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CPT 27532 Fee Schedule

Last Verified: January 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.

Red Fx-Tibia Proximal
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

21 - Inpatient Hospital

23 - Emergency Room

Common Modifiers

None

LT - Left side of body

RT - Right side of body

Complexity LevelModerate

National average reimbursement for CPT 27532 by major payers:

bcbs

$837.38

uhc

$824.02

aetna

$878.22

cigna

$1,037.26

Preview provider-level rates for...
For billing codeCPT 27532
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 27532

United
27532$1768.001508197039 - FREEMAN SURGICAL CENTER LLC262652980 - (MO) FREEMAN SURGICAL CENTER LLCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$410.001538109384 - PLASTIC SURGERY SPECIALISTS, PC521357688 - (MD) PLASTIC SURGERY SPECIALISTS, P.C.MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$376.001255446910 - DOWNTOWN BALTIMORE SURGERY CENTER, LLC522219532 - (MD) DOWNTOWN BALTIMORE SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$1258.001154474583 - CREEKWOOD SURGERY CENTER, LP431656044 - (MO) CREEKWOOD SURGERY CENTER LPMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$448.001548216914 - UPPER CUMBERLAND PHYSICIANS SURGERY CENTER LLC450470832 - (TN) UPPER CUMBERLAND PHYSICIANS SURGERY CENTER LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$916.001689755894 - SKIN SURGERY CENTER PS, SKIN SURGERY CENTER911954101 - (WA) SKIN SURGERY CENTER P. S.WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$544.001083674196 - VISION CARE CENTER OF IDAHO LLC820516189 - (ID) VISION CARE CENTER OF IDAHO LLCIDAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$755.001356954648 - ASC OF THE HEART INSTITUTE823433427 - (NM) ASC OF THE HEART INSTITUTENMAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$1258.001871751859 - WESTMINSTER SURGERY CENTER262059600 - (MD) WESTMINSTER SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$750.001487014361 - GRIFFIN CENTER FOR PAIN AND SPINE814348805GAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$1374.001144380163 - THE CENTRE LLC352121237INAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$614.001316406523 - JOHNS HOPKINS SURGERY CENTERS SERIES, GREEN SPRING STATION SURGERY CENTER208707724 - (MD) JOHNS HOPKINS SURGERY CENTER SERIESMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$1000.001417906660 - DOCTORS PARK SURGERY CENTER, LLC10668275 - (OR) DOCTORS PARK SURGERY CENTER LLCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$1233.001790104248 - METRO SURGERY CENTER, LLC, METRO SURGERY CENTER, LP810587498 - (AZ) METRO SURGERY CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
27532$622.001497706626 - CHICAGO PROSTATE CANCER SURGERY CENTER, LLC, DUPAGE MEDICAL GROUP SURGERY CENTER, WESTMONT204403852 - (IL) CHICAGO PROSTATE CANCER SURGERY CENTER LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 27532 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 27532 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 27532 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
27524-CPTHighOpen Treatment Of Patellar Fracture, With Internal Fixation And/Or Partial Or Complete Patellectomy And Soft Tissue Repair
27530-CPTModerateClo Tx Tib Fx Proximal Wo Manip
27532-CPTModerateRed Fx-Tibia Proximal
27535-CPTHighOpen Tx Tib Fx Unicondy W/Wo Fix

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27532. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 27532 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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