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See a sample rate comparisonCPT 27252 Fee Schedule
Last Verified: October 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 Hip Disloc, Closed Treatment Of Hip Dislocation Traumatic Requiringanesthesia Closed Treatment Of Hip Dislocation Traumatic Requiring
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27252 |
| Medicaid Fee Schedule | View Medicaid rates for 27252 |
National average reimbursement for CPT 27252 by major payers:
$1,063.67
$1,016.86
$1,045.80
$1,255.12
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CPT 27252
5 of 25 sample ratesHigher to lower in this preview
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis, Prevea Surgery Center
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
$2,394.00Published rateSurgery Center Of Scottsdale LLC
$934.00Published rateBrentwood Surgery Center, LLC, Brentwood Surgery Center
$636.00Published rateSummit Ambulatory Surgical Center, LLC
$430.00Published rateOaks Surgery Center Lp
Oaks Surgery Center Lp The Oak
$325.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27252 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27252 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 27252 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 |
| 27250-CPT | Moderate | Closed Treatment Of Hip Disloc, Closed Treatment Of Hip Dislocation Traumatic Withoutanesthesia Closed Treatment Of Hip Dislocation Traumatic Without |
| 27252-CPT | High | Closed Treatment Of Hip Disloc, Closed Treatment Of Hip Dislocation Traumatic Requiringanesthesia Closed Treatment Of Hip Dislocation Traumatic Requiring |
| 27254-CPT | High | Open Treatment Of Hip Dislocat, Open Treatment Of Hip Dislocation Traumatic Withacetabular Wall And Femoral Head Fracture With Orwithout Internal Or External Fixation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27252. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27252 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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