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See a sample rate comparisonCPT 27756 Fee Schedule
Medicare rates as of October 2026
CPT 27756 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600361Sign up to view all 3 |
| Medicare Fee Schedule | $564.48 national non-facility rate (2026)View Medicare rates for 27756 |
| Medicaid Fee Schedule | $451.41 median of the 8 states in the free previewView Medicaid rates for 27756 |
National average reimbursement for CPT 27756 by major payers:
$775.10
BCBS / Anthem
$775.29
UnitedHealthcare
$792.92
Aetna
$954.63
Cigna
Compare published rates across providers.
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CPT 27756
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Irving, LLC
$4,141.00Published ratePresbyterian Rust Medical Center Asc LLC, New Mexico Surgery Center-Multi Specialty
$2,523.00Published rateBanner Phoenix Surgery Center LLC
$2,007.00Published rateDoctors Same Day Surgery Center, Ltd
Doctors Same Day Surgery Center Ltd
$1,062.00Published rateCynthia Kiesel
Deaconess Hospital Inc
$462.60Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27756 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27756. 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 27756. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27756 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 27756 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27756 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27756 in an ambulatory surgery center?
CMS lists CPT 27756 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27756?
Hospital price transparency files list CPT 27756 under these revenue codes: 0360, 0361 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.