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See a sample rate comparisonHealthcare 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.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27524 |
| Medicaid Fee Schedule | View Medicaid rates for 27524 |
National average reimbursement for CPT 27524 by major payers:

$1,000.77

$1,018.57

$1,074.83

$1,238.39
Choose a payer to see a sample of rates for CPT 27524.
Virginia Mason Medical Center
Folsom Outpatient Surgery Center Lp
Digestive Disease Center Lp
Van Dyck Asc LLC
Suncoast Eye Center PA
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 27524 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27524 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 27524 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 |
|---|---|---|
| 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 |
| 27530-CPT | Moderate | Closed Treatment Of Tibial Fra, Closed Treatment Of Tibial Fracture Proximal (Plateau)Without Manipulation Closed Treatment Of Tibial Fracture Proximal (Plateau) |
| 27532-CPT | Moderate | Closed Treatment Of Tibial Fra, Closed Treatment Of Tibial Fracture Proximal (Plateau)With Or Without Manipulation With Skeletal Traction Closed Treatment Of Tibial Fracture Proximal (Plateau) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27524. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27524 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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