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See a sample rate comparisonCPT 28485 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.
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.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28485 |
| Medicaid Fee Schedule | View Medicaid rates for 28485 |
National average reimbursement for CPT 28485 by major payers:
$763.90
$723.64
$773.51
$907.61
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CPT 28485
5 of 25 sample ratesHigher to lower in this preview
Providence Health & Services Washington, Providence Surgery And Procedure Center
Providence Surgery And Procedure Center LLC
$7,415.00Published rateMidwest Surgery Center, LLC, Midwest Surgery Center- Woodbury
Midwest Surgery Center
$4,483.00Published rateSouthpark Surgery Center LLC, Southpark Surgery Center
Southpark Surgery Center LLC
$3,114.00Published rateAlliance Surgery Center At Peachtree City LLC
$1,500.00Published rateTracy Welsh
Deaconess Hospital Inc
$444.26Published rate
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See a sample payer proposalCPT 28485 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28485 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 28485 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 |
|---|---|---|
| 28470-CPT | Moderate | Treatment Of A Broken Foot, Treatment Of A Broken Bone In The Foot. The Bone May Be Manually Moved Into Its Proper Position. The Foot Is Put Into A Cast Splint Or Brace. |
| 28475-CPT | Moderate | Treatment Of A Broken Foot, Treatment Of A Broken Bone In The Foot. The Bone May Be Manually Moved Into Its Proper Position. The Foot Is Put Into A Cast Splint Or Brace. |
| 28476-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Metatarsal Fracture With Manipulation Each Percutaneous Skeletal Fixation Of Metatarsal Fracture With |
| 28485-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 28485. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28485 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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