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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | None 54 - Surgical Care Only LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27550 |
| Medicaid Fee Schedule | View Medicaid rates for 27550 |
National average reimbursement for CPT 27550 by major payers:

$695.98

$680.30

$719.98

$854.31
Choose a payer to see a sample of rates for CPT 27550.
Surgcenter Of Greater Jacksonville LLC
Midstate Endoscopy Center LLC
Lake Mary Surgery Center
Northeast Georgia Urological Surgery Center LLC
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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 27550 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27550 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 27550 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 |
|---|---|---|
| 27550-CPT | Moderate | Set Dislocated Knee, Treatment Of Dislocated Knee Using Manual Traction. After Treatment A Splint Or Immobilizer Is Usually Applied For Support. |
| 27552-CPT | Moderate | Closed Treatment Of Knee Dislo, Closed Treatment Of Knee Dislocation Requiring Anesthesiaclosed Treatment Of Knee Dislocation Requiring Anesthesia |
| 27556-CPT | High | Surgery On Dislocated Knee, Surgery To Repair A Dislocated Knee Where There Is Significant Injury To Surrounding Tissue. Pins Or Wires May Be Used To Hold The Joint While It Heals. |
| 27557-CPT | High | Surgery On Dislocated Knee, Surgery To Repair A Dislocated Knee Where There Is Significant Injury To Surrounding Tissue. Pins Or Wires May Be Used To Hold The Joint While It Heals. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27550. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27550 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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