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See a sample rate comparisonCPT 28175 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.
Remove Growth From Foot Bone, Surgery To Remove An Abnormal Growth (Tumor) From A Bone In The Foot.
| 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 28175 |
| Medicaid Fee Schedule | View Medicaid rates for 28175 |
National average reimbursement for CPT 28175 by major payers:
$675.07
$654.06
$640.12
$768.76
Compare published rates across providers.
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CPT 28175
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Northeast Asc
Lexington Health Inc
$4,707.00Published rateCarondelet St. Mary'S Northwest, LLC, Carondelet Foothills Surgery Center
Camp Lowell Surgery Center
$2,353.00Published rateSf Nassau Asc LLC
$1,821.00Published rateInteg Health System, P.C., Bloomington Surgery Center
Integ Health System PC
$1,010.00Published rateCummins Womens Healthcare LLC, Elizabeth Cummins Md
Cummins Womens Healthcare, LLC
$479.00Published rate
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See a sample payer proposalCPT 28175 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28175 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 28175 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 |
|---|---|---|
| 28175-CPT | Moderate | Remove Growth From Foot Bone, Surgery To Remove An Abnormal Growth (Tumor) From A Bone In The Foot. |
| 28232-CPT | Moderate | Tenotomy Open Tndon Flexor; Toe Sngle Tndon (Sepa Proc), Tenotomy Open Tendon Flexor; Toe Single Tendon (Separate Procedure) |
| 28240-CPT | Moderate | Cut Tendon Of Big Toe, Surgery To Cut Tendon-Muscle Unit Attached To Bone Of The Big Toe. The Procedure Allows Big Toe To Move Back Into Proper Position. |
| 28280-CPT | Moderate | Webbing Operation For Soft Corn Kelikia |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28175 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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