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See a sample rate comparisonCPT 27475 Fee Schedule
Last Verified: September 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.
Arrest Epiphyseal Any Mthod (Eg Epiphysiodes); Distal Femur, Arrest Epiphyseal Any Method (Eg Epiphysiodesis); Distal Femur
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27475 |
| Medicaid Fee Schedule | View Medicaid rates for 27475 |
National average reimbursement for CPT 27475 by major payers:
$883.70
$892.26
$940.33
$1,091.74
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CPT 27475
5 of 25 sample ratesHigher to lower in this preview
El Paso Surgery Centers Lp
$8,266.00Published rateAnne Arundel-Sca Surgicenter, LLC, Aamc Surgery Center - Annapolis
Anne Arundelsca Surgicenter LLC
$3,428.00Published rateChelmsford Surgery Center LLC
$2,393.00Published rateThe Aesthetic Surgery Centre, PLLC, Cedar Laser And Surgery Center
Aesthetic Surgery Centre, PLLC
$1,690.00Published rateFarshid Paydar Md PC, The Eye Clinic
Farshid Paydar Md PC
$489.00Published rate
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See a sample payer proposalCPT 27475 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27475 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 27475 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 |
|---|---|---|
| 27472-CPT | High | Repair Nonunion Or Malunion, Repair Nonunion Or Malunion Femur Distal To Head Andneck With Iliac Or Other Autogenous Bone Graft (Includes Obtaining Graft) |
| 27475-CPT | Moderate | Arrest Epiphyseal Any Mthod (Eg Epiphysiodes); Distal Femur, Arrest Epiphyseal Any Method (Eg Epiphysiodesis); Distal Femur |
| 27477-CPT | Moderate | Arrest Epiphyseal Any Mthod (Eg Epiphysiodes); Tibia & Fibula, Arrest Epiphyseal Any Method (Eg Epiphysiodesis); Tibia And Fibula |
| 27500-CPT | Moderate | Closed Treatment Of Femoral Sh, Closed Treatment Of Femoral Shaft Fracture Withoutmanipulation Closed Treatment Of Femoral Shaft Fracture Without |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27475. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27475 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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