28114 Removal of metatarsal heads
Also known as: multiple metatarsal head removal, metatarsal head excision multiple, forefoot head resection
Excision of metatarsal head(s) of the great toe and two or more lesser metatarsals. This comprehensive procedure removes multiple metatarsal heads for severe forefoot pathology.
In Plain Language
removing the ball of the foot area; extensive forefoot surgery
Clinical Context
Performed for severe rheumatoid arthritis, diabetic forefoot ulceration, or post-traumatic deformity. Extensive surgery with significant functional impact.
RVU Breakdown
| Work RVU | 11.70 |
| Total RVU | 11.70 |
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 11.70, this code ranks in the 64th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28114?
CPT 28114 (Removal of metatarsal heads) is a Surgery code. Excision of metatarsal head(s) of the great toe and two or more lesser metatarsals. This comprehensive procedure removes multiple metatarsal heads for severe forefoot pathology.
What is the wRVU value for CPT 28114?
The work RVU for CPT 28114 is 11.70. This code is primarily used by orthopedic surgery, foot and ankle surgery, rheumatology. It has a 90-day global period.
When is CPT 28114 used?
Performed for severe rheumatoid arthritis, diabetic forefoot ulceration, or post-traumatic deformity. Extensive surgery with significant functional impact.
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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.