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See a sample rate comparisonCPT 28110 Fee Schedule
Last Verified: September 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.
Ostectomy Partial Xcision Fifth Metatarsal Head (Bunionette), Ostectomy Partial Excision Fifth Metatarsal Head (Bunionette) (Separ
| 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 28110 |
| Medicaid Fee Schedule | View Medicaid rates for 28110 |
National average reimbursement for CPT 28110 by major payers:
$574.31
$604.90
$629.33
$498.14
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CPT 28110
5 of 25 sample ratesHigher to lower in this preview
St Joseph Center For Outpatient Surgery, LLC
St Joseph Center For Outpatient Surgery LLC
$2,927.00Published rateSilver Cross Ambulatory Surgery Center, LLC, Silver Cross Surgery Center
Silver Cross Ambulatory Surgery Center LLC
$2,307.00Published rateAsc Development Company LLC
$1,283.00Published rateSan Antonio Surgery Center, The Center For Special Surgery @ Tca
$1,072.50Published rateMountain West Derm
$700.00Published rate
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See a sample payer proposalCPT 28110 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28110 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 28110 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 |
|---|---|---|
| 28110-CPT | Moderate | Ostectomy Partial Xcision Fifth Metatarsal Head (Bunionette), Ostectomy Partial Excision Fifth Metatarsal Head (Bunionette) (Separ |
| 28111-CPT | Moderate | Ostectmy,Complete Exc;1st Meta.Head |
| 28113-CPT | Moderate | Ostectomy,Complet Exc;5th Meta.Head |
| 28114-CPT | High | Removal Of Metatarsal Heads, Ostectomy Complete Excision All Metatarsal Heads With Partial Proximal Phalangectomy Excluding First Metatarsal Eg Clayton Type Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28110. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28110 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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