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See a sample rate comparisonCPT 27842 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 Ankle Disl, Closed Treatment Of Ankle Dislocation Requiring Anesthesiawith Or Without Percutaneous Skeletal Fixation Closed Treatment Of Ankle Dislocation Requiring Anesthesia
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27842 |
| Medicaid Fee Schedule | View Medicaid rates for 27842 |
National average reimbursement for CPT 27842 by major payers:
$655.88
$656.86
$669.93
$826.46
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CPT 27842
5 of 25 sample ratesHigher to lower in this preview
Hudson Crossing Surgery Center, LLC, Hudson Crossing Surgery Center
Hudson Crossing Surgical Center
$3,157.00Published rateFlorham Park Endoscopy Asc LLC, Florham Park Endoscopy Center
Florham Park Endoscopy Center, LLC
$1,666.00Published rateAmbulatory Surgical Associates LLC, Tullahoma Surgery Center
Ambulatory Surgical Associates LLC
$1,258.00Published rateUpnt Surgery LLC
$774.00Published rateKnoxville Eye Surgery Center LLC, Tennessee Valley Eye Center
Knoxville Eye Surgery Center, LLC; Dba Tennessee Valley Eye Center
$300.00Published rate
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See a sample payer proposalCPT 27842 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27842 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 27842 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 |
|---|---|---|
| 27840-CPT | Moderate | Closed Treatment Of Ankle Disl, Closed Treatment Of Ankle Dislocation Without Anesthesiaclosed Treatment Of Ankle Dislocation Without Anesthesia |
| 27842-CPT | Moderate | Closed Treatment Of Ankle Disl, Closed Treatment Of Ankle Dislocation Requiring Anesthesiawith Or Without Percutaneous Skeletal Fixation Closed Treatment Of Ankle Dislocation Requiring Anesthesia |
| 27846-CPT | High | Open Treatment Of Ankle Disloc, Open Treatment Of Ankle Dislocation With Or Withoutpercutaneous Skeletal Fixation Without Repair Or Internal Fixation |
| 27848-CPT | High | Open Treatment Of Ankle Disloc, Open Treatment Of Ankle Dislocation With Or Withoutpercutaneous Skeletal Fixation With Repair Or Internal Or External Fixation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27842. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27842 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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