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See a sample rate comparisonCPT 27742 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.
Arrest Epiphyseal (Epiphysiod, Arrest Epiphyseal (Epiphysiodesis) Any Method Combinedproximal And Distal Tibia And Fibula And Distal Femur Arrest Epiphyseal (Epiphysiodesis)Any Method Combined
| 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 27742 |
| Medicaid Fee Schedule | View Medicaid rates for 27742 |
National average reimbursement for CPT 27742 by major payers:
$1,033.12
$1,024.68
$1,071.31
$1,257.84
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CPT 27742
5 of 25 sample ratesHigher to lower in this preview
Portsmouth Surgicenter, LLC
Portsmouth Surgicenter LLC
$9,861.00Published rateOnyx & Pearl Surgical Suites LLC
Onyx & Pearl Surgical Suites, LLC
$5,249.00Published rateCentennial Surgery Center Lp
$2,668.00Published rateSouthwestern Eye Center Ltd, Southwestern Eye Surgicenter-Cottonwood
Southwestern Eye Center, Ltd.
$1,550.00Published rateSurgery Center At Corporate Way LLC
$839.00Published rate
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See a sample payer proposalCPT 27742 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27742 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 27742 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 |
|---|---|---|
| 27730-CPT | Moderate | Arrest Epiphyseal Distal Tibia |
| 27732-CPT | Moderate | Epiphyseal Arrest-Epiphysiode/Staple;Dis |
| 27734-CPT | Moderate | Arrest Epiphyseal (Epiphysiodes) Open; Distal Tibia & Fibula, Arrest Epiphyseal (Epiphysiodesis) Open; Distal Tibia And Fibula |
| 27742-CPT | High | Arrest Epiphyseal (Epiphysiod, Arrest Epiphyseal (Epiphysiodesis) Any Method Combinedproximal And Distal Tibia And Fibula And Distal Femur Arrest Epiphyseal (Epiphysiodesis)Any Method Combined |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27742. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27742 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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