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See a sample rate comparisonCPT 27535 Fee Schedule
Medicare rates as of October 2026
CPT 27535 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600960Sign up to view all 4 |
| Medicare Fee Schedule | $815.32 national non-facility rate (2026)View Medicare rates for 27535 |
| Medicaid Fee Schedule | $647.485 median of the 8 states in the free previewView Medicaid rates for 27535 |
National average reimbursement for CPT 27535 by major payers:
$1,159.44
BCBS / Anthem
$1,220.30
UnitedHealthcare
$1,296.46
Aetna
$1,468.30
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27535.
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 table lists codes related to 27535. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27507-CPT | 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 | Closed Treatment Of Tibial Fra, Closed Treatment Of Tibial Fracture Proximal (Plateau)Without Manipulation Closed Treatment Of Tibial Fracture Proximal (Plateau) |
| 27532-CPT | 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 | 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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Frequently Asked Questions
What APC is CPT 27535 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27535 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27535 in an ambulatory surgery center?
CMS lists CPT 27535 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27535?
Hospital price transparency files list CPT 27535 under these revenue codes: 0360, 0960, 0975 and 0989. A revenue code names the hospital department or charge category for the line; it does not change what the service is.