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See a sample rate comparisonCPT 28070 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.
Synovectomy Intertarsal Or Ta, Synovectomy Intertarsal Or Tarsometatarsal Jointeachsynovectomy Intertarsal Or Tarsometatarsal J Oint Each
| 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 28070 |
| Medicaid Fee Schedule | View Medicaid rates for 28070 |
National average reimbursement for CPT 28070 by major payers:
$640.44
$688.24
$714.54
$589.90
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CPT 28070
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, L.L.C.
$8,705.00Published rateSouthern New Mexico Surgery Center, LLC
Southern New Mexico Surgery Center
$2,808.00Published rateLongview Surgical Center LLC, Pacific Surgical Center
Longview Surgical Center, LLC
$1,637.00Published rateUnity Surgical Center, LLC, Unity Surgical Center
Unity Surgical Center LLC
$1,375.00Published rateAau Greenbelt Asc LLC
$561.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 28070 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28070 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 28070 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 |
| 28070-CPT | Moderate | Synovectomy Intertarsal Or Ta, Synovectomy Intertarsal Or Tarsometatarsal Jointeachsynovectomy Intertarsal Or Tarsometatarsal J Oint Each |
| 28072-CPT | Moderate | Remove Foot Joint Lining, Surgery To Remove Lining Of Foot Joint. 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 28070. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28070 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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