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CPT 27524 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 Patellar Fra, Open Treatment Of Patellar Fracture With Internalfixation Andor Partial Or Complete Patellectomy And Soft Tissue Repair
Key FactDetail
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 LevelHigh
Medicare Fee ScheduleView Medicare rates for 27524
Medicaid Fee ScheduleView Medicaid rates for 27524

National average reimbursement for CPT 27524 by major payers:

bcbs

$1,000.77

uhc

$1,018.57

aetna

$1,074.83

cigna

$1,238.39

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 27524.

CPT 27524
5 of 25 sample ratesHigher to lower in this preview
  1. Virginia Mason Medical Center, Virginia Mason Bellevue Asc

    Virginia Mason Medical Center

    WAAmbulatory Surgical Clinic/CenterNPI 1699702050Tax ID 91-0565539

    $8,180.00Published rate
  2. Folsom Outpatient Surgery Center, Lp, Folsom Surgery Center

    Folsom Outpatient Surgery Center Lp

    CAAmbulatory Surgical Clinic/CenterNPI 1942278692Tax ID 20-2468634

    $6,345.00Published rate
  3. Digestive Disease Center, Lp, Memorial Care Digestive Care Center Saddleback Memorial, An Affiliate

    Digestive Disease Center Lp

    CAAmbulatory Surgical Clinic/CenterNPI 1417935206Tax ID 33-0292435

    $3,425.00Published rate
  4. Van Dyck Asc, LLC

    Van Dyck Asc LLC

    TNAmbulatory Surgical Clinic/CenterNPI 1760414056Tax ID 62-1817203

    $1,664.00Published rate
  5. Suncoast Eye Center PA, Suncoast Surgery Institute

    Suncoast Eye Center PA

    FLAmbulatory Surgical Clinic/CenterNPI 1568556488Tax ID 59-2337219

    $610.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 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.

CodeComplexityDescription
27520-CPTModerateClosed Treatment Of Patellar F, Closed Treatment Of Patellar Fracture Without Manipulation Closed Treatment Of Patellar Fracture Without Manipulation
27524-CPTHighOpen Treatment Of Patellar Fra, Open Treatment Of Patellar Fracture With Internalfixation Andor Partial Or Complete Patellectomy And Soft Tissue Repair
27530-CPTModerateClosed Treatment Of Tibial Fra, Closed Treatment Of Tibial Fracture Proximal (Plateau)Without Manipulation Closed Treatment Of Tibial Fracture Proximal (Plateau)
27532-CPTModerateClosed 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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Frequently Asked Questions