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See a sample rate comparisonCPT 27767 Fee Schedule
Last Verified: October 2026
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.
Closed Treatmn Of Posteri Malleolus Fract; W/O Manipulat, Closed Treatment Of Posterior Malleolus Fracture; Without Manipulation
| 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 LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27767 |
| Medicaid Fee Schedule | View Medicaid rates for 27767 |
National average reimbursement for CPT 27767 by major payers:
$399.87
$370.32
$393.82
$477.33
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CPT 27767
5 of 25 sample ratesHigher to lower in this preview
Los Gatos Surgical Center, A California Limited Partnership
$2,830.00Published rateMid-State Endoscopy Center LLC
Midstate Endoscopy Center LLC
$506.00Published rateHuebner Creek Surgery Center, PLLC
Huebner Ambulatory Surgery Center LLC
$225.00Published rateEynon Surgery Center, LLC
$123.00Published ratePhysicians Surgery Center LLC
$65.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 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.
| Code | Complexity | Description |
|---|---|---|
| 27766-CPT | Moderate | Surgery To Repair Broken Ankle, Surgery To Repair A Broken Ankle Bone (Malleolus). Pins Wires Or Screws May Be Used To Hold The Bone In Place. |
| 27767-CPT | Moderate | Closed Treatmn Of Posteri Malleolus Fract; W/O Manipulat, Closed Treatment Of Posterior Malleolus Fracture; Without Manipulation |
| 27768-CPT | Moderate | Closed Treatmn Of Posteri Malleolus Fract; W/ Manipulat, Closed Treatment Of Posterior Malleolus Fracture; With Manipulation |
| 27816-CPT | Moderate | Treatment Of Ankle Fracture, Closed Treatment Of All Three The Portions Of The Bones Of The Leg (Tibia And Fibula) In The Region Of The Ankle Without Manipulation |
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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