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See a sample rate comparisonCPT 27831 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 Treatmn Of Proxim Tibiofibular Joint Lengthen; Requir, Closed Treatment Of Proximal Tibiofibular Joint Dislocation; Requiring
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27831 |
| Medicaid Fee Schedule | View Medicaid rates for 27831 |
National average reimbursement for CPT 27831 by major payers:
$578.09
$531.40
$556.16
$682.40
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CPT 27831
5 of 25 sample ratesHigher to lower in this preview
Northern Monmouth Regional Surgery Center LLC, Center For Bone And Joint Surgery
Northern Monmouth Regional Surgery Center LLC
$2,158.00Published rateMinimally Invasive Surgicenter LLC
Minimally Invasive Surgicenter L
$893.00Published rateCoastal Cardiovascular Center, LLC, Coastal Cardiovascular Center
Coastal Cardiovascular Center LLC
$500.00Published rateThe Surgical Center Of The Treasure Coast, LLC
Surgical Center Of The Treasure Coast
$400.00Published rateEye Care Surgery Center Of Memphis, LLC
$218.00Published rate
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See a sample payer proposalCPT 27831 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27831 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 27831 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 |
|---|---|---|
| 27828-CPT | High | Surgical Repair Of Broken Leg, Surgery To Repair A Break In The Weight-Bearing Portion Of One Or Both Bones In The Lower Leg (Tibia Or Fibula). Pins Wires Screws Or Plates May Be Used To Hold The Bones In Place. |
| 27830-CPT | Moderate | Realign Dislocated Knee, Treatment Of A Dislocated Knee By Manually Moving The Bones Back Into Place. A Brace Or Splint Is Applied. |
| 27831-CPT | Moderate | Closed Treatmn Of Proxim Tibiofibular Joint Lengthen; Requir, Closed Treatment Of Proximal Tibiofibular Joint Dislocation; Requiring |
| 27832-CPT | Moderate | Surgery On Dislocated Knee, Surgery To Repair A Dislocated Knee Joint. The Procedure May Involve Reshaping One Of The Leg Bones Or Holding The Knee Joint In Place With Pins Wires Or Screws. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27831. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27831 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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