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See a sample rate comparisonCPT 28010 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.
Tenotomy,Subcutaneous,Toe; Single
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service T6 - Right foot, second digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28010 |
| Medicaid Fee Schedule | View Medicaid rates for 28010 |
National average reimbursement for CPT 28010 by major payers:
$294.15
$314.92
$321.35
$386.81
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CPT 28010
5 of 25 sample ratesHigher to lower in this preview
El Paso Surgery Centers Lp
$6,259.00Published rateGamma Surgery Center LLC
$2,388.00Published rateArapahoe Endoscopy Center Partnership Pllp
$2,119.00Published ratePremier-Covenant Astc LLC, Premier Ambulatory Surgery Center
Premiercovenant Astc LLC
$1,244.00Published rateWest Asc, LLC, Camillus Surgery Center
West Asc, LLC Dba Camillus Surgery Center
$157.16Published rate
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See a sample payer proposalCPT 28010 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28010 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 28010 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 |
| 28010-CPT | Moderate | Tenotomy,Subcutaneous,Toe; Single |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28010 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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