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See a sample rate comparisonCPT 27220 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 Treatment Of Acetabulum, Closed Treatment Of Acetabulum (Hip Socket) Fracture(S)Without Manipulation Closed Treatment Of Acetabulum (Hip Socket) Fracture(S)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27220 |
| Medicaid Fee Schedule | View Medicaid rates for 27220 |
National average reimbursement for CPT 27220 by major payers:
$634.98
$637.19
$649.12
$737.94
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CPT 27220
5 of 25 sample ratesHigher to lower in this preview
Bayonet Point Surgery Center Ltd
$2,965.00Published rateTheda Oaks Gastroenterology & Endoscopy Center, LLC
Theda Oaks Gastroenterology & Endoscopy Ctr, Ltd
$688.00Published rateAmsterdam Rec LLC, Mohawk Valley Eye Surgery Center
Amsterdam Rec LLC
$478.00Published rateFresno Ca Multi Asc Lp, Herndon Surgery Center
Fresno Ca Multi Asc
$160.00Published rateCascade Endoscopy Center, LLC, Cascade Endoscopy Center
Cascade Endoscopy Center, LLC
$63.00Published rate
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See a sample payer proposalCPT 27220 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27220 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 27220 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 |
|---|---|---|
| 27130-CPT | High | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
| 27140-CPT | High | Osteotomy & Trnsfer Of Greater Trochanter Of Femur (Sepa Proc, Osteotomy And Transfer Of Greater Trochanter Of Femur (Separate Proced |
| 27220-CPT | Moderate | Closed Treatment Of Acetabulum, Closed Treatment Of Acetabulum (Hip Socket) Fracture(S)Without Manipulation Closed Treatment Of Acetabulum (Hip Socket) Fracture(S) |
| 27222-CPT | High | Closed Treatment Of Acetabulum, Closed Treatment Of Acetabulum (Hip Socket) Fracture(S)With Manipulation With Or Without Skeletal Traction Closed Treatment Of Acetabulum (Hip Socket) Fracture(S) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27220 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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