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See a sample rate comparisonCPT 27138 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.
Revisn Of Total Hip Arthroplst; Fmoral Compone Only W/ Or Wi, Revision Of Total Hip Arthroplasty; Femoral Component Only With Or Wi
| 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 | RT - Right side of body LT - Left side of body None |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27138 |
| Medicaid Fee Schedule | View Medicaid rates for 27138 |
National average reimbursement for CPT 27138 by major payers:
$2,053.05
$2,082.25
$2,210.76
$2,495.66
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CPT 27138
5 of 25 sample ratesHigher to lower in this preview
Stuart Weinstein
$9,133.03Published rateSteven Rayappa
Regenerative Orthopaedics And Spine Institute PC
$3,548.87Published rateAndrew Hsiao
Pih Health Physicians
$2,593.13Published rateTerrence Philbin
Ohio Foot Ankle Inc
$1,803.97Published ratePhilip Christ
Philip W Christ Do PA
$958.17Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27138 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27138 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 27138 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 |
|---|---|---|
| 27132-CPT | High | Conversion Of Previous Hip Sur, Conversion Of Previous Hip Surgery To Total Hip Replacementwith Or Without Autograft Or Allograft |
| 27134-CPT | High | Revisn Of Total Hip Arthroplst; Both Components W//W/O A, Revision Of Total Hip Arthroplasty; Both Components With Or Without A |
| 27137-CPT | High | Revisn Of Total Hip Arthroplst; Acetabular Compone Only W/ Or, Revision Of Total Hip Arthroplasty; Acetabular Component Only With Or |
| 27138-CPT | High | Revisn Of Total Hip Arthroplst; Fmoral Compone Only W/ Or Wi, Revision Of Total Hip Arthroplasty; Femoral Component Only With Or Wi |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27138. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27138 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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