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See a sample rate comparisonCPT 28310 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.
Osteotomy Shortening Angular, Osteotomy Shortening Angular Or Rotational Correctionproximal Phalanx First Toe (Separate Procedure)
| 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 | 59 - Distinct Procedural Service None T5 - Right foot, great toe |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28310 |
| Medicaid Fee Schedule | View Medicaid rates for 28310 |
National average reimbursement for CPT 28310 by major payers:
$647.79
$714.84
$738.78
$611.13
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CPT 28310
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center, Memorial Hermann Surgery Center, The Woodlands
Memorial Hermann Surgery Center
$5,048.00Published rateKansas Surgery Center, LLC
Kansas Surgery Center LLC
$1,620.00Published rateApex Medical Surgery Center, LLC
Apex Medical Surgery Center LLC
$1,245.00Published rateThe Westlake Ophthalmology Asc, LLC, Westlake Eye Surgery Center
The Westlake Ophthalmology Asc LLC
$1,101.00Published rateDigestive Health Complex,Inc
$530.00Published rate
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See a sample payer proposalCPT 28310 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28310 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 28310 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 |
|---|---|---|
| 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) |
| 28302-CPT | Moderate | Osteotomy Talus |
| 28310-CPT | Moderate | Osteotomy Shortening Angular, Osteotomy Shortening Angular Or Rotational Correctionproximal Phalanx First Toe (Separate Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28310. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28310 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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