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See a sample rate comparisonCPT 28210 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.
Repair Graft Of Foot Tendon, Repair Tendon Extensor Foot Secondary With Free Graft Each Tendon Includes Obtaining Graft
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28210 |
| Medicaid Fee Schedule | View Medicaid rates for 28210 |
National average reimbursement for CPT 28210 by major payers:
$730.27
$772.70
$793.11
$705.98
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CPT 28210
5 of 25 sample ratesHigher to lower in this preview
Susitna Surgery Center LLC
$11,291.00Published rateSt Joseph Center For Outpatient Surgery, LLC
St Joseph Center For Outpatient Surgery LLC
$4,384.00Published rateAmerican Access Care Of Miami Asc LLC, Azura Surgery Center Miami
American Access Care Of Miami Asc LLC
$2,800.00Published rateNovamed Surgery Center Of Orlando LLC, Downtown Surgery Center
Novamed Surgery Center Of Orlando LLC
$1,806.00Published rateDca Diagnostics, LLC
Dca Diagnostics LLC
$515.00Published rate
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See a sample payer proposalCPT 28210 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28210 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 28210 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 |
| 28208-CPT | Moderate | Repair Tendon Extensor Foot |
| 28210-CPT | Moderate | Repair Graft Of Foot Tendon, Repair Tendon Extensor Foot Secondary With Free Graft Each Tendon Includes Obtaining Graft |
| 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 28210. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28210 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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