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See a sample rate comparisonCPT 27768 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/ Manipulat, Closed Treatment Of Posterior Malleolus Fracture; With Manipulation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27768 |
| Medicaid Fee Schedule | View Medicaid rates for 27768 |
National average reimbursement for CPT 27768 by major payers:
$572.45
$577.43
$606.78
$740.21
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CPT 27768
5 of 25 sample ratesHigher to lower in this preview
Mid-America Surgery Institute LLC
Midamerica Surgery Institute LLC
$1,299.00Published rateCenter For Aesthetic And Reconstructive Eyelid And Orbital Surgery, Careos
$646.00Published rateSurgery Center At St. Vincent, LLC, East Pavilion Surgery Center
Surgery Center At St Vincent LLC
$410.00Published ratePhysicians Surgery Center At Glendale Adventist, LLC
Physicians Surgery Center At Glendale Adventist LLC
$190.00Published rateSalvatore Dimercurio Md PA
Salvatore Dimercurio, M.D., P.A.
$101.00Published rate
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See a sample payer proposalCPT 27768 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27768 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 27768 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 |
| 27769-CPT | High | Repair And Secure Broken Ankle, Surgical Repair Of Broken Ankle (Posterior Malleolus) Using Pins Screws Plates Or Wires As Needed. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27768. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27768 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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