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See a sample rate comparisonCPT 27120 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.
Surgical Repair Of Hip Socket, Surgery To Restore Socket Of Hip Joint (Acetabulum) To Its Normal State. Any Damaged Or Infected Bone Or Material Is Removed. A Cast Is Applied.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27120 |
| Medicaid Fee Schedule | View Medicaid rates for 27120 |
National average reimbursement for CPT 27120 by major payers:
$1,644.58
$1,751.34
$1,794.58
$2,115.65
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CPT 27120
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Northeast Asc
Lexington Health Inc
$11,403.00Published rateThe Outpatient Center, LLC, The Outpatient Center Of Boynton Beach, Ltd. D/B/A The Outpatient Cent
The Outpatient Center Of Boynton Beach, Ltd.
$6,087.00Published rateRegional Eye Surgery Center, LLC
$3,421.00Published rateEye Surgery Ctr Of So Calif A Med Group, Tri-City Surgery Center
Eye Surgery Ctr Of So Calif A Med Group
$2,400.00Published rateCei Physicians Psc, LLC
Cincinnati Eye Institute
$871.00Published rate
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See a sample payer proposalCPT 27120 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27120 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 27120 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 |
|---|---|---|
| 27120-CPT | High | Surgical Repair Of Hip Socket, Surgery To Restore Socket Of Hip Joint (Acetabulum) To Its Normal State. Any Damaged Or Infected Bone Or Material Is Removed. A Cast Is Applied. |
| 27122-CPT | High | Surgical Repair Of Hip Socket, Surgery To Restore Socket Of Hip Joint (Acetabulum) To Its Normal State. Any Damaged Or Infected Bone Or Material Is Removed. A Cast Is Applied. |
| 27125-CPT | High | Hemiarthroplas Hip Partial (Eg Fmoral Stem Prosthes Bipolar, Hemiarthroplasty Hip Partial (Eg Femoral Stem Prosthesis Bipolar A |
| 27132-CPT | High | Conversion Of Previous Hip Sur, Conversion Of Previous Hip Surgery To Total Hip Replacementwith Or Without Autograft Or Allograft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27120 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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