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See a sample rate comparisonCPT 27027 Fee Schedule
Medicare rates as of October 2026
CPT 27027 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $809.64 national non-facility rate (2026)View Medicare rates for 27027 |
| Medicaid Fee Schedule | $637.10 median of the 8 states in the free previewView Medicaid rates for 27027 |
National average reimbursement for CPT 27027 by major payers:
$1,151.79
BCBS / Anthem
$1,191.47
UnitedHealthcare
$1,199.90
Aetna
$1,453.47
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27027.
CPT 27027
5 of 25 sample ratesHigher to lower in this preview
The Western Pennsylvania Hospital, Forbes Regional Campus
Highmark Health
$19,111.49Published rateMnh Gi Surgical Center LLC, Mnh Surgical Center
$3,570.00Published ratePrecision Surgical Center Of Northwest Arkansas, LLC
Precision Surgical Center Of Northwest Arkansas LLC
$1,707.00Published rateBrown Urology, Inc., Collyer Street Operatory
Brown Urology Inc
$1,229.00Published rateMcpeak Surgery Center LLC
$619.00Published rate
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See a sample payer proposalCPT 27027 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27027. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27025-CPT | 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 | 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. |
| 27035-CPT | Denervation Of Hip Joint, Denervation Hip Joint Intrapelvic Or Extrapelvic Intra Articular Branches Of Sciatic Femoral Or Obturator Nerves |
| 27057-CPT | 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27027. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27027 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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Frequently Asked Questions
What APC is CPT 27027 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27027 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27027 in an ambulatory surgery center?
CMS lists CPT 27027 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27027?
Hospital price transparency files list CPT 27027 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.