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See a sample rate comparisonCPT 28124 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 Excision (Craterizatio, Partial Excision (Craterization Saucerizationsequestrectomy Or Diaphysectomy) Bone (Eg Osteomyelitis Or Bossing) Phalanx Of Toe
| 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 59 - Distinct Procedural Service T5 - Right foot, great toe |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28124 |
| Medicaid Fee Schedule | View Medicaid rates for 28124 |
National average reimbursement for CPT 28124 by major payers:
$570.92
$628.81
$654.37
$565.82
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CPT 28124
5 of 25 sample ratesHigher to lower in this preview
Surgical Suites Of Coastal Virginia, LLC
Surgical Suites Of Coastal Virginia LLC
$4,902.00Published rateSaint Thomas Surgery Center New Salem, LLC
Saint Thomas Surgery Center New Salem LLC
$2,353.00Published rateManhattan Endoscopy Center LLC, Manhattan Endo
Manhattan Endoscopy Center
$1,706.00Published rateChesterfield Spine Center, LLC, St. Louis Spine And Orthopedic Surgery Center
Chesterfield Spine Center LLC
$1,373.00Published rateSpalding Endoscopy Center, LLC
Spalding Endoscopy Center LLC
$600.00Published rate
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See a sample payer proposalCPT 28124 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28124 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 28124 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 |
|---|---|---|
| 28114-CPT | High | Removal Of Metatarsal Heads, Ostectomy Complete Excision All Metatarsal Heads With Partial Proximal Phalangectomy Excluding First Metatarsal Eg Clayton Type Procedure |
| 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 |
| 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 28124. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28124 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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