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See a sample rate comparisonCPT 28705 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Fuse Bones Of Ankle Joint, Surgery To Fuse Multiple Joints In And Around The Ankle.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 28705 |
| Medicaid Fee Schedule | View Medicaid rates for 28705 |
National average reimbursement for CPT 28705 by major payers:
$1,641.62
$1,701.20
$1,715.96
$2,029.93
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CPT 28705
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Fairfield County LLC, Healthsouth Surgery Center Of Bridgeport, LLC
Surgery Center Of Fairfield County LLC
$7,655.00Published rateGainesville Endoscopy Center, LLC
Gainesville Endoscopy Center LLC
$6,365.00Published rateJacksonville Outpatient Surgery Center, LLC
Jacksonville Outpatient Surgery Center LLC
$3,251.00Published rateLanier Interventional Pain Center, LLC, Lipc Surgery Center
Lanier Interventional Pain Center, LLC
$1,660.00Published rateEye Surgery Center Of Maryville LLC, Eyes Of Illinois Surgery Center
Novamed Eye Surgery Center Of Maryville LLC
$832.00Published rate
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See a sample payer proposalCPT 28705 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28705 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 28705 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 |
|---|---|---|
| 28705-CPT | High | Fuse Bones Of Ankle Joint, Surgery To Fuse Multiple Joints In And Around The Ankle. |
| 28715-CPT | High | Fuse Bones In The Foot, Surgery To Fuse More Than One Joint In Foot. The Procedure Eliminates Motion Between The Bones. |
| 28730-CPT | High | Arthrodesi Midtarsal Or Tarsometatarsal Multi Or Transvers;, Arthrodesis Midtarsal Or Tarsometatarsal Multiple Or Transverse; |
| 28735-CPT | High | Arthrodesis Midtarsal Or Tars, Arthrodesis Midtarsal Or Tarsometatarsal Multiple Ortransverse With Osteotomy (Eg Flatfoot Correction) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28705. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28705 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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