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CPT 27035 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.

Denervation Of Hip Joint, Denervation Hip Joint Intrapelvic Or Extrapelvic Intra Articular Branches Of Sciatic Femoral Or Obturator Nerves
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

24 - Ambulatory Surgical Center

22 - On Campus Outpatient Hospital

11 - Office

19 - Off Campus Outpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 27035
Medicaid Fee ScheduleView Medicaid rates for 27035

National average reimbursement for CPT 27035 by major payers:

bcbs

$1,467.03

uhc

$1,528.11

aetna

$1,544.82

cigna

$1,876.88

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 27035.

CPT 27035
5 of 25 sample ratesHigher to lower in this preview
  1. Mission Ambulatory Surgicenter Ltd., Mission Surgery Center

    Mission Ambulatory Surgicenter Ltd

    CAAmbulatory Surgical Clinic/CenterNPI 1497705883Tax ID 33-0355575

    $4,735.00Published rate
  2. Carondelet St. Mary'S Northwest, LLC, Carondelet Foothills Surgery Center

    Camp Lowell Surgery Center

    AZAmbulatory Surgical Clinic/CenterNPI 1487716650Tax ID 20-1086556

    $3,347.00Published rate
  3. Interventional Pain Management LLC

    INAmbulatory Surgical Clinic/CenterNPI 1306274097Tax ID 45-2192531

    $1,984.00Published rate
  4. Bay Surgery Centers, Clearway Surgery Center Of Kent Island

    Bay Surgery Centers

    MDAmbulatory Surgical Clinic/CenterNPI 1396076980Tax ID 27-1271185

    $1,334.00Published rate
  5. Tri-State Gastroenterology Associates, Psc, Tri-State Digestive Disorder Center

    Tri-State Gastroenterology Associates, Psc

    KYAmbulatory Surgical Clinic/CenterNPI 1487651956Tax ID 61-1192347

    $734.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 27035 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 27035 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 27035 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.

CodeComplexityDescription
27027-CPTHighSurgery 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-CPTHighDenervation Of Hip Joint, Denervation Hip Joint Intrapelvic Or Extrapelvic Intra Articular Branches Of Sciatic Femoral Or Obturator Nerves
27036-CPTHighExcision Of Hip Joint Muscle, Capsulectomy Or Capsulotomy Hip With Or Without Excision Of Heterotopic Bone With Release Of Hip Flexor Muscles Ie Gluteus Medius Gluteus Minimus Tensor Fascia Latae Rectus Femoris Sartorius Iliopsoas
27057-CPTHighSurgery 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 27035. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 27035 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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