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See a sample rate comparisonCPT 28261 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Release Mid-Foot Restriction, Surgery To Release Mid-Foot Contracture By Cutting The Capsule That Encases The Foot Joint.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 28261 |
| Medicaid Fee Schedule | View Medicaid rates for 28261 |
National average reimbursement for CPT 28261 by major payers:
$1,338.63
$1,440.41
$1,514.49
$1,427.57
Compare published rates across providers.
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CPT 28261
5 of 25 sample ratesHigher to lower in this preview
Greater New Haven Asc, LLC
Greater New Haven Asc LLC
$4,617.00Published ratePhysicians Surgery Center Of Tempe, LLC, Physicians Surgery Center Of Tempe
Physicians Surgery Center Of Tempe LLC
$2,307.00Published rateWichita Urology Surgery Center,LLC
Wichita Urology Surgery Centerllc
$1,377.00Published rateUnion Pines Surgery Center,LLC
Union Pines Surgery Center, LLC
$1,072.50Published rateLargo Endoscopy Center Lp, Tampa Bay Regional Surgery Center
Largo Endoscopy Center Lp
$735.00Published rate
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See a sample payer proposalCPT 28261 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28261 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 28261 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 |
|---|---|---|
| 28260-CPT | Moderate | Release Mid-Foot Restriction, Surgery To Release Mid-Foot Contracture By Cutting The Capsule That Encases The Foot Joint. |
| 28261-CPT | High | Release Mid-Foot Restriction, Surgery To Release Mid-Foot Contracture By Cutting The Capsule That Encases The Foot Joint. |
| 28262-CPT | High | Revision Of Foot And Ankle, Capsulotomy Midfoot Extensive Including Posterior Talotibial Capsulotomy And Tendon S Lengthening Eg Resistant Clubfoot Deformity |
| 28264-CPT | High | Capsulotomy Midtarsal Heyman Type |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28261. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28261 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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