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See a sample rate comparisonCPT 27240 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Closed Treatment Of Intertroch, Closed Treatment Of Intertrochanteric Pertrochanteric Orsubtrochanteric Femoral Fracture With Manipulation With Or Without Skin Or Skeletal Traction
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27240 |
| Medicaid Fee Schedule | View Medicaid rates for 27240 |
National average reimbursement for CPT 27240 by major payers:
$1,350.35
$1,284.78
$1,318.39
$1,557.38
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CPT 27240
5 of 25 sample ratesHigher to lower in this preview
Community Endoscopy Center LLC
$3,994.00Published rateLong Island Ambulatory Surgery Center, LLC
Long Island Ambulatory Surgery Center LLC
$1,500.00Published rateVip Surg Asc, LLC, Vip Surgical Center
Vip Surg Asc LLC
$975.00Published rateGc Surgery Center LLC
$607.00Published rateBerkeley Endoscopy Center LLC
$389.00Published rate
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See a sample payer proposalCPT 27240 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27240 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 27240 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 |
|---|---|---|
| 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 |
| 27244-CPT | High | Open Treatment Of Intertrochan, Open Treatment Of Intertrochanteric Pertrochanteric Orsubtrochanteric Femoral Fracture With Platescrew Type Implant With Or Without Cerclage |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27240. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27240 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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