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See a sample rate comparisonCPT 27870 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.
Fuse Bones Of Ankle Joint, Surgery To Join Together Two Or More Bones Of Ankle Joint. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones.
| 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 27870 |
| Medicaid Fee Schedule | View Medicaid rates for 27870 |
National average reimbursement for CPT 27870 by major payers:
$1,444.77
$1,393.39
$1,457.31
$1,671.79
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CPT 27870
5 of 25 sample ratesHigher to lower in this preview
East Mequon Surgery Center LLC
$14,053.00Published rateSouth Florida Ambulatory Surgical Center LLC
South Florida Ambulatory Surgi
$6,365.00Published rateRenal Focus Asc LLC, Renal Focus Asc Plainview
Renal Focus Asc LLC
$3,796.00Published rateSpecialty Surgery & Laser Center
Specialty Surgery Laser Center
$2,673.00Published rateDavid Maver
Deaconess Hospital Inc
$825.90Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27870 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27870 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 27870 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 |
|---|---|---|
| 27860-CPT | Moderate | Manipulation Of Ankle Under G, Manipulation Of Ankle Under General Anesthesia (Includesapplication Of Traction Or Other Fixation Apparatus) Manipulation Of Ankle Under General Anesthesia (Includes |
| 27870-CPT | High | Fuse Bones Of Ankle Joint, Surgery To Join Together Two Or More Bones Of Ankle Joint. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
| 27871-CPT | Moderate | Knee Or Ankle Joint Fusion, Surgery To Join Together Bones In The Ankle Or Knee Joint. The Procedure Eliminates Motion Between The Bones. |
| 27880-CPT | High | Amputation Leg,Through Tibia And Fibula; |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27870. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27870 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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