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See a sample rate comparisonCPT 28665 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.
Closed Treatment Of Interphal, Closed Treatment Of Interphalangeal Joint Dislocationrequiring Anesthesia Closed Treatment Of Interphalangeal Joint Dislocation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service T6 - Right foot, second digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28665 |
| Medicaid Fee Schedule | View Medicaid rates for 28665 |
National average reimbursement for CPT 28665 by major payers:
$200.90
$204.52
$204.97
$216.84
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CPT 28665
5 of 25 sample ratesHigher to lower in this preview
Texas Digestive Disease Center, Ltd
$1,301.00Published rateBerkshire Eye, LLC
$574.00Published rateWest End Surgical, LLC, Oregon Surgical Institute
West End Surgical LLC
$224.00Published rateThe Surgery Center Of Athens, LLC.
$116.00Published rateAugusta Eye Surgery, LLC
Augusta Eye Surgery LLC
$78.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 28665 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28665 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 28665 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 |
| 28600-CPT | Moderate | Closed Treatment Of Tarsometat, Closed Treatment Of Tarsometatarsal Joint Dislocationwithout Anesthesia Closed Treatment Of Tarsometatarsal Joint Dislocation |
| 28660-CPT | Low | Closed Treatment Of Interphal, Closed Treatment Of Interphalangeal Joint Dislocationwithout Anesthesia Closed Treatment Of Interphalangeal Joint Dislocation |
| 28665-CPT | Moderate | Closed Treatment Of Interphal, Closed Treatment Of Interphalangeal Joint Dislocationrequiring 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 28665. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28665 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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