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See a sample rate comparisonCPT 27823 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery On Broken Ankle, Surgery To Repair Three Broken Bones Of The Ankle. Pins Plates Or Screws May Be Used To Stabilize The Bones. The Procedure May Secure The Ankle To A Leg Bone (Tibia).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27823 |
| Medicaid Fee Schedule | View Medicaid rates for 27823 |
National average reimbursement for CPT 27823 by major payers:
$1,342.88
$1,323.56
$1,388.35
$1,615.85
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CPT 27823
5 of 25 sample ratesHigher to lower in this preview
Waverley Surgery Center LLC, Waverley Surgery Center
Waverley Surgery Center, L.P.
$9,476.00Published rateSpine And Pain Physicians Surgery Center, LLC
Spine And Pain Physicians Surgery Center LLC
$5,095.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$3,474.00Published rateBeacon Orthopaedics Surgery Center, LLC, Summit Surgery Center
Beacon Orthopaedics Surgery Center LLC
$2,459.00Published rateGastroenterology Endoscopy Center
$300.00Published rate
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See a sample payer proposalCPT 27823 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27823 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 27823 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 |
|---|---|---|
| 27816-CPT | Moderate | Treatment Of Ankle Fracture, Closed Treatment Of All Three The Portions Of The Bones Of The Leg (Tibia And Fibula) In The Region Of The Ankle Without Manipulation |
| 27818-CPT | Moderate | Treatment Of Ankle Fracture, Closed Treatment Of All Three The Portions Of The Bones Of The Leg (Tibia And Fibula) In The Region Of The Ankle With Manipulation |
| 27822-CPT | High | Surgery On Broken Ankle, Surgery To Repair Three Broken Bones Of The Ankle. Pins Plates Or Screws May Be Used To Stabilize The Bones. The Procedure May Secure The Ankle To A Leg Bone (Tibia). |
| 27823-CPT | High | Surgery On Broken Ankle, Surgery To Repair Three Broken Bones Of The Ankle. Pins Plates Or Screws May Be Used To Stabilize The Bones. The Procedure May Secure The Ankle To A Leg Bone (Tibia). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27823. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27823 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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