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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 20 - Urgent Care Facility |
| Common Modifiers | None 54 - Surgical Care Only T5 - Right foot, great toe |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 28660 |
| Medicaid Fee Schedule | View Medicaid rates for 28660 |
National average reimbursement for CPT 28660 by major payers:

$155.30

$155.27

$166.73

$204.10
Choose a payer to see a sample of rates for CPT 28660.
Park Cities Surgery Center LLC
Virginia Mason Medical Center
Gastroenterology Assoc. Endoscopy Center, LLC. Dba Redding Endoscopy
Scac LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 28660 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28660 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 28660 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 |
|---|---|---|
| 28530-CPT | Low | Closed Treatment Of Sesamoid F, Closed Treatment Of Sesamoid Fractureclosed Treatm Ent Of Sesamoid Fracture |
| 28630-CPT | Moderate | Closed Treatment Of Metatarso, Closed Treatment Of Metatarsophalangeal Joint Dislocation Without Anesthesia Closed Treatment Ofmetatarsophalangeal Joint Dislocation |
| 28635-CPT | Moderate | Closed Treatment Of Metatarso, Closed Treatment Of Metatarsophalangeal Joint Dislocation Requiring Anesthesia Closed Treatment Of Metatarsophalangeal Joint Dislocation |
| 28660-CPT | Low | Closed Treatment Of Interphal, Closed Treatment Of Interphalangeal Joint Dislocationwithout Anesthesia Closed Treatment Of Interphalangeal Joint Dislocation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28660. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28660 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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