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See a sample rate comparisonCPT 27455 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.
Osteotomy Proximal Tibia Inc, Osteotomy Proximal Tibia Including Fibular Excision Orosteotomy (Includes Correction Of Genu Varus(Bowleg) Or Genu Valgus (Knock-Knee)) Before Ep Iphyseal Closure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27455 |
| Medicaid Fee Schedule | View Medicaid rates for 27455 |
National average reimbursement for CPT 27455 by major payers:
$1,279.82
$1,284.02
$1,335.11
$1,564.38
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CPT 27455
5 of 25 sample ratesHigher to lower in this preview
Orthopedic Surgery Center Of The Fox Valley LLC
Orthopedic Surgery Center Of The Fox Valley
$8,018.00Published rateLowcountry Ambulatory Center, LLC
Lowcountry Ambulatory Center LLC
$6,492.00Published rateHealthcare Partners Asc-Lb, LLC, Davita Medical Asc
Healthcare Partners Asclb LLC
$3,937.00Published rateBuffalo Ambulatory Services, Inc, Buffalo Ambulatory Surgery Center
Buffalo Ambulatory Services, Inc
$1,782.00Published rateAsc-Tcg, LLC, Tri-County Center For Endoscopy & Surgery
Asc - Tcg LLC
$900.00Published rate
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See a sample payer proposalCPT 27455 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27455 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 27455 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 |
|---|---|---|
| 27455-CPT | High | Osteotomy Proximal Tibia Inc, Osteotomy Proximal Tibia Including Fibular Excision Orosteotomy (Includes Correction Of Genu Varus(Bowleg) Or Genu Valgus (Knock-Knee)) Before Ep Iphyseal Closure |
| 27457-CPT | High | Knee/Leg Surgery, Osteotomy Proximal Tibia Including Fibular Excision Or Osteotomy (Includes Correction Of Genu Varus (Bowleg) Or Genu Valgus (Knock-Knee)) Unilateral; After Epiphyseal Closure |
| 27477-CPT | Moderate | Arrest Epiphyseal Any Mthod (Eg Epiphysiodes); Tibia & Fibula, Arrest Epiphyseal Any Method (Eg Epiphysiodesis); Tibia And Fibula |
| 27479-CPT | High | Arrest Epiphyseal Any Method, Arrest Epiphyseal Any Method (Eg Epiphydiodesis)Combined Distal Femur Proximal Tibia And Fibulaarrest Epiphyseal Any Method (Eg Epiphydiodes Is) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27455. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27455 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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