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See a sample rate comparisonCPT 27788 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 | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | None 54 - Surgical Care Only RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27788 |
| Medicaid Fee Schedule | View Medicaid rates for 27788 |
National average reimbursement for CPT 27788 by major payers:
$580.98
$564.81
$592.20
$718.78
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CPT 27788
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc.
Deaconess Hospital Inc
$3,077.00Published rateNorthwest Surgery Center, LLP, Northwest Surgery Center
Northwest Surgery Center LLP
$566.00Published rateMesquite Surgery Center LLC
Mesquite Surgery Center, LLC
$263.00Published rateWaco Gastroenterology Endoscopy Center LLC, Waco Gastroenterology Endoscopy Center
Waco Gastroenterology Endoscopy Center LLC
$116.00Published rateWguasc, LLC
Wguasc LLC
$64.00Published rate
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See a sample payer proposalCPT 27788 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27788 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 27788 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 |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27788. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27788 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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