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See a sample rate comparisonCPT 28230 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.
Tenotomy Open Tndon Flexor; Foot Sngle Or Multi Tndon(S) (Sep, Tenotomy Open Tendon Flexor; Foot Single Or Multiple Tendon(S) (Sep
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28230 |
| Medicaid Fee Schedule | View Medicaid rates for 28230 |
National average reimbursement for CPT 28230 by major payers:
$526.76
$570.48
$595.46
$487.65
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CPT 28230
5 of 25 sample ratesHigher to lower in this preview
Indiana University Health Saxony Surgery Center LLC, Saxony Surgery Center
$8,705.00Published rateEye Surgery Center Of Georgia, LLC
Eye Surgery Center Of Georgia LLC
$2,750.00Published rateSharpevision PLLC
Sharpevision, PLLC
$1,650.00Published rateInfirmary Asc
$1,274.00Published rateFlorence Surgery Center, L.P., Florence Surgery Center
Florence Surgery Center Lp
$743.00Published rate
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See a sample payer proposalCPT 28230 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28230 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 28230 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 |
| 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) |
| 28234-CPT | Moderate | Tenotomy Open Extensor Foot/Toe |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28230. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28230 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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