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See a sample rate comparisonCPT 28320 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.
Repair Poorly Healed Foot Bone, Surgery To Repair One Or More Bones In A Foot That Failed To Heal Completely Or Healed Incorrectly After A Break.
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28320 |
| Medicaid Fee Schedule | View Medicaid rates for 28320 |
National average reimbursement for CPT 28320 by major payers:
$866.52
$840.66
$855.91
$1,018.49
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CPT 28320
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Port Charlotte Ltd
$11,139.00Published rateAdvanced Surgery Center Of Tampa, LLC
$6,087.00Published rateRenal Associates, P.A.
Renal Associates, PA
$3,275.00Published rateBlue Ridge Surgical Center, LLC
Blue Ridge Surgical Center LLC
$1,750.00Published rateMaria Klopfenstein
Deaconess Hospital Inc
$496.58Published rate
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See a sample payer proposalCPT 28320 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28320 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 28320 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 |
|---|---|---|
| 28250-CPT | Moderate | Split Tissue On Sole Of Foot, Surgery To Divide Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs) On Bottom Of Foot. |
| 28264-CPT | High | Capsulotomy Midtarsal Heyman Type |
| 28286-CPT | Moderate | Correct Cock-Up Fifth Toe W/ Plstic Skin Closur (Eg Ruiz-Mor, Correction Cock-Up Fifth Toe With Plastic Skin Closure (Eg Ruiz-Mor |
| 28320-CPT | Moderate | Repair Poorly Healed Foot Bone, Surgery To Repair One Or More Bones In A Foot That Failed To Heal Completely Or Healed Incorrectly After A Break. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28320 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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