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See a sample rate comparisonCPT 28312 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 Shorten Angular Or Rotational Correct; Other Phalang, Osteotomy Shortening Angular Or Rotational Correction; Other Phalang
| 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 | None T6 - Right foot, second digit T1 - Left foot, second digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28312 |
| Medicaid Fee Schedule | View Medicaid rates for 28312 |
National average reimbursement for CPT 28312 by major payers:
$649.57
$660.46
$697.23
$564.28
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CPT 28312
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Stephenville
$6,245.00Published rateThe Centre LLC
$2,135.00Published rateWills Eye Surgery Center
Wilmington Ambulatory Surgical Center LLC
$1,485.00Published rateTotal Pain Care LLC
Total Pain Care, LLC
$806.00Published rateBakersfield Specialists Surgical Center, LLC
Bakersfield Specialists Surgical Center
$624.00Published rate
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See a sample payer proposalCPT 28312 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28312 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 28312 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 |
| 28305-CPT | Moderate | Incise Graft Midfoot Bones, Osteotomy Tarsal Bones Other Than Calcaneus Or Talus With Autograft Includes Obtaining Graft Eg Fowler Type |
| 28312-CPT | Moderate | Osteotomy Shorten Angular Or Rotational Correct; Other Phalang, Osteotomy Shortening Angular Or Rotational Correction; Other Phalang |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28312. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28312 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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