28755 Fusion of big toe joint
Also known as: first MTP fusion, great toe joint fusion, simplified hallux fusion
Surgical arthrodesis (fusion) of the first metatarsophalangeal joint with less extensive approach or revision procedure, used for hallux rigidus when standard fusion is contraindicated.
In Plain Language
Big toe joint fusion; Great toe fusion; Simplified big toe surgery
Clinical Context
Used for hallux rigidus or advanced first metatarsophalangeal joint arthritis when standard fusion approach is not optimal.
RVU Breakdown
| Work RVU | 7.31 |
| Total RVU | 7.31 |
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 7.31, this code ranks in the 47th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 28755?
CPT 28755 (Fusion of big toe joint) is a Surgery code. Surgical arthrodesis (fusion) of the first metatarsophalangeal joint with less extensive approach or revision procedure, used for hallux rigidus when standard fusion is contraindicated.
What is the wRVU value for CPT 28755?
The work RVU for CPT 28755 is 7.31. This code is primarily used by Podiatry, Foot and Ankle Surgery. It has a 90-day global period.
When is CPT 28755 used?
Used for hallux rigidus or advanced first metatarsophalangeal joint arthritis when standard fusion approach is not optimal.
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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.