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See a sample rate comparisonCPT 27506 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.
Treatment Of Thigh Fracture, Open Treatment Of Femoral Shaft Fracture With Or Without External Fixation With Insertion Of Intramedullary Implant With Or Without Cerclage And Or Locking Screws
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 27506 |
| Medicaid Fee Schedule | View Medicaid rates for 27506 |
National average reimbursement for CPT 27506 by major payers:
$1,737.94
$1,801.10
$1,926.81
$2,178.85
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CPT 27506
5 of 25 sample ratesHigher to lower in this preview
Endoscopy Center Of Inland Empire Inc
$6,506.00Published rateNovant Health Brunswick Endoscopy Center, LLC, Novant Health Brunswick Endoscopy
Novant Health Brunswick Endoscopy Center LLC
$4,579.00Published ratePain Care Surgery, PC
Pain Care Surgery PC
$2,617.00Published rateSmart Pain Surgery Center At Owings Mills, LLC, Clearway Surgery Center Of Owings Mills
Smart Pain Surgery Center At Owings Mills LLC
$1,919.00Published rateSkin & Mohs Surgery Center, LLC
Skin Mohs Surgery Center LLC
$843.00Published rate
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See a sample payer proposalCPT 27506 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27506 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 27506 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 |
|---|---|---|
| 27500-CPT | Moderate | Closed Treatment Of Femoral Sh, Closed Treatment Of Femoral Shaft Fracture Withoutmanipulation Closed Treatment Of Femoral Shaft Fracture Without |
| 27501-CPT | Moderate | Closed Treatment Of Supracondy, Closed Treatment Of Supracondylar Or Transcondylarfemoralfracture With Or Without Intercondylar Ext Ension Without Manipulation |
| 27503-CPT | High | Treatment Of Thigh Fracture, Closed Treatment Of Supracondylar Or Transcondylar Femoral Fracture With Or Without Intercondylar Extension With Manipulation With Or Without Skin Or Skeletal Traction |
| 27506-CPT | High | Treatment Of Thigh Fracture, Open Treatment Of Femoral Shaft Fracture With Or Without External Fixation With Insertion Of Intramedullary Implant With Or Without Cerclage And Or Locking Screws |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27506. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27506 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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