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See a sample rate comparisonCPT 28225 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.
Tenolysis Extensor Foot Single
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28225 |
| Medicaid Fee Schedule | View Medicaid rates for 28225 |
National average reimbursement for CPT 28225 by major payers:
$468.62
$537.82
$556.38
$650.48
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CPT 28225
5 of 25 sample ratesHigher to lower in this preview
North Garland Surgery Center LLP, Baylor Scott & White Surgicare - North Garland
North Garland Surgery Center LLP
$3,500.00Published rateTampa Bay Joint And Spine, LLC, Tampa Bay Joint And Spine Surgery Center
Tampa Bay Joint And Spine LLC
$2,307.00Published ratePaulsen Street Sugery Center LLC
$1,443.00Published rateDigestive Health Specialists, PA
Digestive Health Specialists, P.A.
$1,016.00Published rateDereje Habitemichael
Deaconess Hospital Inc
$345.25Published rate
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See a sample payer proposalCPT 28225 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28225 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 28225 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 28225. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28225 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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