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See a sample rate comparisonCPT 27810 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.
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) With Manipulation
| 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 27810 |
| Medicaid Fee Schedule | View Medicaid rates for 27810 |
National average reimbursement for CPT 27810 by major payers:
$657.25
$628.39
$671.38
$797.31
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CPT 27810
5 of 25 sample ratesHigher to lower in this preview
Rose Ambulatory Surgery Center Lp
$1,553.00Published rateSurgcenter Of Southern Maryland, LLC
Surgcenter Of Southern Maryland
$967.00Published rateWillow Springs Surgery Center, Ltd, Forest Med-Surg Center
Willow Springs Surgery Center Ltd
$745.00Published rateWestern Washington Endoscopy Centers LLC, Puyallup Endoscopy Center
Western Washington Endoscopy Centers LLC
$499.00Published rate20-20 Surgery Center LLC
2020 Surgery Center LLC
$275.00Published rate
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See a sample payer proposalCPT 27810 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27810 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 27810 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. |
| 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 |
| 27810-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) With Manipulation |
| 27814-CPT | High | Treatment Of Ankle Fracture, Open Treatment Of Bimalleolar Ankle Fracture Eg Lateral And Medial Malleoli Or Lateral And Posterior Malleoli Or Medial And Posterior Malleoli Includes Internal Fixation When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27810. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27810 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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