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See a sample rate comparisonCPT 27025 Fee Schedule
Last Verified: September 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.
Hip Surgery, Surgery To Cut Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs) In Hip Or Thigh To Relieve Tension Or Pressure.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 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 27025 |
| Medicaid Fee Schedule | View Medicaid rates for 27025 |
National average reimbursement for CPT 27025 by major payers:
$1,207.80
$1,222.06
$1,273.92
$1,495.75
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CPT 27025
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$16,164.00Published rateAdvanced Surgical Concepts LLC
$6,492.00Published rateBahamas Surgery Center LLC
$3,713.00Published rateSylvan Surgery Center, Inc.
Sylvan Surgery Center Inc
$1,957.00Published rateMiddletown Endoscopy Asc LLC, The Gi Endoscopy Center
Middletown Endoscopy Asc LLC
$1,039.00Published rate
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See a sample payer proposalCPT 27025 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27025 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 27025 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 |
|---|---|---|
| 27006-CPT | High | Tenotomy Abductors &/Or Extenso(S) Of Hip Open (Sepa Proc, Tenotomy Abductors And/Or Extensor(S) Of Hip Open (Separate Procedur |
| 27025-CPT | High | Hip Surgery, Surgery To Cut Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs) In Hip Or Thigh To Relieve Tension Or Pressure. |
| 27027-CPT | High | Surgery Ease Tissue Pressure, Surgery To Cut Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs) In Buttock Or Pelvic Area; To Relieve Pressure From Swelling In A Confined Body Area (Compartment Syndrome). This Serious Condition Can Lead To Tissue Death Or Amputation. |
| 27030-CPT | High | Arthrotomy,Hip,For Infec,W/Drainage |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27025 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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