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See a sample rate comparisonCPT 27745 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.
Secure Bone To Prevent Break, Treatment To Prevent A Broken Bone In Leg. The Bone Which Is Already Weakened Is Stabilized With A Pin Plate Nail Or Wire.
| 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 | 59 - Distinct Procedural Service RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27745 |
| Medicaid Fee Schedule | View Medicaid rates for 27745 |
National average reimbursement for CPT 27745 by major payers:
$1,038.56
$1,027.08
$1,046.49
$1,239.05
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CPT 27745
5 of 25 sample ratesHigher to lower in this preview
Canonsburg General Hospital
Highmark Health
$19,891.56Published rateWake Forest Ambulatory Ventures, LLC
Wake Forest Ambulatory Ventures LLC
$6,192.00Published rateMid County Surgery Center
$3,475.00Published rateCenter For Spine And Pain Medicine PC, Cspm Chattanooga Asc
Center For Spine And Pain Medici
$2,000.00Published rateClearwater Ambulatory Surgical Centers Inc, Clearwater Endoscopy Center
Clearwater Ambulatory Surgical Centers Inc
$400.00Published rate
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See a sample payer proposalCPT 27745 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27745 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 27745 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 |
| 27745-CPT | High | Secure Bone To Prevent Break, Treatment To Prevent A Broken Bone In Leg. The Bone Which Is Already Weakened Is Stabilized With A Pin Plate Nail Or Wire. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27745. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27745 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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