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See a sample rate comparisonCPT 28045 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.
Xcision Tumor Sft Tissue Of Foot/Toe Subfasci (Eg Intramusc, Excision Tumor Soft Tissue Of Foot Or Toe Subfascial (Eg Intramusc
| 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 28045 |
| Medicaid Fee Schedule | View Medicaid rates for 28045 |
National average reimbursement for CPT 28045 by major payers:
$620.87
$644.52
$660.07
$582.55
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CPT 28045
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Sugar Land LLP
$2,817.00Published rateManchester Surgery Center, LLC
$1,258.00Published rateMonterey Bay Endoscopy Center LLC
$1,072.50Published rateGrossmont Outpatient Surgical Center
Grossmont Outpatient Surgical Ce
$544.00Published rateChesapeake Ambulatory Surgery Center
$319.00Published rate
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See a sample payer proposalCPT 28045 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28045 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 28045 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 |
|---|---|---|
| 28039-CPT | Moderate | Xcision Tumor Sft Tissue Of Foot/Toe Subcutane 1.5 Cm Or G, Excision Tumor Soft Tissue Of Foot Or Toe Subcutaneous; 1.5 Cm Or G |
| 28041-CPT | Moderate | Xcision Tumor Sft Tissue Of Foot/Toe Subfasci (Eg Intramusc, Excision Tumor Soft Tissue Of Foot Or Toe Subfascial (Eg Intramusc |
| 28045-CPT | Moderate | Xcision Tumor Sft Tissue Of Foot/Toe Subfasci (Eg Intramusc, Excision Tumor Soft Tissue Of Foot Or Toe Subfascial (Eg Intramusc |
| 28046-CPT | Moderate | Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Foot/Toe;, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Foot Or Toe; |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28045 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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