28291 Corrj halux rigdus with implant
Also known as: hallux rigidus with implant, first MTP joint arthroplasty, joint replacement hallux
Correction of hallux rigidus with implant placement, including preparation of the first metatarsophalangeal joint and insertion of a prosthetic implant to restore motion and reduce pain.
In Plain Language
Big toe joint replacement; Stiff big toe with artificial joint; Hallux replacement surgery
Clinical Context
Used for advanced hallux rigidus cases where bone-preserving procedures are insufficient and functional restoration is needed; implant provides pain relief and improved joint motion.
RVU Breakdown
| Work RVU | 7.81 |
| Total RVU | 7.81 |
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 7.81, this code ranks in the 49th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28291?
CPT 28291 (Corrj halux rigdus with implant) is a Surgery code. Correction of hallux rigidus with implant placement, including preparation of the first metatarsophalangeal joint and insertion of a prosthetic implant to restore motion and reduce pain.
What is the wRVU value for CPT 28291?
The work RVU for CPT 28291 is 7.81. This code is primarily used by Orthopedic Surgery, Foot and Ankle Surgery, Podiatry. It has a 90-day global period.
When is CPT 28291 used?
Used for advanced hallux rigidus cases where bone-preserving procedures are insufficient and functional restoration is needed; implant provides pain relief and improved joint motion.
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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.