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See a sample rate comparisonCPT 27535 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.
Surgical Repair Of Broken Leg, Surgery To Repair A Broken Leg Bone (Tibia). Pins Plates Wires Or Screw May Be Used To Stabilize The Broken Bone.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27535 |
| Medicaid Fee Schedule | View Medicaid rates for 27535 |
National average reimbursement for CPT 27535 by major payers:
$1,159.44
$1,220.30
$1,296.46
$1,468.30
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CPT 27535
5 of 25 sample ratesHigher to lower in this preview
Sj East Campus Asc, LLC, Denver Surgery Center
Sj East Campus Asc LLC
$7,800.00Published rateShort Hills Surgery Center, LLC, Short Hills Surgery Center
Short Hills Surgery Center, LLC
$4,475.00Published rateMark Fromer, LLC, Eye Surgery Centers Of New York
Mark Fromer LLC
$2,430.00Published rateSurgical Center Of Ponte Vedra Beach LLC, Ponte Vedra Beach Surgery Center
Surgical Center Of Ponte Vedra B
$1,500.00Published rateAffiliated Ambulatory Surgery Center LLC
Affiliated Ambulatory Surgery Center, LLC
$390.00Published rate
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See a sample payer proposalCPT 27535 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27535 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 27535 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 |
|---|---|---|
| 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 |
| 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) |
| 27535-CPT | High | Surgical Repair Of Broken Leg, Surgery To Repair A Broken Leg Bone (Tibia). Pins Plates Wires Or Screw May Be Used To Stabilize The Broken Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27535. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27535 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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