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See a sample rate comparisonCPT 28755 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.
Fuse Bones Of The Big Toe, Surgery To Fuse A Joint In The Big Toe. The Procedure Eliminates Motion Between The Bones.
| 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 T5 - Right foot, great toe TA - Left foot, great toe |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28755 |
| Medicaid Fee Schedule | View Medicaid rates for 28755 |
National average reimbursement for CPT 28755 by major payers:
$617.71
$668.96
$694.07
$566.08
Compare published rates across providers.
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CPT 28755
5 of 25 sample ratesHigher to lower in this preview
Research Surgical Center, LLC
Research Surgical Center LLC
$9,360.00Published rateSaint Francis Gi Endoscopy L.L.C
Saint Francis Gi Endoscopy LLC
$2,397.00Published ratePhysicians Clinic Inc
$1,474.00Published rateTruckee Surgery Center LLC
Truckee Surgery Center, LLC
$935.00Published rateJessica Trimer
Deaconess Hospital Inc
$418.45Published rate
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See a sample payer proposalCPT 28755 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28755 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 28755 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 |
|---|---|---|
| 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. |
| 28730-CPT | High | Arthrodesi Midtarsal Or Tarsometatarsal Multi Or Transvers;, Arthrodesis Midtarsal Or Tarsometatarsal Multiple Or Transverse; |
| 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 28755. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28755 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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