558.01
Code 28112 applies to complete excision of the second metatarsal head; this code is for the third, fourth, or fifth.
$1,140.14–$1,273.65
Code 28114 describes metatarsal head resection on an each-head basis. Select the code that matches the documented procedure and its specific coding instructions.
$573.60–$636.00
Code 28140 removes a metatarsal, not just its head. This code is limited to complete excision of a third, fourth, or fifth metatarsal head.
Compare 28113 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.
2 of 2 payment localities
Rest Of Washington →
Office / nonfacility
$601.68
Facility
$414.22
Seattle (King Cnty) →
Office / nonfacility
$673.75
Facility
$455.31
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28113 billing questions
How does this differ from code 28110?
This code is for complete excision of a third, fourth, or fifth metatarsal head. Code 28110 describes partial excision of the fifth metatarsal head.
What documentation supports reporting this code?
Document the affected side and metatarsal, the reason for surgery, and that the metatarsal head was completely excised. The operative report should distinguish this work from a partial resection or an osteotomy.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
Use modifier 50 for a bilateral procedure; CMS pays it at 150%.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
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 50% 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.
3,12428110,,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
3,13028118,,Removal of heel bone,A,,5.98,12.08,,5.31,,0.86,18.92,12.15,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00