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See a sample rate comparisonCPT 28546 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.
Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Tarsal Bone Dislocationother Than Talotarsal With Manipulation Percutaneous Skeletal Fixation Of Tarsal Bone Dislocation
| 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 28546 |
| Medicaid Fee Schedule | View Medicaid rates for 28546 |
National average reimbursement for CPT 28546 by major payers:
$655.85
$726.80
$762.97
$585.46
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CPT 28546
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Preston Road, Ltd., Doctors United Surgery Center
Memorial Hermann Surgery Center Preston Road Ltd
$5,048.00Published rateSapling Grove Ambulatory Surgery Center, LLC
Sapling Grove Ambulatory Surgery Center LLC
$2,523.00Published rateCypress Ambulatory Surgery Center, LLC, Currency Circle Surgery Center
$1,800.00Published rateNew Port Richey Surgery Center Ltd
$1,062.00Published rateDekalb Gastroenterology Associates III, LLC, Dekalb Endoscopy Center
Dekalb Gastroenterology Associates III LLC
$360.00Published rate
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See a sample payer proposalCPT 28546 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28546 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 28546 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 28546. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28546 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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