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See a sample rate comparisonCPT 27752 Fee Schedule
Last Verified: September 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.
Treatment Of Tibia Fracture, Closed Treatment Of Tibial Shaft Fracture With Or Without Fibular Fracture With Manipulation With Or Without Skeletal Traction
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27752 |
| Medicaid Fee Schedule | View Medicaid rates for 27752 |
National average reimbursement for CPT 27752 by major payers:
$719.56
$715.94
$770.72
$900.67
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CPT 27752
5 of 25 sample ratesHigher to lower in this preview
West Orange Asc LLC, Gregori Surgery Center
West Orange Asc LLC
$3,010.00Published rateShore Outpatient Surgicenter LLC
$1,233.00Published rateWestern Washington Endoscopy Centers LLC, Digestive Health Network Endoscopy Center
Western Washington Endoscopy Centers LLC
$734.00Published rateGastroenterology Of Indianapolis PC, Digestive Health Center
Gastroenterology Of Indianapolis, P . C.
$578.00Published rateJessica Trimer
Deaconess Hospital Inc
$428.11Published rate
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See a sample payer proposalCPT 27752 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27752 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 27752 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 |
|---|---|---|
| 27750-CPT | Moderate | Closed Treatment Of Tibial Sha, Closed Treatment Of Tibial Shaft Fracture (With Orwithoutfibular Fracture) Without Manipulation C Losed Treatment Of Tibial Shaft Fracture (With Or Without |
| 27752-CPT | Moderate | Treatment Of Tibia Fracture, Closed Treatment Of Tibial Shaft Fracture With Or Without Fibular Fracture With Manipulation With Or Without Skeletal Traction |
| 27756-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Tibial Shaft Fracture(With Or Without Fibular Fracture) (Eg Pins Or Screws) Percutaneous Skeletal Fixation Of Tibial Shaft Fracture |
| 27759-CPT | High | Open Treatment Of Tibial Shaft, Open Treatment Of Tibial Shaft Fracture (With Or Withoutfibular Fracture) By Intramedullary Implantwith Or Without Interlocking Screws Andor Cercl Age |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27752. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27752 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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