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See a sample rate comparisonCPT 28645 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.
Open Treatmn Of Metatarsophalangeal Joint Lengthen Inclu Inte, Open Treatment Of Metatarsophalangeal Joint Dislocation Includes Inte
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28645 |
| Medicaid Fee Schedule | View Medicaid rates for 28645 |
National average reimbursement for CPT 28645 by major payers:
$787.06
$831.28
$866.44
$784.06
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CPT 28645
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy Center North Freeway LLC, Memorial Hermann Endoscopy Center North Loop
$5,729.00Published rateFm Endoscopy Center LLC, Center For Special Surgery
Fm Endoscopy Center, LLC
$2,750.00Published rateSurgery Center Of Anaheim Hills, LLC
Surgery Center Of Anaheim Hills LLC
$1,300.00Published rateMidwest Eye Consultants Ohio, Inc, Cataract & Laser Institute #351
Midwest Eye Consultants Ohio Inc
$950.00Published rateSuncoast Endoscopy Asc Lp, Sun Coast Endoscopy Center
Suncoast Endoscopy Asc Lp
$485.00Published rate
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See a sample payer proposalCPT 28645 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28645 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 28645 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 |
|---|---|---|
| 28515-CPT | Moderate | Closed Treatment Of Fracture, Closed Treatment Of Fracture Phalanx Or Phalanges Otherthan Great Toe With Manipulation Each Closed Treatment Of Fracture Phalanx Or Phalanges Other |
| 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. |
| 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. |
| 28645-CPT | Moderate | Open Treatmn Of Metatarsophalangeal Joint Lengthen Inclu Inte, Open Treatment Of Metatarsophalangeal Joint Dislocation Includes Inte |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28645. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28645 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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