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See a sample rate comparisonCPT 27238 Fee Schedule
Last Verified: September 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 Intertroch, Closed Treatment Of Intertrochanteric Pertrochanteric Orsubtrochanteric Femoral Fracture Without Manipulation Closed Treatment Of Intertrochanteric Pertrochanteric Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27238 |
| Medicaid Fee Schedule | View Medicaid rates for 27238 |
National average reimbursement for CPT 27238 by major payers:
$664.51
$617.94
$647.85
$765.34
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CPT 27238
5 of 25 sample ratesHigher to lower in this preview
Memorial Ambulatory Surgery Center, LLC
Virtua-Memorial Hospital Burlington County Inc
$3,624.00Published rateLawrence Surgery Center LLC
Lawrence Surgery Center, LLC
$620.00Published rateNeospine Puyallup Spine Center, LLC, Microsurgical Spine Center
Neospine Puyallup Spine Center LLC
$330.00Published rateThe Hutchinson Ophthalmology Asc LLC, Surgery Center Of South Central Kansas
The Hutchinson Ophthalmology Asc LLC
$163.00Published rateEye Surgicenter LLC
$42.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27238 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27238 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 27238 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 |
|---|---|---|
| 27235-CPT | High | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Femoral Fracture Proximalend Neck Undisplaced Mildly Displaced Or Impacted Fracture |
| 27236-CPT | High | Repair And Secure A Broken Hip, Surgery To Repair A Broken Hip. Pins Wires Or Rods May Hold The Bone Together. The End Of The Bone May Be Replaced With An Artificial Part. |
| 27238-CPT | Moderate | Closed Treatment Of Intertroch, Closed Treatment Of Intertrochanteric Pertrochanteric Orsubtrochanteric Femoral Fracture Without Manipulation Closed Treatment Of Intertrochanteric Pertrochanteric Or |
| 27240-CPT | High | Closed Treatment Of Intertroch, Closed Treatment Of Intertrochanteric Pertrochanteric Orsubtrochanteric Femoral Fracture With Manipulation With Or Without Skin Or Skeletal Traction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27238. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27238 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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