28112 Part removal of metatarsal
Also known as: distal metatarsal excision, metatarsal head and neck removal, metatarsal distal amputation
Partial excision of metatarsal with distal removal (head and neck). This procedure removes the distal metatarsal including head and neck portions.
In Plain Language
removing the end portion of a metatarsal bone; forefoot bone removal
Clinical Context
Used for metatarsal head necrosis, symptomatic bony prominences, or failed forefoot surgery. More extensive than simple head removal.
RVU Breakdown
| Work RVU | 4.51 |
| Total RVU | 4.51 |
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 4.51, this code ranks in the 31st percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28112?
CPT 28112 (Part removal of metatarsal) is a Surgery code. Partial excision of metatarsal with distal removal (head and neck). This procedure removes the distal metatarsal including head and neck portions.
What is the wRVU value for CPT 28112?
The work RVU for CPT 28112 is 4.51. This code is primarily used by orthopedic surgery, foot and ankle surgery. It has a 90-day global period.
When is CPT 28112 used?
Used for metatarsal head necrosis, symptomatic bony prominences, or failed forefoot surgery. More extensive than simple head removal.
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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.