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See a sample rate comparisonCPT 27752 Fee Schedule
Medicare rates as of October 2026
CPT 27752 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | 23Emergency Room 21Inpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5112 - Level 2 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500981Sign up to view all 11 |
| Medicare Fee Schedule | $608.23 national non-facility rate (2026)View Medicare rates for 27752 |
| Medicaid Fee Schedule | $482.075 median of the 8 states in the free previewView Medicaid rates for 27752 |
National average reimbursement for CPT 27752 by major payers:
$719.56
BCBS / Anthem
$715.94
UnitedHealthcare
$770.72
Aetna
$900.67
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27752.
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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Payer Contract Negotiation
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See a sample payer proposalCPT 27752 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27752. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27750-CPT | 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 | Treatment Of Tibia Fracture, Closed Treatment Of Tibial Shaft Fracture With Or Without Fibular Fracture With Manipulation With Or Without Skeletal Traction |
| 27756-CPT | 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 | 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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Frequently Asked Questions
What APC is CPT 27752 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27752 to APC 5112 (Level 2 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27752 in an ambulatory surgery center?
CMS lists CPT 27752 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27752?
Hospital price transparency files list CPT 27752 under these revenue codes: including 0450, 0981, 0360, 0361 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.