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See a sample rate comparisonCPT 28122 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.
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
| 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 28122 |
| Medicaid Fee Schedule | View Medicaid rates for 28122 |
National average reimbursement for CPT 28122 by major payers:
$764.14
$810.12
$848.44
$755.68
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CPT 28122
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S North Surgery Center, LLC
Saint Lukes North Surgery Center LLC
$5,177.00Published rateSummit Medical Group PA
Summit Medical Group, P.A.
$2,281.00Published rateChadds Ford Ambulatory Surgical Center, LLC
Chadds Ford Ambulatory Surgical Center LLC
$1,658.00Published rateChesnut Institute Of Cosmetic & Reconstructive Surgery
Clinic 5c
$1,232.00Published rateProcedure Center Of Irvine Inc., Procedure Center Of Irvine
Procedure Center Of Irvine Inc
$576.00Published rate
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See a sample payer proposalCPT 28122 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28122 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 28122 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 |
| 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 |
| 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 28122. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28122 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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