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See a sample rate comparisonHealthcare 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.
| 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 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27140 |
| Medicaid Fee Schedule | View Medicaid rates for 27140 |
National average reimbursement for CPT 27140 by major payers:

$1,194.37

$1,212.97

$1,219.00

$1,522.46
Choose a payer to see a sample of rates for CPT 27140.
Advanced Surgery Center Of Sarasota LLC
Monocacy Surgery Center
Bangor Eye Surgery PA
Surgery Center Of Branson
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 27140 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27140 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 27140 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 |
|---|---|---|
| 27100-CPT | High | Reposition A Hip Muscle, Surgery To Transfer A Muscle To A New Location In The Hip. A Functioning Hip Muscle Replaces One That Has Become Paralyzed. |
| 27140-CPT | High | Osteotomy & Trnsfer Of Greater Trochanter Of Femur (Sepa Proc, Osteotomy And Transfer Of Greater Trochanter Of Femur (Separate Proced |
| 27197-CPT | Low | Clsd Tx Pelvic Ring Fx, Closed Treatment Of Posterior Pelvic Ring Fracture S Dislocation S Diastasis Or Subluxation Of The Ilium Sacroiliac Joint And Or Sacrum With Or Without Anterior Pelvic Ring Fracture S And Or Dislocation S Of The Pubic Symphysis And Or Superior Inferior Rami Unilateral Or Bilateral Without Manipulation |
| 27198-CPT | Moderate | Clsd Tx Pelvic Ring Fx, Closed Treatment Of Posterior Pelvic Ring Fracture S Dislocation S Diastasis Or Subluxation Of The Ilium Sacroiliac Joint And Or Sacrum With Or Without Anterior Pelvic Ring Fracture S And Or Dislocation S Of The Pubic Symphysis And Or Superior Inferior Rami Unilateral Or Bilateral With Manipulation Requiring More Than Local Anesthesia Ie General Anesthesia Moderate Sedation Spinal Epidural |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27140. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27140 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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