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See a sample rate comparisonCPT 28102 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.
Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones Of The Ankle Or Heel. The Area Is Repaired With A Bone Graft.
| 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 28102 |
| Medicaid Fee Schedule | View Medicaid rates for 28102 |
National average reimbursement for CPT 28102 by major payers:
$817.69
$795.85
$829.25
$987.59
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CPT 28102
5 of 25 sample ratesHigher to lower in this preview
Summit Orthopedic Surgery Center, LLC, Sosc
Summit Orthopedic Surgery Center LLC
$14,322.00Published rateAlpharetta Surgery Center LLC
$4,580.00Published rateSurgical And Diagnostic Center, L.P.
Surgical And Diagnostic Center Lp
$3,275.00Published rateCenter For Eye Surgery, LLC
Center For Eye Surgery LLC
$2,368.00Published rateArmenia Ambulatory Surgery Center LLC, Medical Village Surgical Center
$846.00Published rate
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See a sample payer proposalCPT 28102 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28102 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 28102 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 |
|---|---|---|
| 28100-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones Of The Ankle Or Heel. |
| 28102-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones Of The Ankle Or Heel. The Area Is Repaired With A Bone Graft. |
| 28103-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones Of The Ankle Or Heel. The Area Is Repaired With A Bone Graft. |
| 28106-CPT | Moderate | Excision Or Curettage Of Bone, Excision Or Curettage Of Bone Cyst Or Benign Tumor Tarsalor Metatarsal Bones Except Talus Or Calcaneus With Iliac Or Other Autograft (Includes Obtaining Graft) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28102. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28102 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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