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See a sample rate comparisonCPT 28666 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.
Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Interphalangeal Jointdislocation With Manipulation Percutaneous Skeletal Fixation Of Interphalangeal Joint
| 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 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28666 |
| Medicaid Fee Schedule | View Medicaid rates for 28666 |
National average reimbursement for CPT 28666 by major payers:
$248.61
$261.83
$253.95
$304.25
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CPT 28666
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Kingsland LLC, Memorial Hermann Surgery Center Kingsland
$5,048.00Published rateNorthwest Surgery Center, LLP, Northwest Surgery Center
Northwest Surgery Center LLP
$2,307.00Published rateCataract And Laser Center Of The North Shore, LLC
Cataract And Laser Center Of The North Shore LLC
$1,375.00Published rateMosc, LLC
Mosc LLC
$1,025.00Published rateOptumcare Colorado Asc, LLC, Colorado Springs Health Partners Asc, LLC
$614.00Published rate
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See a sample payer proposalCPT 28666 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28666 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 28666 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 |
|---|---|---|
| 28666-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Interphalangeal Jointdislocation With Manipulation Percutaneous Skeletal Fixation Of Interphalangeal Joint |
| 28675-CPT | Moderate | Surgery On Dislocated Toe, Surgery To Repair A Dislocated Toe Joint. Pins Wires Or Screws May Be Used To Hold The Joint In Place. |
| 28750-CPT | High | Fuse Bones Of The Big Toe, Surgery To Fuse A Joint In The Big Toe. The Procedure Eliminates Motion Between The Bones. |
| 28820-CPT | Moderate | Amputation Toe Metatarsophalangeal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28666. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28666 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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