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See a sample rate comparisonCPT 27098 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.
Move Tendon In Hip, A Functioning Tendon In The Hip Is Detached From Its Original Attachment To A Bone And Re-Sewn Onto A Different Bone Or Tendon.
| 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 27098 |
| Medicaid Fee Schedule | View Medicaid rates for 27098 |
National average reimbursement for CPT 27098 by major payers:
$934.62
$913.59
$932.53
$1,126.88
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CPT 27098
5 of 25 sample ratesHigher to lower in this preview
Centracare Surgery Center, LLC
$3,495.00Published rateEndo-Surgi Of Union Asc LLC
Endo-Surgi Center, P.A.
$2,717.00Published rateSurgicare Of Manhattan, LLC
Surgicare Of Manhattan LLC
$1,612.50Published rateSpokane Eye Clinic Inc, Ps, Spokane Eye Surgery Center
Spokane Eye Clinic Ps
$1,110.00Published rateOld Moultrie Surgical Center Inc
$467.00Published rate
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See a sample payer proposalCPT 27098 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27098 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 27098 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 |
|---|---|---|
| 27097-CPT | Moderate | Recession Hamstring Proximal |
| 27098-CPT | Moderate | Move Tendon In Hip, A Functioning Tendon In The Hip Is Detached From Its Original Attachment To A Bone And Re-Sewn Onto A Different Bone Or Tendon. |
| 27105-CPT | High | Trnsfer Paraspinal Muscl To Hip (Inclu Fascial Or Tndon Extensio, Transfer Paraspinal Muscle To Hip (Includes Fascial Or Tendon Extensio |
| 27110-CPT | High | Move Tendon At Front Of Hip, A Functioning Iliopsoas Tendon Is Detached And Re-Sewn Onto A Different Location Of The Hip Bone. The Procedure Is Done To Relieve Pain And Spasm And Increase Hip Function. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27098. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27098 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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