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See a sample rate comparisonCPT 20527 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.
Enzyme Injection Into Hand, An Injection Of An Enzyme Into The Palm Of The Hand. The Procedure Treats A Problem With Muscles Contracting Too Much.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 20527 |
| Medicaid Fee Schedule | View Medicaid rates for 20527 |
National average reimbursement for CPT 20527 by major payers:
$117.12
$113.41
$117.15
$119.01
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CPT 20527
5 of 25 sample ratesHigher to lower in this preview
Texas Endoscopy Centers, LLC, Texas Endoscopy At Independence Medical Village
$1,446.00Published rateStark Ambulatory Surgery Center, LLC
Stark Ambulatory Surgery Center LLC
$574.00Published rateFoundation Surgery Affiliate Of Nacogdoches LLC, Nacogdoches Surgery Center
Foundation Surgery Affiliate Of Nacogdoches LLC
$237.00Published rateEast Atlanta Eye Surgery Center, LLC
East Atlanta Eye Surgery Center LLC
$150.00Published rateSt Johns Surgery Center LLC
$68.00Published rate
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See a sample payer proposalCPT 20527 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 20527 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 20527 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 |
|---|---|---|
| 20526-CPT | Low | Carpal Tunnel Injection, Injection Of Corticosteroid Or Anesthetic Into The Wrist To Relieve Pain Associated With Carpal Tunnel Syndrome. |
| 20527-CPT | Low | Enzyme Injection Into Hand, An Injection Of An Enzyme Into The Palm Of The Hand. The Procedure Treats A Problem With Muscles Contracting Too Much. |
| 20553-CPT | Low | Muscle Relaxant Injection, One Or More Injections Into A Knotted Or Clenched Muscle To Treat Irritation Or Pain; Three Or More Muscles. |
| 20610-CPT | Low | Arthrocentesis Aspiration An, Arthrocentesis Aspiration Andor Injection Major Joint Orbursa (Eg Shoulder Hip Knee Joint Subacromial Bursa) Arthrocentesis Aspiration Andor Injection Major Joint Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20527. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20527 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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