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See a sample rate comparisonCPT 28890 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.
Hi Enrgy Eswt Plantar Fascia, Extracorporeal Shock Wave High Energy Performed By A Physician Or Other Qualified Health Care Professional Requiring Anesthesia Other Than Local Including Ultrasound Guidance Involving The Plantar Fascia
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 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 28890 |
| Medicaid Fee Schedule | View Medicaid rates for 28890 |
National average reimbursement for CPT 28890 by major payers:
$397.99
$438.65
$432.23
$531.94
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CPT 28890
5 of 25 sample ratesHigher to lower in this preview
Glbesc, LLC, Memorialcare Outpatient Surgical Center Long Beach
Glbesc LLC
$5,211.00Published ratePhoenix Orthopaedic Ambulatory Center, LLC, Gateway Surgery Center
Phoenix Orthopaedic Ambulatory Center, LLC
$2,799.00Published rateInland Eye Specialists A Medical Corp, Inland Eye Specialists
Inland Eye Specialists, A Medical Corporation
$1,786.00Published rateSouthwestern Eye Center Ltd, Southwestern Eye Center
Southwestern Eye Center, Ltd.
$1,410.00Published rateZion Ambulatory Center LLC
$565.00Published rate
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See a sample payer proposalCPT 28890 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28890 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 28890 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 |
|---|---|---|
| 28705-CPT | High | Fuse Bones Of Ankle Joint, Surgery To Fuse Multiple Joints In And Around The Ankle. |
| 28715-CPT | High | Fuse Bones In The Foot, Surgery To Fuse More Than One Joint In Foot. The Procedure Eliminates Motion Between The Bones. |
| 28890-CPT | Moderate | Hi Enrgy Eswt Plantar Fascia, Extracorporeal Shock Wave High Energy Performed By A Physician Or Other Qualified Health Care Professional Requiring Anesthesia Other Than Local Including Ultrasound Guidance Involving The Plantar Fascia |
| 28899-CPT | High | Unlisted Procedure Foot Or To, Unlisted Procedure Foot Or Toes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28890. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28890 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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