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See a sample rate comparisonCPT 28299 Fee Schedule
Medicare rates as of October 2026
CPT 28299 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Cor Hlx Vlgs Double Osteot, Correction Hallux Valgus With Bunionectomy With Sesamoidectomy When Performed With Double Osteotomy Any Method
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Add-on Codes | 20705 |
| Common Revenue Codes | 03600960Sign up to view all 6 |
| Medicare Fee Schedule | $1,036.43 national non-facility rate (2026)View Medicare rates for 28299 |
| Medicaid Fee Schedule | $811.715 median of the 8 states in the free previewView Medicaid rates for 28299 |
National average reimbursement for CPT 28299 by major payers:
$1,194.56
BCBS / Anthem
$1,275.57
UnitedHealthcare
$1,345.12
Aetna
$1,038.29
Cigna
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Choose a payer to see a sample of rates for CPT 28299.
CPT 28299
5 of 25 sample ratesHigher to lower in this preview
Mount Pleasant Outpatient Surgery Center LLC
$3,842.00Published rateCamp Lowell Surgery Center,LLC, Camp Lowell Surgery Center
Camp Lowell Surgery Center
$3,347.00Published rateEssex Surgical Arts Surgery Center, LLC, Mobile Vascular Physicians
Essex Surgical Arts Surgery
$2,600.00Published rateLb Surgical Center LLC
$1,570.00Published rateMei Surgery Center LLC, Michigan Eye Surgery Center
Mei Surgery Center LLC
$640.00Published rate
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See a sample payer proposalCPT 28299 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 28299. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 28292-CPT | Cor Hlx Vlgs Rsc Prx Phlx Bs, Correction Hallux Valgus With Bunionectomy With Sesamoidectomy When Performed With Resection Of Proximal Phalanx Base When Performed Any Method |
| 28296-CPT | Correction Hallux Valgus (Bun, Correction Hallux Valgus (Bunion) With Or Withoutsesamoidectomy With Metatarsal Osteotomy (Eg Mitchell Chevron Or Concentric Type Procedures) |
| 28298-CPT | Correction Hallux Valgus (Bunionectomy) With Sesamoidectomy When Perfomred; With Proximal Phalanx Osteotomy Any Method. (Desc Revised 1/1/2017) |
| 28299-CPT | Cor Hlx Vlgs Double Osteot, Correction Hallux Valgus With Bunionectomy With Sesamoidectomy When Performed With Double Osteotomy Any Method |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28299. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28299 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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Frequently Asked Questions
What APC is CPT 28299 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 28299 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 28299 in an ambulatory surgery center?
CMS lists CPT 28299 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which add-on codes are billed with CPT 28299?
CMS add-on code edits list CPT 28299 as a primary code for these add-on codes: 20705.
Which revenue codes are billed with CPT 28299?
Hospital price transparency files list CPT 28299 under these revenue codes: including 0360, 0960, 0975, 0490 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.