28760 Fusion of big toe joint
Also known as: first MTP fusion with graft, great toe joint fusion, hallux fusion revision
Surgical arthrodesis (fusion) of the first metatarsophalangeal joint with bone graft or revision, used for hallux rigidus with prior surgical failure or nonunion.
In Plain Language
Big toe joint fusion with graft; Big toe fusion repair; Big toe fusion revision
Clinical Context
Used for failed prior hallux surgery or first metatarsophalangeal joint arthritis requiring fusion with bone grafting for nonunion.
RVU Breakdown
| Work RVU | 8.91 |
| Total RVU | 8.91 |
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 8.91, this code ranks in the 54th 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 28760?
CPT 28760 (Fusion of big toe joint) is a Surgery code. Surgical arthrodesis (fusion) of the first metatarsophalangeal joint with bone graft or revision, used for hallux rigidus with prior surgical failure or nonunion.
What is the wRVU value for CPT 28760?
The work RVU for CPT 28760 is 8.91. This code is primarily used by Orthopedic Surgery, Foot and Ankle Surgery, Podiatry. It has a 90-day global period.
When is CPT 28760 used?
Used for failed prior hallux surgery or first metatarsophalangeal joint arthritis requiring fusion with bone grafting for nonunion.
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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.