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See a sample rate comparisonCPT 27696 Fee Schedule
Last Verified: October 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.
Rpair Primar Disrupted Ligamnt Ankle; Both Collateral Ligament, Repair Primary Disrupted Ligament Ankle; Both Collateral Ligaments
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27696 |
| Medicaid Fee Schedule | View Medicaid rates for 27696 |
National average reimbursement for CPT 27696 by major payers:
$773.70
$768.67
$775.89
$924.20
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CPT 27696
5 of 25 sample ratesHigher to lower in this preview
Saint Vincent Hlth Ctr Spu
Highmark Health
$17,863.40Published rateCharlotte Endoscopic Surgery Center LLC, Charlotte Surgery Center
Charlotte Endoscopic Surgery Center, LLC
$3,347.00Published rateFirst Surgery Center, Inc.
First Surgery Center Inc
$1,692.00Published rateSheepshead Bay Surgery Center, Inc., Sheepshead Bay Surgery Center
Sheepshead Bay Surgery Center
$1,087.00Published rateG.I.Endoscopy Center
Giendoscopy Center
$390.00Published rate
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See a sample payer proposalCPT 27696 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27696 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 27696 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 |
|---|---|---|
| 27695-CPT | Moderate | Suture,Prim,Torn Ligament,Ankle;Collater |
| 27696-CPT | Moderate | Rpair Primar Disrupted Ligamnt Ankle; Both Collateral Ligament, Repair Primary Disrupted Ligament Ankle; Both Collateral Ligaments |
| 27698-CPT | Moderate | Rpair Second Disrupted Ligamnt Ankle Collateral (Eg Watson-J, Repair Secondary Disrupted Ligament Ankle Collateral (Eg Watson-J |
| 27700-CPT | Moderate | Reshape Ankle Joint, Surgery To Reshape The Damaged End Of An Ankle Joint By Grinding Down The Surface. The Procedure Stimulates Growth Of New Tissue (Bone). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27696. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27696 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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