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See a sample rate comparisonCPT 28035 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.
Tarsal Tunnel Release-Post Tib.Nerve Dec
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 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 28035 |
| Medicaid Fee Schedule | View Medicaid rates for 28035 |
National average reimbursement for CPT 28035 by major payers:
$665.78
$692.52
$736.13
$606.67
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CPT 28035
5 of 25 sample ratesHigher to lower in this preview
Susitna Surgery Center LLC
$6,116.00Published rateBcc West Valley LLC
$1,968.00Published rateLittleton Day Surgery Center LLC
Littleton Day Surgery Center
$1,300.00Published rateFredericksburg Endoscopy Center, LLC
Fredericksburg Endoscopy Center LLC
$886.00Published rateMei Surgery Center LLC, Michigan Eye Surgery Center
Mei Surgery Center LLC
$490.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 28035 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28035 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 28035 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 |
|---|---|---|
| 28020-CPT | Moderate | Arthrotomy Including Explorat, Arthrotomy Including Exploration Drainage Or Removal Ofloose Or Foreign Body Intertarsal Or Tarsometatarsal Joint Arthrotomy Including Exploration Drainage Or Removal Of |
| 28022-CPT | Moderate | Arthrotomy Including Explorat, Arthrotomy Including Exploration Drainage Or Removal Ofloose Or Foreign Body Metatarsophalangealjoint Arthrotomy Including Exploration Drainag E Or Removal Of |
| 28035-CPT | Moderate | Tarsal Tunnel Release-Post Tib.Nerve Dec |
| 28088-CPT | Moderate | Remove Covering Of Foot Tendon, Surgery To Remove Sheath (Covering) Of Tendon Located In Foot. The Procedure Is Done To Relieve Pain And Increase Joint Mobility. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28035. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28035 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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