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See a sample rate comparisonCPT 28450 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.
Treatment Of Tarsal Bone Fract, Treatment Of Tarsal Bone Fracture (Except Talus Andcalcaneus) Without Manipulation Each Treatmentof Tarsal Bone Fracture (Except Talus And
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28450 |
| Medicaid Fee Schedule | View Medicaid rates for 28450 |
National average reimbursement for CPT 28450 by major payers:
$279.97
$284.25
$296.03
$351.89
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CPT 28450
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, L.L.C.
$4,613.00Published rateSan Marcos Asc LLC
$646.00Published rateEnt Realty Corp, The Surgery Center
Ent Realty Corp
$285.00Published ratePaducah Ophthalmology Asc LLC, The Eye Surgery Center Of Paducah
Paducah Ophthalmology Asc LLC
$112.00Published rateDigestive Health Specialists, PA
Digestive Health Specialists, P.A.
$35.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 28450 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28450 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 28450 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 |
|---|---|---|
| 28450-CPT | Moderate | Treatment Of Tarsal Bone Fract, Treatment Of Tarsal Bone Fracture (Except Talus Andcalcaneus) Without Manipulation Each Treatmentof Tarsal Bone Fracture (Except Talus And |
| 28455-CPT | Moderate | Treatment Of Tarsal Bone Fract, Treatment Of Tarsal Bone Fracture (Except Talus Andcalcaneus) With Manipulation Each Treatment Oftarsal Bone Fracture (Except Talus And |
| 28456-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Tarsal Bone Fracture(Except Talus And Calcaneus) With Manipulation Each Percutaneous Skeletal Fixation Of Tarsal Bone Fracture |
| 28465-CPT | Moderate | Surgical Repair Of Broken Foot, Surgery To Repair A Broken Bone In The Foot (Tarsal Or Metatarsal). Pins Wires Or Screws May Be Used To Secure The Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28450 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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