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See a sample rate comparisonCPT 27769 Fee Schedule
Last Verified: October 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.
Repair And Secure Broken Ankle, Surgical Repair Of Broken Ankle (Posterior Malleolus) Using Pins Screws Plates Or Wires As Needed.
| 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 27769 |
| Medicaid Fee Schedule | View Medicaid rates for 27769 |
National average reimbursement for CPT 27769 by major payers:
$1,013.24
$963.25
$1,007.90
$1,194.49
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CPT 27769
5 of 25 sample ratesHigher to lower in this preview
Henry Ford Medical Center Fairlane, Henry Ford Health System
Henry Ford Health System
$10,491.00Published rateResurgens Surgery Center LLC
$6,087.00Published rateM. Reza Mizani, M.D., P.A., Total Vascular Care
M. Reza Mizani Md, PA
$3,275.00Published rateDutchess Surgical Center
Dutchess Ambulatory Surgical Center
$1,868.00Published rateDiscover Vision Surgery & Laser Center LLC, Discover Vision Surgery & Laser Center
Discover Vision Surgery Laser Center LLC
$954.00Published rate
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See a sample payer proposalCPT 27769 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27769 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 27769 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. |
| 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. |
| 27808-CPT | Moderate | Closed Treatment Of Bimalleola, Closed Treatment Of Bimalleolar Ankle Fracture E.G. Lateral And Medial Malleoli Or Lateral And Posterior Malleoli Or Medial And Posterior Malleoli) 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 27769. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27769 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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