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See a sample rate comparisonCPT 27268 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 Treatmn Of Fmoral Fract Proxim End Head; W/ Manipul, Closed Treatment Of Femoral Fracture Proximal End Head; With Manipul
| 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 RT - Right side of body 54 - Surgical Care Only |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27268 |
| Medicaid Fee Schedule | View Medicaid rates for 27268 |
National average reimbursement for CPT 27268 by major payers:
$726.55
$714.35
$738.24
$916.65
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CPT 27268
5 of 25 sample ratesHigher to lower in this preview
Methodist Healthcare System Of San Antonio, Ltd., L.L.P., Methodist Hospital
$8,448.00Published rateIowa City Ambulatory Surgical Center, LLC
Iowa City Ambulatory Surgical Center
$3,073.00Published ratePacificoast Ambulatory Surgicenter, LLC., Pacific Coast Ambulatory Surgicenter
Pacificoast Ambulatory Surgicenter LLC
$1,750.00Published rateWestern Washington Endoscopy Centers LLC, Puyallup Endoscopy Center
Western Washington Endoscopy Centers LLC
$1,224.00Published rateEye Surgical Center Of Mississippi
$650.00Published rate
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See a sample payer proposalCPT 27268 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27268 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 27268 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 |
| 27267-CPT | Moderate | Closed Treatmn Of Fmoral Fract Proxim End Head; W/O Mani, Closed Treatment Of Femoral Fracture Proximal End Head; Without Mani |
| 27268-CPT | Moderate | Closed Treatmn Of Fmoral Fract Proxim End Head; W/ Manipul, Closed Treatment Of Femoral Fracture Proximal End Head; With Manipul |
| 27269-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27268. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27268 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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