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See a sample rate comparisonCPT 27187 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.
Prophylactic Treatment (Nailin, Prophylactic Treatment (Nailing Pinning Plating Or Wiring)With Or Without Methylmethacrylate Femoral Neck And Proximal Femur
| 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 27187 |
| Medicaid Fee Schedule | View Medicaid rates for 27187 |
National average reimbursement for CPT 27187 by major payers:
$1,304.94
$1,350.34
$1,469.84
$1,638.01
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CPT 27187
5 of 25 sample ratesHigher to lower in this preview
Alpine Surgicenter, LLC
$9,475.00Published rateChildren'S National Ambulatory Surgery Center
Childrens Hospital
$6,583.00Published rateVivere Health New Orleans, LLC, Vivere Audubon Surgery Center
Vivere Health New Orleans LLC
$3,470.00Published rateSurgical Eye Center Of San Antonio
$2,319.00Published rateAndre J Golino Md And Associates PA, Palm Beach Eye Clinic
Andre J Golino Md And Associates PA
$875.00Published rate
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See a sample payer proposalCPT 27187 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27187 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 27187 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 |
|---|---|---|
| 27175-CPT | Moderate | Treatment For Hip Condition, Treatment Of Slipped Capital Femoral Epiphysis (Scfe; Hip Condition) Using Traction Or Bone Pins Inserted Through The Skin. In Scfe The Head Or Ball Of The Thigh Bone Slips Off The Long Portion Of The Bone. Scfe Primarily Affects Children. |
| 27177-CPT | High | Treatment For Hip Bone, Surgery To Repair A Slipped Capital Femoral Epiphysis A Hip Problem That Primarily Affects Children. The Surgery Moves Back Into Place The Head Or Ball Of The Thigh Bone Which Has Slipped Off The Long Portion Of The Bone. |
| 27185-CPT | High | Epiphyseal Arrest By Epiphysiodes Or Stapl Greater Trochanter Of, Epiphyseal Arrest By Epiphysiodesis Or Stapling Greater Trochanter Of |
| 27187-CPT | High | Prophylactic Treatment (Nailin, Prophylactic Treatment (Nailing Pinning Plating Or Wiring)With Or Without Methylmethacrylate Femoral Neck And Proximal Femur |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27187. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27187 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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