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See a sample rate comparisonCPT 28200 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.
Rpair Tndon Flexor Foot; Primar Or Second/O Free Grft, Repair Tendon Flexor Foot; Primary Or Secondary Without Free Graft
| 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 28200 |
| Medicaid Fee Schedule | View Medicaid rates for 28200 |
National average reimbursement for CPT 28200 by major payers:
$605.15
$640.82
$683.23
$551.82
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CPT 28200
5 of 25 sample ratesHigher to lower in this preview
Ucsd Ambulatory Surgery Center, LLC, University Ambulatory Surgery Center
$11,881.00Published rateCapital Endoscopy LLC
Capital Endoscopy & Surgery Center
$2,655.00Published rateIreland Grove Center For Surgery LLC.
Ireland Grove Center For Surgery, LLC
$1,600.00Published rateIndiana Vascular Surgery Center LLC
$1,117.00Published rateMurrieta Specialty Surgery Center PC A Professional Corporation
$576.00Published rate
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See a sample payer proposalCPT 28200 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28200 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 28200 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 |
|---|---|---|
| 28200-CPT | Moderate | Rpair Tndon Flexor Foot; Primar Or Second/O Free Grft, Repair Tendon Flexor Foot; Primary Or Secondary Without Free Graft |
| 28202-CPT | Moderate | Rpair Tndon Flexor Foot; Second W/ Free Grft Ea Tndon (, Repair Tendon Flexor Foot; Secondary With Free Graft Each Tendon ( |
| 28208-CPT | Moderate | Repair Tendon Extensor Foot |
| 28220-CPT | Moderate | Tenolysis Flexor Foot Single |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28200 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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