28309 Incision of metatarsals
Also known as: multiple metatarsal incision, pan-metatarsal access, metatarsal exposure
Surgical incision into multiple metatarsal bones for comprehensive decompression, biopsy, or treatment of pathology affecting multiple metatarsals such as widespread stress fractures or osteomyelitis.
In Plain Language
Multiple metatarsal surgery; Multiple foot bone incision; Multi-level foot surgery
Clinical Context
Used for pathology affecting multiple metatarsals such as widespread stress fractures, infections, or osteochondritis requiring comprehensive surgical access.
RVU Breakdown
| Work RVU | 13.81 |
| Total RVU | 13.81 |
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 13.81, this code ranks in the 70th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28309?
CPT 28309 (Incision of metatarsals) is a Surgery code. Surgical incision into multiple metatarsal bones for comprehensive decompression, biopsy, or treatment of pathology affecting multiple metatarsals such as widespread stress fractures or osteomyelitis.
What is the wRVU value for CPT 28309?
The work RVU for CPT 28309 is 13.81. This code is primarily used by Foot and Ankle Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 28309 used?
Used for pathology affecting multiple metatarsals such as widespread stress fractures, infections, or osteochondritis requiring comprehensive surgical access.
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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.