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CPT 27767 Fee Schedule

Last Verified: December 2025

Healthcare 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.

Cltx Post Ankle Fx
Key FactDetail
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

LT - Left side of body

Complexity LevelModerate

National average reimbursement for CPT 27767 by major payers:

bcbs

$399.87

uhc

$370.32

aetna

$393.82

cigna

$498.09

Preview provider-level rates for...
For billing codeCPT 27767
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 27767

United
27767$200.001225510159 - SOUTHWEST SURGERY CENTER LLC825304896UTAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$343.001437232758 - SHADY GROVE REPRODUCTIVE SCIENCE CENTER PC, SGFC SURGERY CENTER208131466MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$225.001538782743 - HUEBNER CREEK SURGERY CENTER, PLLC813360799 - (TX) HUEBNER AMBULATORY SURGERY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$555.001295479780 - ADVENTHEALTH SURGERY CENTER DAVENPORT LLC881811228FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$130.001063649978 - IMPERIAL CALCASIEU SURGICAL CENTER LLC, CHRISTUS IMPERIAL CALCASIEU SURGICAL CENTER205109610 - (LA) IMPERIAL CALCASIEU SURGICAL CENTER LLCLAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$375.001386999662 - PALOS HILLS SURGERY CENTER, LLC451617538 - (IL) PALOS HILLS SURGERY CENTER LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$110.001821068289 - CITRUS UROLOGY CENTER, INC., LECANTO SURGERY CENTER593387636 - (FL) CITRUS UROLOGY CENTER, INC DBA LECANTO SURGERY CENTERFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$212.001639176183 - BERKS CENTER FOR DIGESTIVE HEALTH, LP233068912PAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$100.001679521389 - WESLEY & KLIPPENSTEIN, PC, WESLEY OPHTHALMIC PLASTIC SURGERY CENTER621799761 - (TN) WESLEY & KLIPPENSTEIN, P.C.TNAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$65.001114906393 - PHYSICIANS SURGERY CENTER LLC200435814 - (AR) PHYSICIANS SURGERY CENTER LLCARAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$190.001962953018 - THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLC611795393 - (FL) THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$574.001093772840 - THE SURGERY CENTER AT JENSEN BEACH, LLC651198731 - (FL) THE SURGERY CENTER AT JENSEN BFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$250.001376657890 - SURGICAL SPECIALTY SUITES, INC61784797 - (MD) SURGICAL SPECIALTY SUITES INCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$179.001174601223 - BEL CLAIR AMBULATORY SURGICAL TREATMENT CENTER, LTD., BEL CLAIR SURGICAL CENTER371301073 - (IL) BEL CLAIR AMBULATORY SURGICAL TREATMENT CENTER LTDILAmbulatory Surgical Clinic/Center (261QA1903X)
United
27767$312.001215178835 - PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C.911394965 - PACIFIC CATARACT AND LASER INSTITUTE, INC., PCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 27767 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 27767 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 27767 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.

CodeComplexityDescription
27766-CPTModerateRed Fx Open-Med Malleolus W Fixat
27767-CPTModerateCltx Post Ankle Fx
27768-CPTModerateCltx Post Ankle Fx W/Mnpj
27816-CPTModerateClo Tx Trimalleolar Ank Fx Wo Manip

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27767. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 27767 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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