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See a sample rate comparisonCPT 28540 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 Tarsal Bon, Closed Treatment Of Tarsal Bone Dislocation Otherthantalotarsal Without Anesthesia Closed Treatm Ent Of Tarsal Bone Dislocation Other Than
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28540 |
| Medicaid Fee Schedule | View Medicaid rates for 28540 |
National average reimbursement for CPT 28540 by major payers:
$286.31
$260.71
$262.71
$323.53
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CPT 28540
5 of 25 sample ratesHigher to lower in this preview
Midtown Surgery Center, LLC
$1,845.00Published rateGainesville Endoscopy Center, LLC
Gainesville Endoscopy Center LLC
$555.00Published rateTampa Bay Surgery Center Associates, Ltd.
Tampa Bay Surgery Center Assoc
$300.00Published rateManatee Surgical Center, LLC
$150.00Published rateEye Care Surgery Center Of Memphis, LLC
$70.00Published rate
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See a sample payer proposalCPT 28540 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28540 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 28540 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 |
|---|---|---|
| 28540-CPT | Moderate | Closed Treatment Of Tarsal Bon, Closed Treatment Of Tarsal Bone Dislocation Otherthantalotarsal Without Anesthesia Closed Treatm Ent Of Tarsal Bone Dislocation Other Than |
| 28545-CPT | Moderate | Closed Treatment Of Tarsal Bon, Closed Treatment Of Tarsal Bone Dislocation Otherthantalotarsal Requiring Anesthesia Closed Trea Tment Of Tarsal Bone Dislocation Other Than |
| 28546-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Tarsal Bone Dislocationother Than Talotarsal With Manipulation Percutaneous Skeletal Fixation Of Tarsal Bone Dislocation |
| 28555-CPT | High | Surgery On Dislocated Foot, Surgery To Repair A Dislocated Bone (Tarsal) In The Foot. Pins Wires Or Screws May Be Used To Hold The Bone In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28540. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28540 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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