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See a sample rate comparisonCPT 27202 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.
Open Treatment Coccygeal Fracture
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None SG - Scene to Hospital ESRD facility AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27202 |
| Medicaid Fee Schedule | View Medicaid rates for 27202 |
National average reimbursement for CPT 27202 by major payers:
$741.83
$800.19
$750.18
$954.62
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CPT 27202
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Independence Lp
$8,358.00Published rateMonocacy Surgery Center LLC
Monocacy Surgery Center
$5,797.00Published ratePermian Basin Surgical Care Center, LLC, Vista Surgery Center
Permian Basin Surgical Care Center LLC
$3,500.00Published rateSahara Outpatient Surgery Center Ltd
$1,815.00Published rateWinter Haven-Sebring Fl Ophthalmology Asc LLC, Eye Surgery & Laser Center Of Sebring
$905.00Published rate
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See a sample payer proposalCPT 27202 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27202 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 27202 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 |
| 27200-CPT | Moderate | Closed Tx Coccygcal Fracture |
| 27202-CPT | Moderate | Open Treatment Coccygeal Fracture |
| 27215-CPT | Moderate | Treat Pelvic Fracture S, Open Treatment Of Iliac Spine S Tuberosity Avulsion Or Iliac Wing Fracture S Unilateral For Pelvic Bone Fracture Patterns That Do Not Disrupt The Pelvic Ring Includes Internal Fixation When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27202. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27202 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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