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See a sample rate comparisonCPT 27759 Fee Schedule
Last Verified: September 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.
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
| 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 27759 |
| Medicaid Fee Schedule | View Medicaid rates for 27759 |
National average reimbursement for CPT 27759 by major payers:
$1,328.98
$1,355.68
$1,436.46
$1,636.70
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CPT 27759
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Katy LLP
$8,087.00Published rateUchealth Ambulatory Surgery Centers, Uchealth Cherry Creek North Surgery Center
Uchealth Ambulatory Surgery Centers
$4,842.00Published rateAsc Development Company LLC
$3,474.00Published rateSan Diego Ca Multi Specialty Asc LLC, Mission Valley Heights Surgery Center
Poway Ca Multi-Specialty Asc LLC
$2,800.00Published rateJoshua Kindrat
Deaconess Hospital Inc
$1,739.84Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27759 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27759 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 27759 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 27759. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27759 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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