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See a sample rate comparisonCPT 27122 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27122 |
| Medicaid Fee Schedule | View Medicaid rates for 27122 |
National average reimbursement for CPT 27122 by major payers:
$1,461.68
$1,491.53
$1,565.92
$1,806.36
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CPT 27122
5 of 25 sample ratesHigher to lower in this preview
Franciscan Surgery Center, LLC
$17,168.00Published ratePotomac View Surgery Center, LLC
Potomac View Surgery Center LLC
$6,365.00Published rateJoliet Surgery Center Limited Partnership, Amsurg Surgery Center
Joliet Surgery Center Limited Partnership
$4,100.00Published rateSeven Hills Surgery Center, LLC
Seven Hills Surgery Center LLC
$2,500.00Published rateKansas Endoscopy LLC
$786.00Published rate
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See a sample payer proposalCPT 27122 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27122 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 27122 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 |
|---|---|---|
| 27111-CPT | High | Move Tendon At Front Of Hip, A Functioning Iliopsoas Tendon Is Detached And Re-Sewn Onto A Different Location Of The Hip Bone. The Procedure Is Done To Relieve Pain And Spasm And Increase Hip Function. |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27122. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27122 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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