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See a sample rate comparisonCPT 27165 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.
Osteotomy Intertrochant Or Subtrochanteric Inclu Intern Or, Osteotomy Intertrochanteric Or Subtrochanteric Including Internal Or
| 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 27165 |
| Medicaid Fee Schedule | View Medicaid rates for 27165 |
National average reimbursement for CPT 27165 by major payers:
$1,794.02
$1,847.97
$1,982.15
$2,236.57
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CPT 27165
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
$24,492.00Published rateRiverside Surgery Center, Inc.
Riverside Surgery Center Inc
$4,519.00Published rateSouth Denver Surgical Services LLC, South Denver Urology Center
South Denver Surgical Services LLC
$3,150.00Published rateAtlantic Plastic Surgery Associates PA
Atlantic Plastic Surgery Associates, P.A.
$2,038.00Published rateDigestive Health Center LLC
Digestive Health Center, Ltd.
$850.00Published rate
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See a sample payer proposalCPT 27165 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27165 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 27165 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. |
| 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 27165. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27165 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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