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See a sample rate comparisonCPT 28190 Fee Schedule
Last Verified: September 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 Foreign Body-Foot; Subcutaneous
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28190 |
| Medicaid Fee Schedule | View Medicaid rates for 28190 |
National average reimbursement for CPT 28190 by major payers:
$283.37
$332.07
$347.51
$400.86
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CPT 28190
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, East Washington Surgery Center
$2,307.00Published rateSilver Cross Ambulatory Surgery Center, LLC, Silver Cross Surgery Center
Silver Cross Ambulatory Surgery Center LLC
$934.00Published rateApollo Ambulatory Surgery Center, LLC
Apollo Ambulatory Surgery Center LLC
$530.00Published rateSurgery Center Of Columbia County, LLC, Surgery Center Of Columbia County
Surgery Center Of Columbia Cty
$400.00Published rateThe Surgical Institute Of Monroe Ambulatory Surgery Center LLC, Surgical Institute Of Monroe
Surgical Institute Of Monroe
$230.00Published rate
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See a sample payer proposalCPT 28190 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28190 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 28190 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28190. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28190 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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