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See a sample rate comparisonCPT 27215 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.
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
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27215 |
| Medicaid Fee Schedule | View Medicaid rates for 27215 |
National average reimbursement for CPT 27215 by major payers:
$861.77
$860.69
$876.85
$1,032.81
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CPT 27215
5 of 25 sample ratesHigher to lower in this preview
Presbyterian Sameday Surgery Center At Huntersville LLC, Novant Health Huntersville Outpatient Surgery
Presbyterian Sameday Surgery Center At Huntersville LLC
$1,408.00Published rateYuma Advanced Surgical Suites LLC
Yuma Advanced Surgical Suites, LLC
$953.00Published ratePalos Hills Surgery Center, LLC
Palos Hills Surgery Center LLC
$523.00Published rateVictor R. Michalak, Dba Cosmetic Surgery & Dermatology Of Issaquah, Inc.
$375.00Published rateMississippi Eye Surgery Center, Mississippi Eye Surgery Center Facility
$225.00Published rate
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See a sample payer proposalCPT 27215 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27215 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 27215 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 |
|---|---|---|
| 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 |
| 27216-CPT | High | Treat Pelvic Ring Fracture, Percutaneous Skeletal Fixation Of Posterior Pelvic Bone Fracture And Or Dislocation For Fracture Patterns That Disrupt The Pelvic Ring Unilateral Includes Ipsilateral Ilium Sacroiliac Joint And Or Sacrum |
| 27218-CPT | High | Treat Pelvic Ring Fracture, Open Treatment Of Posterior Pelvic Bone Fracture And Or Dislocation For Fracture Patterns That Disrupt The Pelvic Ring Unilateral Includes Internal Fixation When Performed Includes Ipsilateral Ilium Sacroiliac Joint And Or Sacrum |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27215. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27215 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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