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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body 54 - Surgical Care Only |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27760 |
| Medicaid Fee Schedule | View Medicaid rates for 27760 |
National average reimbursement for CPT 27760 by major payers:

$428.02

$440.34

$466.11

$544.40
Choose a payer to see a sample of rates for CPT 27760.
Shrewsbury Surgery Center LLC
Oconnor Building Surgery Center LLC
The Blue Ridge Clemson Orthopaedic Asc LLC
Inland Eye Specialists, A Medical Corporation
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 27760 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27760 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 27760 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 |
| 27760-CPT | Moderate | Closed Treatment Of Medial Mal, Closed Treatment Of Medial Malleolus Fracture Withoutmanipulation Closed Treatment Of Medial Malleolus Fracture Without |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27760. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27760 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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