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See a sample rate comparisonCPT 28725 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 In Foot, Surgery To Join Together Two Or More Bones Of Foot Joint. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones.
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 28725 |
| Medicaid Fee Schedule | View Medicaid rates for 28725 |
National average reimbursement for CPT 28725 by major payers:
$1,064.75
$1,066.83
$1,107.68
$1,291.05
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CPT 28725
5 of 25 sample ratesHigher to lower in this preview
Virginia Mason Medical Center, Virginia Mason Lynnwood Asc
Virginia Mason Medical Center
$8,180.00Published rateVascular Labs Of The Rockies Asc, LLC
Vascular Labs Of The Rockies Asc LLC
$5,200.00Published rateCenter For Surgery PLLC
$2,704.00Published rateMatthew Gilbert
Deaconess Hospital Inc
$1,371.95Published rateSierra Sigler
Deaconess Hospital Inc
$630.35Published rate
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See a sample payer proposalCPT 28725 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28725 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 28725 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. |
| 28725-CPT | High | Fuse Bones In Foot, Surgery To Join Together Two Or More Bones Of Foot Joint. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
| 28737-CPT | Moderate | Revision Of Foot Bones, Arthrodesis With Tendon Lengthening And Advancement Midtarsal Tarsal Navicular Cuneiform Eg Miller Type Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28725. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28725 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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