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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 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27780 |
| Medicaid Fee Schedule | View Medicaid rates for 27780 |
National average reimbursement for CPT 27780 by major payers:

$417.41

$402.43

$431.78

$502.05
Choose a payer to see a sample of rates for CPT 27780.
Osu Wexner Medical Center Ambulatory Surgery Center
Deaconess Hospital Inc
Southwest Washington Regional Surgery Center
Lake Jackson Endoscopy Center Lp
Taylor Surgery Center LLC
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Rate Benchmarking
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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 27780 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27780 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 27780 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 |
|---|---|---|
| 27780-CPT | Moderate | Closed Treatment Of Proximal F, Closed Treatment Of Proximal Fibula Or Shaft Fracturewithout Manipulation Closed Treatment Of Proximal Fibula Or Shaft Fracture |
| 27781-CPT | Moderate | Closed Treatment Of Proximal F, Closed Treatment Of Proximal Fibula Or Shaft Fracture With Manipulation Closed Treatment Of Proximal Fibula Or Shaft Fracture With |
| 27786-CPT | Moderate | Treatment Of A Broken Ankle, Treatment Of A Broken Ankle (Lateral Malleolus On Outer Side Of Ankle). A Cast Or Brace Is Applied. The Bone May Be Manually Moved Into Proper Alignment. |
| 27828-CPT | High | Surgical Repair Of Broken Leg, Surgery To Repair A Break In The Weight-Bearing Portion Of One Or Both Bones In The Lower Leg (Tibia Or Fibula). Pins Wires Screws Or Plates May Be Used To Hold The Bones In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27780. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27780 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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