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See a sample rate comparisonCPT 27065 Fee Schedule
Last Verified: September 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.
Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone In The Pelvis Or Hip. The Area May Be Repaired With A Bone Graft.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27065 |
| Medicaid Fee Schedule | View Medicaid rates for 27065 |
National average reimbursement for CPT 27065 by major payers:
$732.01
$690.90
$726.97
$856.60
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CPT 27065
5 of 25 sample ratesHigher to lower in this preview
Advanced Medical Imaging Surgery Center, LLC
Advanced Medical Imaging Surgery Center LLC
$3,348.22Published rateSurgery Centre Of Sw Florida LLC, Cape Health Surgery Center
$2,206.00Published rateDay-Op Center Of Long Island LLC, Day-Op Center Of Long Island
Day Op Center Of Long Island Inc
$1,656.00Published rateChesapeake Eye Surgery Center, LLC
$1,148.00Published rateGreat Lakes Ambulatory Surgery Center
$663.00Published rate
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See a sample payer proposalCPT 27065 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27065 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 27065 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 |
|---|---|---|
| 27060-CPT | Moderate | Excision Ischial Bursa |
| 27062-CPT | Moderate | Excision; Trochanteric Bursaor Calcific |
| 27065-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone In The Pelvis Or Hip. The Area May Be Repaired With A Bone Graft. |
| 27066-CPT | High | Remove Hip Bone Les Deep, Excision Of Bone Cyst Or Benign Tumor Wing Of Ilium Symphysis Pubis Or Greater Trochanter Of Femur Deep Subfascial Includes Autograft When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27065. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27065 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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