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See a sample rate comparisonCPT 27758 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.
Treatment Of Tibia Fracture, Open Treatment Of Tibial Shaft Fracture With Or Without Fibular Fracture With Plate Screws With Or Without Cerclage
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27758 |
| Medicaid Fee Schedule | View Medicaid rates for 27758 |
National average reimbursement for CPT 27758 by major payers:
$1,231.93
$1,206.89
$1,285.80
$1,467.09
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CPT 27758
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc., Emory Aesthetic Center
Emory University
$8,090.00Published rateAndrews Institute Asc LLC
Andrews Institute Asc, LLC
$5,595.00Published rateColumbia Md Orthopaedic Asc, LLC, Hickory Ridge Surgery Center
Columbia Md Orthopaedic Asc LLC
$3,200.00Published rateSurgical Specialists At Princeton LLC
Surgical Specialists At Prince
$2,373.00Published rateFt Myers Digestive Health And Pain Asc LLC, Center For Digestive Health And Pain Management
Ft Myers Digestive Health And Pain Asc LLC
$761.00Published rate
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See a sample payer proposalCPT 27758 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27758 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 27758 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 |
| 27758-CPT | High | Treatment Of Tibia Fracture, Open Treatment Of Tibial Shaft Fracture With Or Without Fibular Fracture With Plate Screws With Or Without Cerclage |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27758. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27758 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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