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See a sample rate comparisonCPT 28810 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.
Amputation,Metatarsal,W/Toe,Single
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None T5 - Right foot, great toe T9 - Right foot, fifth digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28810 |
| Medicaid Fee Schedule | View Medicaid rates for 28810 |
National average reimbursement for CPT 28810 by major payers:
$596.29
$588.76
$600.43
$706.22
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CPT 28810
5 of 25 sample ratesHigher to lower in this preview
Indiana Endoscopy Centers LLC, Indiana Endoscopy Center West
$8,705.00Published rateGeorgia Interventional Pain LLC
$1,600.00Published ratePain Care Center Boise, LLC, Pain Care Boise
Pain Care Center Boise, L.L.C.
$1,421.00Published rateSurgical Center Of Ponte Vedra Beach LLC, Ponte Vedra Beach Surgery Center
Surgical Center Of Ponte Vedra B
$890.00Published rateGabriel Ballinger
Deaconess Hospital Inc
$346.73Published rate
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See a sample payer proposalCPT 28810 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28810 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 28810 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 |
|---|---|---|
| 28666-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Interphalangeal Jointdislocation With Manipulation Percutaneous Skeletal Fixation Of Interphalangeal Joint |
| 28805-CPT | Moderate | Amputation Foot Transmetatarsal |
| 28810-CPT | Moderate | Amputation,Metatarsal,W/Toe,Single |
| 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 28810. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28810 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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