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See a sample rate comparisonCPT 27279 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.
Pelvic Area Surgery, Arthrodesis Sacroiliac Joint Percutaneous Or Minimally Invasive (Indirect Visualization) With Image Guidance Includes Obtaining Bone Graft When Performed And Placement Of Transfixation Device; Placement Of Transarticular Device(S) And/Or Intra-Articular Device(S) Piercing The Lateral Or Medial Cortices Of The Ilium And The Lateral Cortex Of The Sacrum
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27279 |
| Medicaid Fee Schedule | View Medicaid rates for 27279 |
National average reimbursement for CPT 27279 by major payers:
$890.55
$1,016.50
$1,037.05
$1,225.27
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CPT 27279
5 of 25 sample ratesHigher to lower in this preview
Vhc-I
Vhci
$17,109.00Published ratePediatric Surgery Center -Odessa, LLC
$9,324.00Published rateSurgery Center Jv, The Surgery Center Of Huntsville
The Surgery Center Of Huntsville
$5,928.00Published rateNorth Mississippi Ambulatory Surgery Center LLC
$3,378.00Published rateMattax Neu Prater Surgery Center, LLC
Mattax Neu Prater Surgery Center LLC
$962.00Published rate
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See a sample payer proposalCPT 27279 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27279 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 27279 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 |
|---|---|---|
| 27258-CPT | High | Treat Hip Dislocation, Open Treatment Of Spontaneous Hip Dislocation Developmental Including Congenital Or Pathological Replacement Of Femoral Head In Acetabulum Including Tenotomy Etc |
| 27275-CPT | Moderate | Manipulation,Hip Joint,With General Anes |
| 27279-CPT | Moderate | Pelvic Area Surgery, Arthrodesis Sacroiliac Joint Percutaneous Or Minimally Invasive (Indirect Visualization) With Image Guidance Includes Obtaining Bone Graft When Performed And Placement Of Transfixation Device; Placement Of Transarticular Device(S) And/Or Intra-Articular Device(S) Piercing The Lateral Or Medial Cortices Of The Ilium And The Lateral Cortex Of The Sacrum |
| 27280-CPT | High | Fuse Bones Of Spine And Pelvis, Surgery To Join Together Two Or More Bones Between Base Of Spine And The Pelvis. The Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27279. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27279 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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