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See a sample rate comparisonCPT 28760 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.
Arthrodesis With Extensor Hal, Arthrodesis With Extensor Hallucis Longus Transfer To Firstmetatarsal Neck Great Toe Interphalangeal Joint (Eg Jones Type Procedure)
| 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 28760 |
| Medicaid Fee Schedule | View Medicaid rates for 28760 |
National average reimbursement for CPT 28760 by major payers:
$935.78
$1,027.80
$1,054.39
$951.53
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CPT 28760
5 of 25 sample ratesHigher to lower in this preview
Leigh Orthopedic Surgery Center, LLC
Leigh Orthopedic Surgery Center LLC
$9,914.00Published rateMenomonee Falls Ambulatory Surgery Center, LLC
Menomonee Falls Ambulatory Surgery Center
$6,186.00Published rateNoc Surgery Center LLC, Loc Surgery Center
Noc Surgery Center LLC
$3,950.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$2,229.00Published rateEndoscopy Center Of Topeka Lp, The Endoscopy And Surgery Center Of Topeka
The Endoscopy Center Of Topeka L
$911.00Published rate
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See a sample payer proposalCPT 28760 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28760 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 28760 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 |
|---|---|---|
| 28730-CPT | High | Arthrodesi Midtarsal Or Tarsometatarsal Multi Or Transvers;, Arthrodesis Midtarsal Or Tarsometatarsal Multiple Or Transverse; |
| 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. |
| 28760-CPT | Moderate | Arthrodesis With Extensor Hal, Arthrodesis With Extensor Hallucis Longus Transfer To Firstmetatarsal Neck Great Toe Interphalangeal Joint (Eg Jones Type Procedure) |
| 28825-CPT | Moderate | Amputation,Toe;Interphalangeal Jnt |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28760. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28760 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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