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See a sample rate comparisonCPT 28510 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.
Closed Treatment Of Fracture, Closed Treatment Of Fracture Phalanx Or Phalanges Otherthan Great Toe Without Manipulation Each Closed Treatment Of Fracture Phalanx Or Phalange S Other
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | None 54 - Surgical Care Only T4 - Left foot, fifth digit |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 28510 |
| Medicaid Fee Schedule | View Medicaid rates for 28510 |
National average reimbursement for CPT 28510 by major payers:
$167.99
$160.42
$171.23
$200.19
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CPT 28510
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S North Surgery Center, LLC
Saint Lukes North Surgery Center LLC
$6,623.00Published rateCarondelet St. Mary'S Northwest, LLC, Carondelet Foothills Surgery Center
Camp Lowell Surgery Center
$566.00Published ratePhysicians Ambulatory Surgery Center Inc
Physicians Ambulatory Surgery Center, Inc.
$198.00Published rateSpokane Digestive Disease Center, P.S., South Asc
Spokane Digestive Disease Center P.S.
$140.00Published rateGurley Surgery Center, The Gyn Center
Gurley Surgery Center
$62.00Published rate
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See a sample payer proposalCPT 28510 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28510 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 28510 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 |
|---|---|---|
| 28490-CPT | Low | Closed Treatment Of Fracture G, Closed Treatment Of Fracture Great Toe Phalanx Orphalanges Without Manipulation Closed Treatment Of Fracture Great Toe Phalanx Or |
| 28495-CPT | Moderate | Closed Treatment Of Fracture G, Closed Treatment Of Fracture Great Toe Phalanx Orphalanges With Manipulation Closed Treatment Of Fracture Great Toe Phalanx Or |
| 28496-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Fracture Great Toephalanx Or Phalanges With Manipulation Percutaneous Skeletal Fixation Of Fracture Great Toe |
| 28510-CPT | Low | Closed Treatment Of Fracture, Closed Treatment Of Fracture Phalanx Or Phalanges Otherthan Great Toe Without Manipulation Each Closed Treatment Of Fracture Phalanx Or Phalange S Other |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28510 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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