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See a sample rate comparisonCPT 28825 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,Toe;Interphalangeal Jnt
| 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 T6 - Right foot, second digit T1 - Left foot, second digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 28825 |
| Medicaid Fee Schedule | View Medicaid rates for 28825 |
National average reimbursement for CPT 28825 by major payers:
$464.04
$681.99
$568.41
$428.76
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CPT 28825
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$7,081.00Published rateMonocacy Surgery Center LLC
Monocacy Surgery Center
$2,101.00Published rateGulf Coast Outpatient Surgery Center LLC, Gulf Coast Outpatient Surgery Center
Gulf Coast Outpatient Surgery Center, LLC
$1,528.00Published rateBel Air Endoscopy Asc LLC, Harford Endoscopy Center
Bel Air Endoscopy Asc LLC
$1,048.00Published rateRacine Digestive Health Center LLC
$734.00Published rate
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See a sample payer proposalCPT 28825 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28825 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 28825 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 |
| 28810-CPT | Moderate | Amputation,Metatarsal,W/Toe,Single |
| 28820-CPT | Moderate | Amputation Toe Metatarsophalangeal |
| 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 28825. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28825 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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