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See a sample rate comparisonCPT 27105 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.
Trnsfer Paraspinal Muscl To Hip (Inclu Fascial Or Tndon Extensio, Transfer Paraspinal Muscle To Hip (Includes Fascial Or Tendon Extensio
| 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 | LT - Left side of body None AS - PA/NP/CNS assistant at surgery RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27105 |
| Medicaid Fee Schedule | View Medicaid rates for 27105 |
National average reimbursement for CPT 27105 by major payers:
$1,199.36
$1,169.15
$1,182.25
$1,424.06
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CPT 27105
5 of 25 sample ratesHigher to lower in this preview
Virginia Mason Medical Center, Virginia Mason Issaquah Asc
Virginia Mason Medical Center
$6,724.00Published rateBsm Surgery Center LLC
$3,167.00Published rateHealthqare Services Asc LLC, Healthqare Services Asc LLC
Healthqare Services Asc LLC
$2,300.00Published rateColumbia Surgical Institute, LLC
Columbia Surgical Institute LLC
$1,555.00Published rateSt Marks Surgical Center LLC
$750.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27105 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27105 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 27105 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 |
|---|---|---|
| 27096-CPT | Moderate | Injection Procedure For Sacroi, Injection Procedure For Sacroiliac Joint Anestheticsteroid With Image Guidance (Fluoroscopy Or Ct) Including Arthrography When Performed |
| 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. |
| 27130-CPT | High | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27105. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27105 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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