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See a sample rate comparisonCPT 28001 Fee Schedule
Last Verified: October 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.
Inc & Drain Infected Bursa Foot
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28001 |
| Medicaid Fee Schedule | View Medicaid rates for 28001 |
National average reimbursement for CPT 28001 by major payers:
$249.00
$356.90
$301.56
$357.90
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CPT 28001
5 of 25 sample ratesHigher to lower in this preview
Great Lakes Surgical Suites, LLC, Great Lakes Surgical Suites
Great Lakes Surgical Suites, LLC
$2,832.00Published rateMedplex Outpatient Surgery Center Ltd, Medplex Outpatient Surgery Center
Medplex Outpatient Surgery Center Ltd
$1,179.00Published rateLorain Surgery Center, LLC
Lorain Surgery Center LLC
$700.00Published rateOcala Eye Surgery Center Inc
$550.00Published rateSummerville Endoscopy Center, LLC
Summerville Endoscopy Center LLC
$331.00Published rate
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See a sample payer proposalCPT 28001 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28001 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 28001 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 |
|---|---|---|
| 28001-CPT | Moderate | Inc & Drain Infected Bursa Foot |
| 28002-CPT | Moderate | Treatment Of Foot Infection, Incision And Drainage Below Fascia With Or Without Tendon Sheath Involvement Foot Single Bursal Space |
| 28003-CPT | Moderate | Treatment Of Foot Infection, Incision And Drainage Below Fascia With Or Without Tendon Sheath Involvement Foot Multiple Areas |
| 28005-CPT | Moderate | Inc Foot W Opening Bone Cortex |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28001 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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