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See a sample rate comparisonCPT 27265 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 Post Hip A, Closed Treatment Of Post Hip Arthroplasty Dislocationwithout Anesthesia Closed Treatment Of Post Hip Arthroplasty Dislocation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | None 54 - Surgical Care Only RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27265 |
| Medicaid Fee Schedule | View Medicaid rates for 27265 |
National average reimbursement for CPT 27265 by major payers:
$577.44
$540.94
$586.37
$691.63
Compare published rates across providers.
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CPT 27265
5 of 25 sample ratesHigher to lower in this preview
Texas Endoscopy Centers, LLC, Texas Endoscopy
$1,301.00Published rateAdvanced Surgery Center Of Northern Louisiana LLC
Advanced Surgery Center Of Northern Louisiana, LLC
$566.00Published rateSouthern Kentucky Surgicenter, LLC, Greenview Surgery Center
Southern Kentucky Surgicenter LLC
$348.00Published rateCukrowski Surgery Center PC, East Michigan Surgery Center
Cukrowski Eye Center PC
$150.00Published rateDayton Eye Surgery Center L.L.C., Dayton Eye Surgery Center
Dayton Eye Surgery Center
$64.00Published rate
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See a sample payer proposalCPT 27265 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27265 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 27265 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 |
|---|---|---|
| 27256-CPT | Moderate | Treatment Of Spontaneous Hip, Treatment Of Spontaneous Hip Dislocation (Developmentalincluding Congenital Or Pathological) By Abduction Splint Or Traction Without Anesthesia Without Manipulation |
| 27259-CPT | High | Treat Hip Dislocation, Open Treatment Of Spontaneous Hip Dislocation Developmental Including Congenital Or Pathological Replacement Of Femoral Head In Acetabulum Including Tenotomy Etc With Femoral Shaft Shortening |
| 27265-CPT | Moderate | Closed Treatment Of Post Hip A, Closed Treatment Of Post Hip Arthroplasty Dislocationwithout Anesthesia Closed Treatment Of Post Hip Arthroplasty Dislocation |
| 27266-CPT | Moderate | Closed Treatment Of Post Hip A, Closed Treatment Of Post Hip Arthroplasty Dislocationrequiring Regional Or General Anesthesia Closed Treatment Of Post Hip Arthroplasty Dislocation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27265. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27265 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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