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See a sample rate comparisonCPT 28192 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.
Removal Fb Foot Deep
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 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 28192 |
| Medicaid Fee Schedule | View Medicaid rates for 28192 |
National average reimbursement for CPT 28192 by major payers:
$581.40
$617.41
$633.38
$529.30
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CPT 28192
5 of 25 sample ratesHigher to lower in this preview
St. Mary'S Surgical Center LLC, St. Mary'S Surgical Center
St Marys Surgical Center LLC
$2,912.00Published rateUpstate Orthopedics Ambulatory Surgery Center LLC, Upstate Orthopedics Asc
$1,181.00Published rateDigestive Disease & Endoscopy Center, LLC, Digestive Disease & Endoscopy Center, PLLC
Digestive Disease & Endoscopy Center, PLLC
$796.00Published rateMain Line PA Endoscopy Asc Lp, Main Line Endoscopy Center Malvern
$585.00Published rateDowntown Baltimore Surgery Center, LLC
Downtown Baltimore Surgery Center LLC
$376.00Published rate
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See a sample payer proposalCPT 28192 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28192 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 28192 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 28192. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28192 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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