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See a sample rate comparisonCPT 27495 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.
Secure Bone To Prevent Break, Treatment To Prevent A Broken Bone In Leg. The Bone Which Is Already Weakened Is Stabilized With A Pin Plate Nail Or Wire.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27495 |
| Medicaid Fee Schedule | View Medicaid rates for 27495 |
National average reimbursement for CPT 27495 by major payers:
$1,505.80
$1,531.30
$1,622.17
$1,851.32
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CPT 27495
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Stephenville
$20,777.00Published rateSurgery Center Of Bay Area Houston, LLC
$5,758.00Published rateWest Plains Surgery Center LLC
West Plains Ambulatory Surgery Cent
$3,565.00Published rateYork Endoscopy Center LLC
$2,460.00Published ratePremier Endoscopy Center, LLC
Premier Endoscopy Center, P.L.L.C.
$1,118.00Published rate
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See a sample payer proposalCPT 27495 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27495 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 27495 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 |
|---|---|---|
| 27448-CPT | High | Osteotmy,Femr,Shft/Supracndy;Wo Fix |
| 27450-CPT | High | Osteotomy Femur W Fixation Unilat |
| 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 |
| 27495-CPT | High | Secure Bone To Prevent Break, Treatment To Prevent A Broken Bone In Leg. The Bone Which Is Already Weakened Is Stabilized With A Pin Plate Nail Or Wire. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27495. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27495 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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