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See a sample rate comparisonCPT 28606 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.
Treat Foot Dislocation, Insertion Of Hardware To Foot Joint Dislocation With Manipulation Accessed Through The Skin Of The Midfoot (Tarsal) Bones Joint With The Forefoot (Metatarsal) Bones
| 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 28606 |
| Medicaid Fee Schedule | View Medicaid rates for 28606 |
National average reimbursement for CPT 28606 by major payers:
$542.75
$542.39
$549.62
$650.69
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CPT 28606
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford
$6,245.00Published rateAlabama Digestive Health Endoscopy Center, LLC
Alabama Digestive Health
$2,353.00Published rateFreeman Surgical Center Of Pittsburg, LLC
$1,734.00Published rateRoanoke Valley Center For Sight LLC
$1,040.00Published rateFort Myers Endoscopy Center LLC
$300.00Published rate
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See a sample payer proposalCPT 28606 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28606 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 28606 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 |
|---|---|---|
| 28600-CPT | Moderate | Closed Treatment Of Tarsometat, Closed Treatment Of Tarsometatarsal Joint Dislocationwithout Anesthesia Closed Treatment Of Tarsometatarsal Joint Dislocation |
| 28605-CPT | Moderate | Closed Treatment Of Tarsometat, Closed Treatment Of Tarsometatarsal Joint Dislocationrequiring Anesthesia Closed Treatment Of Tarsometatarsal Joint Dislocation |
| 28606-CPT | Moderate | Treat Foot Dislocation, Insertion Of Hardware To Foot Joint Dislocation With Manipulation Accessed Through The Skin Of The Midfoot (Tarsal) Bones Joint With The Forefoot (Metatarsal) Bones |
| 28615-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 28606. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28606 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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