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See a sample rate comparisonCPT 27200 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Closed Tx Coccygcal Fracture
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 23 - Emergency Room 20 - Urgent Care Facility |
| Common Modifiers | None 54 - Surgical Care Only 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27200 |
| Medicaid Fee Schedule | View Medicaid rates for 27200 |
National average reimbursement for CPT 27200 by major payers:
$249.01
$242.51
$251.39
$304.66
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CPT 27200
5 of 25 sample ratesHigher to lower in this preview
Los Altos Surgery Center LLC
Los Altos
$1,675.00Published ratePoint Of Rocks Surgery Center, LLC
$555.00Published rateSurgery Center Of Athens LLC
$293.00Published ratePhysicians Surgery Center LLC, National Spine & Ortho Surgery Center Of Ft. Myers
Physicians Surgery Center LLC
$153.00Published rateMississippi Urology Outpatient Surgery Center, LLC
Mississippi Urology Clinic, PLLC
$54.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27200 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27200 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 27200 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 |
|---|---|---|
| 27080-CPT | Moderate | Coccygectomy Primary |
| 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 |
| 27200-CPT | Moderate | Closed Tx Coccygcal Fracture |
| 27202-CPT | Moderate | Open Treatment Coccygeal Fracture |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27200 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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