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See a sample rate comparisonCPT 28446 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Open Osteochondral Autograft, Talus - Medicaid Rn Review>=12/20/2017. Commercial Rn Review=12/20/2017-3/31/2022. Deny Inv/N10<12/20/2017
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 28446 |
| Medicaid Fee Schedule | View Medicaid rates for 28446 |
National average reimbursement for CPT 28446 by major payers:
$1,670.48
$1,626.06
$1,658.72
$1,994.46
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CPT 28446
5 of 25 sample ratesHigher to lower in this preview
Peak One Surgery Center, LLC, Peak One Surgery Center
Peak One Surgery Center LLC
$16,832.00Published rateLos Altos Surgery Center LLC
Los Altos
$5,750.00Published rateLindsay House Surgery Center LLC
$3,119.00Published rateSouthwest Endoscopy Ltd
$2,202.00Published ratePuget Sound Gastroenterology, PLLC, Fremont Endoscopy Center
Puget Sound Gastroenterology, P.S.
$987.00Published rate
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See a sample payer proposalCPT 28446 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28446 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 28446 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 |
|---|---|---|
| 28415-CPT | High | Surgery To Repair Broken Heel, Surgery To Repair A Broken Heel Bone (Calcaneus). Pins Wires Screws Or Plates May Be Used To Hold The Bone Together. A Bone Graft From Another Part Of The Body May Be Used. |
| 28420-CPT | High | Surgery To Repair Broken Heel, Surgery To Repair A Broken Heel Bone (Calcaneus). Pins Wires Screws Or Plates May Be Used To Hold The Bone Together. A Bone Graft From Another Part Of The Body May Be Used. |
| 28445-CPT | High | Surgery To Repair Broken Ankle, Surgery To Repair A Broken Ankle Bone (Talus). Pins Wires Or Screws May Be Used To Hold The Bone In Place. |
| 28446-CPT | High | Open Osteochondral Autograft, Talus - Medicaid Rn Review>=12/20/2017. Commercial Rn Review=12/20/2017-3/31/2022. Deny Inv/N10<12/20/2017 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28446. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28446 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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