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See a sample rate comparisonCPT 27520 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.
Closed Treatment Of Patellar F, Closed Treatment Of Patellar Fracture Without Manipulation Closed Treatment Of Patellar Fracture Without Manipulation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27520 |
| Medicaid Fee Schedule | View Medicaid rates for 27520 |
National average reimbursement for CPT 27520 by major payers:
$445.87
$426.30
$456.80
$529.83
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CPT 27520
5 of 25 sample ratesHigher to lower in this preview
Quality Surgicenter LLC
$1,500.00Published rateBailey Square Ambulatory Surgical Center, Ltd
Bailey Square Ambulatory Surgical Center Ltd
$627.00Published rateRetina Consultants Surgery Center
$345.00Published rateHighline South Ambulatory Surgery Center, LLC, Highline South Ambulatory Surgery Center
Highline South Ambulatory Surgery Center LLC
$273.00Published rateBay Microsurgical Unit
$86.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27520 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27520 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 27520 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 |
| 27516-CPT | Moderate | Closed Treatment Of Distal Fem, Closed Treatment Of Distal Femoral Epiphyseal Separationwithout Manipulation Closed Treatment Of Distal Femoral Epiphyseal Separation |
| 27520-CPT | Moderate | Closed Treatment Of Patellar F, Closed Treatment Of Patellar Fracture Without Manipulation Closed Treatment Of Patellar Fracture Without Manipulation |
| 27524-CPT | High | Open Treatment Of Patellar Fra, Open Treatment Of Patellar Fracture With Internalfixation Andor Partial Or Complete Patellectomy And Soft Tissue Repair |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27520 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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