28111 Part removal of metatarsal
Also known as: metatarsal head excision, metatarsal head removal, distal metatarsal amputation
Partial excision of metatarsal bone with removal of metatarsal head. This procedure removes the metatarsal head while preserving the base for structural support.
In Plain Language
removing the head of a metatarsal bone; ball of foot partial removal
Clinical Context
Performed for painful metatarsal head pathology, transfer metatarsalgia, or rheumatoid forefoot reconstruction. Provides pain relief in weight-bearing areas.
RVU Breakdown
| Work RVU | 5.02 |
| Total RVU | 5.02 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 5.02, this code ranks in the 34th percentile among Surgery codes — 1.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28111?
CPT 28111 (Part removal of metatarsal) is a Surgery code. Partial excision of metatarsal bone with removal of metatarsal head. This procedure removes the metatarsal head while preserving the base for structural support.
What is the wRVU value for CPT 28111?
The work RVU for CPT 28111 is 5.02. This code is primarily used by orthopedic surgery, foot and ankle surgery. It has a 90-day global period.
When is CPT 28111 used?
Performed for painful metatarsal head pathology, transfer metatarsalgia, or rheumatoid forefoot reconstruction. Provides pain relief in weight-bearing areas.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.