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See a sample rate comparisonCPT 28193 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; Complicated
| 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 28193 |
| Medicaid Fee Schedule | View Medicaid rates for 28193 |
National average reimbursement for CPT 28193 by major payers:
$671.80
$700.19
$698.61
$622.25
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CPT 28193
5 of 25 sample ratesHigher to lower in this preview
East Campus Surgery Center LLC
$3,254.00Published rateMichiana Surgery Center, LLC
Michiana Surgery Center LLC
$1,000.00Published rateAloe Surgical Center Scottsdale, LLC
Aloe Surgical Center Scottsdale LLC
$953.00Published rateCasa Colina Surgery Center LLC
Casa Colina Surgery Center L.P.
$544.00Published rateCedar Surgical Associates Lc
$250.00Published rate
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See a sample payer proposalCPT 28193 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28193 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 28193 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 |
|---|---|---|
| 28190-CPT | Moderate | Remove Foreign Body-Foot; Subcutaneous |
| 28192-CPT | Moderate | Removal Fb Foot Deep |
| 28193-CPT | Moderate | Remove Foreign Body-Foot; Complicated |
| 28210-CPT | Moderate | Repair Graft Of Foot Tendon, Repair Tendon Extensor Foot Secondary With Free Graft Each Tendon Includes Obtaining Graft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28193. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28193 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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