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See a sample rate comparisonCPT 27507 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.
Open Treatment Of Femoral Shaf, Open Treatment Of Femoral Shaft Fracture With Platescrews With Or Without Cerclage Open Treatmentof Femoral Shaft Fracture With Platescrews
| 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 27507 |
| Medicaid Fee Schedule | View Medicaid rates for 27507 |
National average reimbursement for CPT 27507 by major payers:
$1,314.36
$1,324.79
$1,395.92
$1,593.93
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CPT 27507
5 of 25 sample ratesHigher to lower in this preview
Surgcenter Of Silver Spring, LLC
Surgcenter Of Silver Spring LLC
$5,354.00Published rateSurgery Center Of Athens LLC
$3,249.00Published rateGrhs, LLC, Rochester Ambulatory Surgery Center
Rochester Ambulatory Surgery Center
$1,909.00Published rateEye Surgery Center, LLC
Eyecare Management, LLC
$1,248.00Published rateDierdre Payne
Deaconess Hospital Inc
$777.84Published rate
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See a sample payer proposalCPT 27507 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27507 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 27507 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 |
|---|---|---|
| 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 |
| 27507-CPT | High | Open Treatment Of Femoral Shaf, Open Treatment Of Femoral Shaft Fracture With Platescrews With Or Without Cerclage Open Treatmentof Femoral Shaft Fracture With Platescrews |
| 27508-CPT | Moderate | Closed Treatment Of Femoral Fr, Closed Treatment Of Femoral Fracture Distal End Medial Or Lateral Condyle Without Manipulation Closed Treatment Of Femoral Fracture Distal End Medial Or |
| 27513-CPT | High | Open Treatment Of Femoral Supr, Open Treatment Of Femoral Supracondylar Or Transcondylar Fracture With Intercondylar Extension Includes Internal Fixation When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27507. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27507 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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