28750 Fusion of big toe joint
Also known as: first MTP fusion, great toe joint fusion, hallux fusion
Surgical arthrodesis (fusion) of the first metatarsophalangeal joint (great toe joint), permanently fusing the joint to treat hallux rigidus arthritis or instability.
In Plain Language
Big toe joint fusion; Great toe fusion; Big toe arthritis surgery
Clinical Context
Used for advanced hallux rigidus or first metatarsophalangeal joint arthritis; fusion eliminates pain but restricts great toe motion.
RVU Breakdown
| Work RVU | 8.53 |
| Total RVU | 8.53 |
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 8.53, this code ranks in the 52nd 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 28750?
CPT 28750 (Fusion of big toe joint) is a Surgery code. Surgical arthrodesis (fusion) of the first metatarsophalangeal joint (great toe joint), permanently fusing the joint to treat hallux rigidus arthritis or instability.
What is the wRVU value for CPT 28750?
The work RVU for CPT 28750 is 8.53. This code is primarily used by Podiatry, Foot and Ankle Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 28750 used?
Used for advanced hallux rigidus or first metatarsophalangeal joint arthritis; fusion eliminates pain but restricts great toe 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.