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See a sample rate comparisonCPT 27161 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.
Corrective Surgery On Hip Bone, Surgery To Cut Bone Of Hip (Femoral Neck Or Greater Trochanter) To Correct Its Alignment.
| 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 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27161 |
| Medicaid Fee Schedule | View Medicaid rates for 27161 |
National average reimbursement for CPT 27161 by major payers:
$1,718.94
$1,649.11
$1,665.04
$1,990.81
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CPT 27161
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Surgery Center LLC
$12,219.00Published rateSkyway Surgery Center, LLC
Skyway Surgery Center LLC
$6,365.00Published rateChicago Prostate Cancer Surgery Center, LLC, Dupage Medical Group Surgery Center, Westmont
Chicago Prostate Cancer Surgery Center LLC
$3,563.00Published rateBaton Rouge Vascular Access Asc LLC
$2,650.00Published rateLiberty Cataract Center LLC
$833.00Published rate
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See a sample payer proposalCPT 27161 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27161 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 27161 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 |
|---|---|---|
| 27151-CPT | High | Osteotomy Iliac Actabular Or Innominat Bone; W/ Fmoral Osteotom, Osteotomy Iliac Acetabular Or Innominate Bone; With Femoral Osteotom |
| 27156-CPT | High | Osteotomy Iliac Actabular Or Innominat Bone; W/ Fmoral Osteotom, Osteotomy Iliac Acetabular Or Innominate Bone; With Femoral Osteotom |
| 27161-CPT | High | Corrective Surgery On Hip Bone, Surgery To Cut Bone Of Hip (Femoral Neck Or Greater Trochanter) To Correct Its Alignment. |
| 27165-CPT | High | Osteotomy Intertrochant Or Subtrochanteric Inclu Intern Or, Osteotomy Intertrochanteric Or Subtrochanteric Including Internal Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27161. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27161 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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