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See a sample rate comparisonCPT 27786 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.
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.
| 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 27786 |
| Medicaid Fee Schedule | View Medicaid rates for 27786 |
National average reimbursement for CPT 27786 by major payers:
$404.80
$416.53
$450.31
$514.73
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CPT 27786
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Pain Management Center LLC
$6,623.00Published rateBaylor Surgicare At Blue Star, LLC
Baylor Surgicare At Blue Star LLC
$1,301.00Published rateClarkston Asc Partners LLC, Clarkston Surgery Center
Clarkston Asc Partners, LLC Dba Clarkston Surgery Center
$350.00Published ratePottstown Ambulatory Center, LLC
Pottstown Ambulatory Center Ll
$135.00Published rateSavannah Pain Center, LLC
Savannah Pain Center LLC
$76.00Published rate
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See a sample payer proposalCPT 27786 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27786 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 27786 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. |
| 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 27786. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27786 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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