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See a sample rate comparisonCPT 28737 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.
Revision Of Foot Bones, Arthrodesis With Tendon Lengthening And Advancement Midtarsal Tarsal Navicular Cuneiform Eg Miller Type Procedure
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28737 |
| Medicaid Fee Schedule | View Medicaid rates for 28737 |
National average reimbursement for CPT 28737 by major payers:
$882.76
$825.67
$710.37
$1,138.25
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CPT 28737
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Preston Road, Ltd., Doctors United Surgery Center
Memorial Hermann Surgery Center Preston Road Ltd
$9,182.00Published rateHosp Of The Univ Of PA Spu
Trustees Of The University Of Pennsylvania
$4,301.00Published rateApc-Amarillo Surgical Operating Company, LLC, Advanced Surgical Center - Amarillo
Apcamarillo Surgical Operating Company LLC
$3,739.00Published rateEynon Surgery Center, LLC
$3,033.00Published rateOcala Endoscopy Asc Lp, Endoscopy Center Of Ocala
Ocala Endoscopy Asc Lp
$938.00Published rate
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See a sample payer proposalCPT 28737 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28737 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 28737 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 |
|---|---|---|
| 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. |
| 28735-CPT | High | Arthrodesis Midtarsal Or Tars, Arthrodesis Midtarsal Or Tarsometatarsal Multiple Ortransverse With Osteotomy (Eg Flatfoot Correction) |
| 28737-CPT | Moderate | Revision Of Foot Bones, Arthrodesis With Tendon Lengthening And Advancement Midtarsal Tarsal Navicular Cuneiform Eg Miller Type Procedure |
| 28740-CPT | High | Arthrodesi Midtarsal Or Tarsometatarsal Sngle Joint, Arthrodesis Midtarsal Or Tarsometatarsal Single Joint |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28737. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28737 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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