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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 | 23 - Emergency Room 11 - Office |
| Common Modifiers | None RT - Right side of body 54 - Surgical Care Only |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27808 |
| Medicaid Fee Schedule | View Medicaid rates for 27808 |
National average reimbursement for CPT 27808 by major payers:

$454.53

$441.02

$471.29

$548.46
Choose a payer to see a sample of rates for CPT 27808.
St Marks Ambulatory Surgery Associates Lp
Spicewood Surgery Center LLC
Dallas Endoscopy Center Ltd
Gastroenterology Of Indianapolis, P . C.
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Rate Benchmarking
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See a sample payer proposalCPT 27808 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27808 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 27808 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 |
|---|---|---|
| 27769-CPT | High | Repair And Secure Broken Ankle, Surgical Repair Of Broken Ankle (Posterior Malleolus) Using Pins Screws Plates Or Wires As Needed. |
| 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. |
| 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. |
| 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 27808. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27808 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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