From the Guidelines
Broken leg surgery billing codes and fees are not directly addressed in the provided evidence, however, typical codes include CPT codes 27500-27514 for femur fractures, 27750-27814 for tibia/fibula fractures, and 27520-27566 for patella fractures, with costs ranging from $5,000 to $35,000 depending on complexity. The exact code depends on whether the fracture is open or closed, requires internal fixation, and which specific bone is affected. Fees vary significantly based on geographic location, facility type (hospital vs. ambulatory center), surgeon experience, and insurance coverage. Most patients with insurance will pay their deductible plus coinsurance, typically 10-30% of the allowed amount. The billing process includes the surgeon's fee, anesthesia (CPT codes 00400-00474), facility fees, imaging, and follow-up care. For accurate cost estimates, patients should request a detailed breakdown from their provider and check with their insurance company about coverage, pre-authorization requirements, and network status of all providers involved in their care. Recovery typically requires 6-12 weeks of limited weight-bearing with physical therapy, which may incur additional costs, although the provided evidence 1 focuses on the management of patients with lower extremity peripheral artery disease, it does not provide information on billing codes and fees for broken leg surgery. Key factors to consider when estimating costs include:
- Type and severity of the fracture
- Surgical approach and materials used
- Anesthesia and facility fees
- Insurance coverage and network status of providers
- Follow-up care and physical therapy requirements. It is essential to note that the provided evidence 1 is a guideline on the management of patients with lower extremity peripheral artery disease and does not provide direct information on billing codes and fees for broken leg surgery.
From the Research
Broken Leg Surgery Billing Codes and Fees
There are no research papers to assist in answering this question, as the provided studies focus on pain management strategies for patients undergoing orthopedic surgery, rather than billing codes and fees.
- The studies 2, 3, 4, 5, 6 discuss various aspects of pain management, including the use of acetaminophen, ibuprofen, and opioids, as well as the effectiveness of different treatment strategies for managing pain in patients with fractures.
- However, none of the studies provide information on billing codes and fees associated with broken leg surgery.
- To find the relevant billing codes and fees, it may be necessary to consult medical billing resources or contact a medical billing expert.