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See a sample rate comparisonCPT 28220 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.
Tenolysis Flexor Foot Single
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 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 28220 |
| Medicaid Fee Schedule | View Medicaid rates for 28220 |
National average reimbursement for CPT 28220 by major payers:
$523.97
$592.04
$611.87
$722.19
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CPT 28220
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$6,245.00Published rateGardendale Surgical Associates, LLC
Gardendale Surgical Associates
$2,206.00Published rateMgh Surgery LLC
$1,563.00Published rateIndiana Pain Centers-Evansville LLC
Indiana Pain Centersevansville LLC
$1,223.00Published rateKristi Cottrell
Deaconess Hospital Inc
$373.48Published rate
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See a sample payer proposalCPT 28220 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28220 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 28220 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 |
|---|---|---|
| 28220-CPT | Moderate | Tenolysis Flexor Foot Single |
| 28222-CPT | Moderate | Tenolysis Flexor Foot Multiple |
| 28230-CPT | Moderate | Tenotomy Open Tndon Flexor; Foot Sngle Or Multi Tndon(S) (Sep, Tenotomy Open Tendon Flexor; Foot Single Or Multiple Tendon(S) (Sep |
| 28232-CPT | Moderate | Tenotomy Open Tndon Flexor; Toe Sngle Tndon (Sepa Proc), Tenotomy Open Tendon Flexor; Toe Single Tendon (Separate Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28220 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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