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See a sample rate comparisonCPT 27086 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.
Removal Of Foreign Body Pelv, Removal Of Foreign Body Pelvis Or Hip Subcutaneous Tissueremoval Of Foreign Body Pelvis Or Hipsubcutaneous Tissue
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27086 |
| Medicaid Fee Schedule | View Medicaid rates for 27086 |
National average reimbursement for CPT 27086 by major payers:
$357.52
$377.66
$403.45
$291.63
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CPT 27086
5 of 25 sample ratesHigher to lower in this preview
Lehigh Valley Hospital Muhlenberg
Lehigh Valley Hospital
$9,511.75Published rateCentral Virginia Surgi-Center Lp, Surgi-Center Of Central Virginia
Central Virginia Surgicenter Lp
$1,276.00Published rateFlorida Springs Surgery Center LLC
Florida Springs Surgery Center L
$1,179.00Published rateThe Eye Surgery Center Of The Carolinas Lp
$772.00Published rateCenter For Spine And Pain Medicine PC, Cspm Chattanooga Asc
Center For Spine And Pain Medici
$390.00Published rate
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See a sample payer proposalCPT 27086 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27086 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 27086 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 |
|---|---|---|
| 27078-CPT | High | Rsect Hip Tum Incl Femur, Radical Removal Of Growth From Sit Bone Of Pelvis (Ischial Tuberosity) And Upper End Of Shaft Of Thigh Bone (Greater Trochanter) |
| 27086-CPT | Moderate | Removal Of Foreign Body Pelv, Removal Of Foreign Body Pelvis Or Hip Subcutaneous Tissueremoval Of Foreign Body Pelvis Or Hipsubcutaneous Tissue |
| 27087-CPT | Moderate | Removal Of Foreign Body Pelvi, Removal Of Foreign Body Pelvis Or Hip Deep (Subfascial Or Intramuscular) Removal Of Foreign Bodypelvis Or Hip Deep (Subfascial Or |
| 27090-CPT | High | Removal Prosthesis Hip |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27086. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27086 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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