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See a sample rate comparisonCPT 27725 Fee Schedule
Last Verified: October 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.
Repair Poorly Healed Leg Bone, Surgery To Repair A Broken Bone In The Lower Leg (Tibia) That Failed To Heal Completely Or Healed Incorrectly.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27725 |
| Medicaid Fee Schedule | View Medicaid rates for 27725 |
National average reimbursement for CPT 27725 by major payers:
$1,639.58
$1,633.83
$1,654.83
$1,980.45
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CPT 27725
5 of 25 sample ratesHigher to lower in this preview
Front Range Orthopedic Surgery Center LLC
$28,000.00Published rateSurgical Center At Cedar Knolls LLC
Surgical Center At Cedar Knolls
$3,939.00Published rateTexas Midwest Surgery Center, LLC
Texas Midwest Surgery Center LLC
$3,379.00Published rateSurgery Center Of Atlanta, LLC, Surgery Center Of Atlanta
Surgery Center Of Atlanta
$2,100.00Published rateOphthalmology Center Of Brevard Lp, Asc Of Brevard
Ophthalmology Center Of Brevard Lp
$1,168.00Published rate
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See a sample payer proposalCPT 27725 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27725 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 27725 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 |
|---|---|---|
| 27720-CPT | High | Repair Poorly Healed Leg Bone, Surgery To Repair A Broken Bone In The Lower Leg (Tibia) That Failed To Heal Completely Or Healed Incorrectly. |
| 27722-CPT | High | Repair Poorly Healed Leg Bone, Surgery To Repair A Broken Bone In The Lower Leg (Tibia) That Failed To Heal Completely Or Healed Incorrectly. |
| 27724-CPT | High | Repair Poorly Healed Leg Bone, Surgery To Repair A Broken Bone In The Lower Leg (Tibia) That Failed To Heal Completely Or Healed Incorrectly. |
| 27725-CPT | High | Repair Poorly Healed Leg Bone, Surgery To Repair A Broken Bone In The Lower Leg (Tibia) That Failed To Heal Completely Or Healed Incorrectly. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27725. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27725 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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