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See a sample rate comparisonCPT 22527 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.
Percutaneous Intradiscal Elect, Percutaneous Intradiscal Electrothermal Annuloplasty Unilateral Or Bilateral Including Fluoroscopicguidance One Or More Additional Levels (List Sep Arately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service XS - Separate Structure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22527 |
| Medicaid Fee Schedule | View Medicaid rates for 22527 |
National average reimbursement for CPT 22527 by major payers:
$1,734.15
$2,412.18
$2,395.04
$2,636.65
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CPT 22527
5 of 25 sample ratesHigher to lower in this preview
Physicians West Houston Surgical Center, LLC, Memorial Hermann Surgery Center Park Ten
$6,904.00Published rateBanner Sun City West Surgery Center LLC
$2,855.00Published rateAthens Orthopedic Clinic Ambulatory Surgery Center-Loganville, LLC
$2,095.00Published rateHead And Neck Surgery Associates, Psc, Center For Surgical Care
Head & Neck Surgery Assoc., Psc
$1,433.00Published rateSkin Cancer Treatment Center, L.L.C.
Skin Cancer Treatment Center LLC
$1,104.00Published rate
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See a sample payer proposalCPT 22527 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22527 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 22527 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 |
|---|---|---|
| 22526-CPT | High | Percutaneous Intradiscal Elect, Percutaneous Intradiscal Electrothermal Annuloplasty Unilateral Or Bilateral Including Fluoroscopicguidance Single Level |
| 22527-CPT | High | Percutaneous Intradiscal Elect, Percutaneous Intradiscal Electrothermal Annuloplasty Unilateral Or Bilateral Including Fluoroscopicguidance One Or More Additional Levels (List Sep Arately In Addition To Code For Primary Procedure) |
| 22532-CPT | High | Surgery To Fuse Bones In Spine, Surgery To Join Together Two Or More Back Bones With Bone Grafts Or Device Implants. The Surgery Is Done To Relieve Back Pain By Eliminating Motion Between The Back Bones. |
| 22533-CPT | High | Surgery To Fuse Bones In Spine, Surgery To Join Together Two Or More Back Bones With Bone Grafts Or Device Implants. The Surgery Is Done To Relieve Back Pain By Eliminating Motion Between The Back Bones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22527. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22527 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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