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See a sample rate comparisonCPT 27036 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.
Excision 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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service None RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27036 |
| Medicaid Fee Schedule | View Medicaid rates for 27036 |
National average reimbursement for CPT 27036 by major payers:
$1,395.27
$1,360.86
$1,395.62
$1,657.79
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CPT 27036
5 of 25 sample ratesHigher to lower in this preview
Memorial Surgery Center, LLC
Memorial Surgery Center LLC
$5,433.00Published rateNorth Atlantic Surgical Suites, LLC
$4,781.00Published rateCenter For Assisted Reproduction Laboratory And Surgery Center, Inc.
Center For Assisted Reproduction Laboratory And Surgery Center Inc
$2,800.00Published rateValdosta Foot & Ankle Surgery Center, P.C.
Valdosta Foot Ankle Surgery Center PC
$1,978.00Published ratePain Mds Inc
$750.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27036 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27036 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 27036 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 |
|---|---|---|
| 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 |
| 27035-CPT | High | Denervation Of Hip Joint, Denervation Hip Joint Intrapelvic Or Extrapelvic Intra Articular Branches Of Sciatic Femoral Or Obturator Nerves |
| 27036-CPT | High | Excision 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27036. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27036 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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