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See a sample rate comparisonCPT 28575 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 Talotarsal, Closed Treatment Of Talotarsal Joint Dislocation Requiring Anesthesia Closed Treatment Of Talotarsal Joint Dislocation Requiring
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 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 28575 |
| Medicaid Fee Schedule | View Medicaid rates for 28575 |
National average reimbursement for CPT 28575 by major payers:
$470.58
$476.41
$501.72
$550.45
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CPT 28575
5 of 25 sample ratesHigher to lower in this preview
Hss Asc Of Manhattan LLC, Hss Asc Of Manhattan
$4,229.00Published rateAllied Physicians Surgery Center, LLC
Allied Physicians Surgery Center LLC
$1,323.00Published rateMclean Tysons Orthopedic Surgery Center, LLC
$1,146.00Published rateSurgcenter Of Northern Baltimore, LLC
Surgcenter Of Northern Baltimore LLC
$670.00Published rateMaple Springs Podiatric Surgical Center, Inc
Maple Springs Podiatric Surgical Center Inc
$292.00Published rate
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See a sample payer proposalCPT 28575 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28575 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 28575 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 |
|---|---|---|
| 28570-CPT | Moderate | Closed Treatment Of Talotarsal, Closed Treatment Of Talotarsal Joint Dislocation Withoutanesthesia Closed Treatment Of Talotarsal Joint Dislocation Without |
| 28575-CPT | Moderate | Closed Treatment Of Talotarsal, Closed Treatment Of Talotarsal Joint Dislocation Requiring Anesthesia Closed Treatment Of Talotarsal Joint Dislocation Requiring |
| 28576-CPT | Moderate | Treat Foot Dislocation, Insertion Of Hardware To Foot Joint Dislocation With Manipulation Accessed Through The Skin Of The Ankle (Talus) With The Midfoot (Tarsal) Bones |
| 28585-CPT | High | Surgery On Foot Dislocation, Surgery To Repair A Dislocated Joint In The Foot (Tarsometatarsal Or Talotarsal Joint). Pins Wires Or Screws May Be Used To Hold The Joint 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 28575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28575 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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