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See a sample rate comparisonCPT 27091 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.
Removal Of Hip Prosthesis Com, Removal Of Hip Prosthesis Complicated Including Total Hip Prosthesis Methylmethacrylate With Or Without Insertion Of Spacer
| 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 | RT - Right side of body None LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27091 |
| Medicaid Fee Schedule | View Medicaid rates for 27091 |
National average reimbursement for CPT 27091 by major payers:
$2,012.15
$2,154.22
$2,262.18
$2,592.70
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CPT 27091
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford
$4,781.00Published rateAdventhealth Surgery Center Wellswood LLC, Adventhealth Surgery Center Wellswood
Adventhealth Surgery Center Wellswood LLC
$2,353.00Published rateSouthdale Specialty Surgery Center, LLC, Bhatti Gi Consultants, P.A.
Southdale Specialty Surgery Center LLC
$1,576.00Published rateThe Eye Surgery Center, Ltd.
$1,060.00Published rateNorth Jersey Gastroenterology & Endoscopy Center P.A.
North Jersey Gastroenterology Endoscopy Center PA
$694.00Published rate
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See a sample payer proposalCPT 27091 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27091 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 27091 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 |
|---|---|---|
| 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 |
| 27091-CPT | High | Removal Of Hip Prosthesis Com, Removal Of Hip Prosthesis Complicated Including Total Hip Prosthesis Methylmethacrylate With Or Without Insertion Of Spacer |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27091. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27091 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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