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See a sample rate comparisonCPT 28226 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 Multiple
| 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 28226 |
| Medicaid Fee Schedule | View Medicaid rates for 28226 |
National average reimbursement for CPT 28226 by major payers:
$731.23
$738.28
$787.37
$640.94
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CPT 28226
5 of 25 sample ratesHigher to lower in this preview
Pinnacle Surgery Center, Inc
Pinnacle Surgery Center Inc
$8,000.00Published rateVancouver Dental Surgery Center
The Vancouver Clinic, Inc., Ps
$2,275.00Published rateBernstein Hilliker Hartzell Eye Center LLP, The Surgery Center Of Central PA
The Eye Center Of Central PA, LLP
$1,482.00Published rateMays & Schnapp Pain Clinic & Rehabilitation Center
Mays Schnapp Pain Clinic Rehabilitation Center
$1,288.00Published rateSurgery Center Of Weston LLC
$907.00Published rate
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See a sample payer proposalCPT 28226 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28226 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 28226 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 |
|---|---|---|
| 28222-CPT | Moderate | Tenolysis Flexor Foot Multiple |
| 28225-CPT | Moderate | Tenolysis Extensor Foot Single |
| 28226-CPT | Moderate | Tenolysis Extensor 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28226. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28226 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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