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See a sample rate comparisonCPT 28675 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.
Surgery On Dislocated Toe, Surgery To Repair A Dislocated Toe 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 | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None T1 - Left foot, second digit T6 - Right foot, second digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28675 |
| Medicaid Fee Schedule | View Medicaid rates for 28675 |
National average reimbursement for CPT 28675 by major payers:
$721.29
$742.28
$776.96
$668.96
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CPT 28675
5 of 25 sample ratesHigher to lower in this preview
Specialty Surgical Center Of North Brunswick, LLC
Specialty Surgical Center Of N
$3,553.00Published rateThe Vancouver Clinic Inc Ps, The Vancouver Clinic, Ambulatory Surgery Center
The Vancouver Clinic, Inc., Ps
$2,275.00Published rateSinus Surgery Center Idaho PA
$1,547.00Published rateAnne Tintinalli
Deaconess Hospital Inc
$1,014.86Published ratePodiatry Group Of Annapolis Ambulatory Surgical Center, Podiatry Group Of Annapolis Ambulatory Surgical Center LLC
Podiatry Group Of Annapolis Ambulatory Surgical Center
$554.00Published rate
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See a sample payer proposalCPT 28675 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28675 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 28675 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. |
| 28755-CPT | Moderate | Fuse Bones Of The Big Toe, Surgery To Fuse A Joint In The Big Toe. The Procedure Eliminates Motion Between The Bones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28675. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28675 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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