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See a sample rate comparisonCPT 28585 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 28585 |
| Medicaid Fee Schedule | View Medicaid rates for 28585 |
National average reimbursement for CPT 28585 by major payers:
$1,158.72
$1,138.92
$1,203.37
$1,141.05
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CPT 28585
5 of 25 sample ratesHigher to lower in this preview
South Bend Specialty Surgery Center, LLC
South Bend Specialty Surgery Center LLC
$3,680.00Published rateNew Lexington Clinic Psc, Dermatology Associates Of Kentucky Psc
New Lexington Clinic, P.S.C.
$1,838.00Published rateJacksonville Surgery Center, Ltd
Jacksonville Surgery Center Ltd
$1,155.00Published rateDoctors Surgical Partnership LLC, Melbourne Same Day Surgery
Doctors Surgical Partnership LLC
$987.00Published rateFayetteville Gastroenterology Endoscopy Center, LLC
Fayetteville Gastroenterology Endoscopy Center LLC
$475.00Published rate
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See a sample payer proposalCPT 28585 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28585 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 28585 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 28585. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28585 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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