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See a sample rate comparisonCPT 27784 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.
Surgical Repair Of Broken Leg, Surgery To Repair A Broken Leg Bone (Fibula). Pins Wires Or Screws May Be Used To Hold The Bone Together.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27784 |
| Medicaid Fee Schedule | View Medicaid rates for 27784 |
National average reimbursement for CPT 27784 by major payers:
$962.71
$937.50
$978.25
$1,151.43
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CPT 27784
5 of 25 sample ratesHigher to lower in this preview
Emory Ambulatory Surgery Center At Dunwoody, LLC
Emory Ambulatory Surgery Center At Dunwoody LLC
$8,535.00Published rateLafayette Surgery Center Limited Partnership
$5,117.00Published ratePeace River Surgery Center
$4,075.00Published rateRegency Ambulatory Surgery Center One, LLC
$2,680.00Published rateEye Surgical Center, LLC, The Institute For Refractive And Intraocular Surgery
Eye Surgical Center LLC
$680.00Published rate
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See a sample payer proposalCPT 27784 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27784 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 27784 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 |
|---|---|---|
| 27784-CPT | Moderate | Surgical Repair Of Broken Leg, Surgery To Repair A Broken Leg Bone (Fibula). Pins Wires Or Screws May Be Used To Hold The Bone Together. |
| 27788-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. |
| 27792-CPT | Moderate | Surgery To Repair Broken Ankle, Surgery To Repair A Broken Bone On The Outer Side Of The Ankle (Malleolus). Pins Wires Or Screws May Be Used To Hold The Bone In Place. |
| 27826-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 27784. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27784 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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