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See a sample rate comparisonCPT 28341 Fee Schedule
Last Verified: September 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 Toe Macrodactyly Bone Resect
| 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 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None T1 - Left foot, second digit T6 - Right foot, second digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28341 |
| Medicaid Fee Schedule | View Medicaid rates for 28341 |
National average reimbursement for CPT 28341 by major payers:
$853.69
$894.89
$896.27
$828.35
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CPT 28341
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Plano, LLC, Baylor Scott & White Surgicare - Plano
$3,150.00Published rateNorth Memorial Ambulatory Surgery Center At Maple Grove, LLC
North Memorial Ambulatory Surgery Center At Maple Grove LLC
$1,607.00Published rateSahara Outpatient Surgery Center Ltd
$1,148.00Published rateKissimmee Surgicare Ltd
$1,015.00Published rateMetropolitan Ambulatory Urologic Institute, L.L.C.
Metropolitan Ambulatory Urologic Institute LLC
$494.00Published rate
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See a sample payer proposalCPT 28341 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28341 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 28341 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28341. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28341 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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