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See a sample rate comparisonCPT 25028 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Drain Arm Or Wrist Infection, Surgery To Cut Open And Drain A Deep Infection Or Collection Of Blood (Hematoma) From The Lower Arm Or Wrist.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25028 |
| Medicaid Fee Schedule | View Medicaid rates for 25028 |
National average reimbursement for CPT 25028 by major payers:
$882.50
$758.86
$856.23
$1,041.41
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CPT 25028
5 of 25 sample ratesHigher to lower in this preview
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC, Iu Health Surgery Center Fort Wayne
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC
$8,705.00Published rateMay Street Surgi Center, LLC, May Street Surgi Center
May Street Surgi Center, LLC
$2,717.00Published rateThe Regents Of The University Of California, Ucla Dept Of Medicine
$2,044.00Published rateKyle Kopatich
Deaconess Hospital Inc
$917.64Published rateShea Souders
Deaconess Hospital Inc
$421.61Published rate
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See a sample payer proposalCPT 25028 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25028 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 25028 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 25023-CPT | High | Surgery On Lower Arm, Surgery To Cut The Connective Tissue In The Lower Arm Or Wrist. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome). |
| 25025-CPT | High | Surgery On Lower Arm, Surgery To Cut The Connective Tissue In The Lower Arm Or Wrist. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome). |
| 25028-CPT | Moderate | Drain Arm Or Wrist Infection, Surgery To Cut Open And Drain A Deep Infection Or Collection Of Blood (Hematoma) From The Lower Arm Or Wrist. |
| 25066-CPT | Moderate | Biops Sft Tissue Of Forearm Wrist; Deep (Subfasci Or Intra, Biopsy Soft Tissue Of Forearm And/Or Wrist; Deep (Subfascial Or Intra |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25028. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25028 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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