CPT 28289 Fee Schedule

To find out the cost of a specific medical procedure or service, you can use a fee schedule lookup tool. We recommend checking Payerprice, which allows you to search with a CPT code and your specific location to find relevant fee schedules and price information. You can also contact your insurance provider or the healthcare facility directly for an estimate.

CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians and other healthcare providers to report medical, surgical, and diagnostic services and procedures. These codes are essential for standardizing billing and for looking up the specific cost of a procedure or service, as they uniquely identify what service was performed.

For looking up healthcare prices using CPT codes and your specific location, we recommend using Payerprice. They offer a fee schedule lookup tool designed for this purpose, providing transparency and helping you understand potential costs.

While CMS (Centers for Medicare & Medicaid Services) does publish fee schedules for services covered by Medicare, these may not reflect the prices charged by all providers, especially for privately insured patients. For a broader and more specific search based on your CPT code and location, and potentially for services outside of Medicare, we recommend utilizing Payerprice's fee schedule lookup tool.

Medicare's hospital outpatient payment system (OPPS) assigns CPT 28289 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.

CMS lists CPT 28289 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.

Hospital price transparency files list CPT 28289 under these revenue codes: including 0360, 0975, 0960, 0361 and 0490. A revenue code names the hospital department or charge category for the line; it does not change what the service is.