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See a sample rate comparisonCPT 27047 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Xcision Tumor Sft Tissue Of Pelvis & Hip Area Subcutane Les, Excision Tumor Soft Tissue Of Pelvis And Hip Area Subcutaneous; Les
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27047 |
| Medicaid Fee Schedule | View Medicaid rates for 27047 |
National average reimbursement for CPT 27047 by major payers:
$652.89
$675.88
$694.81
$631.51
Compare published rates across providers.
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CPT 27047
5 of 25 sample ratesHigher to lower in this preview
Henry Ford Medical Center Fairlane, Henry Ford Health System
Henry Ford Health System
$5,672.00Published rateDoctors Outpatient Center For Surgery, LLC
Doctors Outpatient Center For Surgery LLC
$1,322.00Published rateKing Of Prussia Surgery Center, LLC, King Of Prussia Surgery Center
King Of Prussia Surgery Center LLC
$802.00Published rateDuke Health Integrated Practice, Inc, Duke Gi At Brier Creek
Duke Health Integrated Practice Inc
$623.00Published rateAdvanced Ambulatory Surgery Center LLC
$462.00Published rate
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See a sample payer proposalCPT 27047 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27047 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 27047 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 |
|---|---|---|
| 27040-CPT | Moderate | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
| 27041-CPT | Moderate | Biops Sft Tissue Of Pelvis/Hip Area; Deep Subfasci Or Intram, Biopsy Soft Tissue Of Pelvis And Hip Area; Deep Subfascial Or Intram |
| 27043-CPT | Moderate | Xcision Tumor Sft Tissue Of Pelvis & Hip Area Subcutane, Excision Tumor Soft Tissue Of Pelvis And Hip Area Subcutaneous; 3 C |
| 27047-CPT | Moderate | Xcision Tumor Sft Tissue Of Pelvis & Hip Area Subcutane Les, Excision Tumor Soft Tissue Of Pelvis And Hip Area Subcutaneous; Les |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27047. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27047 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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