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See a sample rate comparisonCPT 28615 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 28615 |
| Medicaid Fee Schedule | View Medicaid rates for 28615 |
National average reimbursement for CPT 28615 by major payers:
$1,071.72
$1,063.86
$1,146.97
$1,326.20
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CPT 28615
5 of 25 sample ratesHigher to lower in this preview
Northwest Surgery Center LLC, Foot & Ankle Surgery Center
$12,945.00Published rateWest Orange Asc LLC, Gregori Surgery Center
West Orange Asc LLC
$5,573.00Published rateEssex Surgical Arts Surgery Center, LLC, Mobile Vascular Physicians
Essex Surgical Arts Surgery
$3,600.00Published rateHouma Surgi-Center, Inc & Urology Clinic
Houma Surgi-Center & Urology Clinic (Amc)
$1,972.00Published rateWilliam Boone
Deaconess Hospital Inc
$653.26Published rate
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See a sample payer proposalCPT 28615 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28615 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 28615 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 |
|---|---|---|
| 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. |
| 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 |
| 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 28615. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28615 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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