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See a sample rate comparisonCPT 28899 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Unlisted Procedure Foot Or To, Unlisted Procedure Foot Or Toes
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 28899 |
| Medicaid Fee Schedule | View Medicaid rates for 28899 |
National average reimbursement for CPT 28899 by major payers:
$1,103.32
$470.89
$2,640.74
$1,220.27
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CPT 28899
5 of 25 sample ratesHigher to lower in this preview
Mclean Ambulatory Surgery, LLC
Mclean Ambulatory Surgery LLC
$1,005.00Published rateMidwest Surgery Center, LLC, Midwest Surgery Center- Woodbury
Midwest Surgery Center
$424.00Published rateSandpoint Surgery Center LLC
$170.00Published rateJohns Hopkins Surgery Centers Series, Bel Air Surgery Center
Johns Hopkins Surgery Center Series
$112.00Published rateLockwood Ambulatory Surgery Center, Groman & Rubin Ambulatory Surgery Center
Lockwood Ambulatory Surgery Center
$54.00Published rate
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See a sample payer proposalCPT 28899 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28899 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 28899 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. |
| 28725-CPT | High | Fuse Bones In Foot, Surgery To Join Together Two Or More Bones Of Foot Joint. The Procedure Is Done To Relieve Pain By Eliminating 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 28899. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28899 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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