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See a sample rate comparisonCPT 28119 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; For Spur W//W/O Plantar Fascial Releas, Ostectomy Calcaneus; For Spur With Or Without Plantar Fascial Releas
| 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 28119 |
| Medicaid Fee Schedule | View Medicaid rates for 28119 |
National average reimbursement for CPT 28119 by major payers:
$655.96
$689.34
$709.59
$613.66
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CPT 28119
5 of 25 sample ratesHigher to lower in this preview
Northwest Surgery Center, Ltd, Northwest Surgery Center Red Oak
Northwest Surgery Center Ltd
$5,841.00Published rateBanner Sun City West Surgery Center LLC
$2,007.00Published ratePhysicians' Surgery Center, LLC
Physicians Surgery Center, L.L.C.
$1,220.00Published rateSandhills Endoscopy Center
$1,044.00Published rateJennifer Sitzman
Deaconess Hospital Inc
$431.45Published rate
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See a sample payer proposalCPT 28119 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28119 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 28119 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 |
| 28124-CPT | Moderate | Partial Excision (Craterizatio, Partial Excision (Craterization Saucerizationsequestrectomy Or Diaphysectomy) Bone (Eg Osteomyelitis Or Bossing) Phalanx Of Toe |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28119. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28119 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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