28740 Fusion of foot bones
Also known as: tarsometatarsal fusion, Lisfranc fusion, metatarsocuneiform arthrodesis
Surgical arthrodesis (fusion) of metatarsocuneiform joint or other tarsal-metatarsal joints, permanently fusing the forefoot to the midfoot to treat arthritis or Lisfranc injury.
In Plain Language
Lisfranc joint fusion; Forefoot fusion; Midfoot arch fusion
Clinical Context
Used for Lisfranc injury, tarsometatarsal joint arthritis, or forefoot-midfoot instability; fusion provides pain relief and foot stability.
RVU Breakdown
| Work RVU | 9.06 |
| Total RVU | 9.06 |
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 9.06, this code ranks in the 55th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28740?
CPT 28740 (Fusion of foot bones) is a Surgery code. Surgical arthrodesis (fusion) of metatarsocuneiform joint or other tarsal-metatarsal joints, permanently fusing the forefoot to the midfoot to treat arthritis or Lisfranc injury.
What is the wRVU value for CPT 28740?
The work RVU for CPT 28740 is 9.06. This code is primarily used by Orthopedic Surgery, Foot and Ankle Surgery. It has a 90-day global period.
When is CPT 28740 used?
Used for Lisfranc injury, tarsometatarsal joint arthritis, or forefoot-midfoot instability; fusion provides pain relief and foot stability.
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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.