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See a sample rate comparisonCPT 28005 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 Foot W Opening Bone Cortex
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28005 |
| Medicaid Fee Schedule | View Medicaid rates for 28005 |
National average reimbursement for CPT 28005 by major payers:
$779.88
$794.58
$787.07
$958.23
Compare published rates across providers.
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CPT 28005
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford
$6,245.00Published rateMercy Catholic Medical Center Of Southeastern PA, Mercy Philadelphia Hospital Short Procedure Unit
Mercy Catholic Medical Center Of Southeastern PA
$2,499.00Published rateNorthglenn Endoscopy Center LLC
$1,643.00Published rateDigestive Health Specialists, PA
Digestive Health Specialists, P.A.
$1,016.00Published rateDallas Ivf Surgery Center, LLC, Dallas Ivf Surgery Center
Dallas Ivf Surgery Center LLC
$544.00Published rate
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See a sample payer proposalCPT 28005 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28005 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 28005 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 28005. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28005 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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