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See a sample rate comparisonCPT 28545 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 Requiring Anesthesia Closed Trea Tment Of Tarsal Bone Dislocation Other Than
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28545 |
| Medicaid Fee Schedule | View Medicaid rates for 28545 |
National average reimbursement for CPT 28545 by major payers:
$391.75
$378.14
$405.85
$438.04
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CPT 28545
5 of 25 sample ratesHigher to lower in this preview
Connecticut Orthopaedic Surgery Center, LLC
$4,617.00Published rateSouthwestern Eye Center Ltd, Southwestern Eye Center
Southwestern Eye Center, Ltd.
$1,505.00Published rateCascade Regional Eye Center Inc Ps, The Harman Eye Clinic Asc
Sight Partners, LLC
$1,120.00Published rateNational Cardiovascular Surgery Center, LLC, Peak Surgery Center Of Avondale
National Cardiovascular Surgery Center LLC
$845.00Published rateShea Souders
Deaconess Hospital Inc
$239.78Published rate
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See a sample payer proposalCPT 28545 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28545 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 28545 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 28545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28545 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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