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See a sample rate comparisonCPT 27266 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 Dislocationrequiring Regional Or General Anesthesia Closed Treatment Of Post Hip Arthroplasty Dislocation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27266 |
| Medicaid Fee Schedule | View Medicaid rates for 27266 |
National average reimbursement for CPT 27266 by major payers:
$831.25
$782.46
$823.35
$956.46
Compare published rates across providers.
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CPT 27266
5 of 25 sample ratesHigher to lower in this preview
Conroe Surgery Center 2, LLC
Conroe Surgery Center 2 LLC
$2,817.00Published ratePrecision Sc, LLC, Precisioncare Surgery Center
Precision Sc LLC
$1,248.00Published rateMentor Surgery Center Ltd
Mentor Surgery Center,Ltd
$959.00Published rateSummit Surgery Center Modesto, Inc
Summit Surgery Center Modesto Inc
$563.00Published rateEye Care Surgery Center Of Memphis, LLC
$320.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27266 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27266 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 27266 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 |
| 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 27266. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27266 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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