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See a sample rate comparisonCPT 28118 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.
Ostectomy Calcaneus Partial
| 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 28118 |
| Medicaid Fee Schedule | View Medicaid rates for 28118 |
National average reimbursement for CPT 28118 by major payers:
$735.11
$783.81
$830.70
$705.05
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CPT 28118
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$7,336.00Published rateAdvanced Surgery Center Of Bethesda, LLC
Asc Bethesda
$2,307.00Published ratePshs Beta Partners Ltd, The Gables Surgical Center
Pshs Beta Partners Ltd
$1,320.00Published rateHayden Surgical Center LLC
$660.00Published rateVirginia Mason Medical Center, Virginia Mason Bellevue Asc
Virginia Mason Medical Center
$576.00Published rate
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See a sample payer proposalCPT 28118 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28118 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 28118 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 |
|---|---|---|
| 28118-CPT | Moderate | Ostectomy Calcaneus Partial |
| 28119-CPT | Moderate | Ostectomy Calcaneus; For Spur W//W/O Plantar Fascial Releas, Ostectomy Calcaneus; For Spur With Or Without Plantar Fascial Releas |
| 28120-CPT | Moderate | Part Removal Of Ankle Heel, Partial Excision Craterization Saucerization Sequestrectomy Or Diaphysectomy Bone Eg Osteomyelitis Or Bossing Talus Or Calcaneus |
| 28122-CPT | Moderate | Partial Removal Of Foot Bone, Partial Excision Craterization Saucerization Sequestrectomy Or Diaphysectomy Bone Eg Osteomyelitis Or Bossing Tarsal Or Metatarsal Bone Except Talus Or Calcaneus |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28118. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28118 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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