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See a sample rate comparisonCPT 27303 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.
Ncision Deep W/ Open Of Bone Cortex Femur Or Knee (Eg Osteom, Incision Deep With Opening Of Bone Cortex Femur Or Knee (Eg Osteom
| 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 | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27303 |
| Medicaid Fee Schedule | View Medicaid rates for 27303 |
National average reimbursement for CPT 27303 by major payers:
$906.97
$867.98
$884.60
$1,055.57
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CPT 27303
5 of 25 sample ratesHigher to lower in this preview
Indiana Endoscopy Centers LLC, Indiana Endoscopy Center
$11,291.00Published ratePisa Asc Holdco LLC, Pain Institute Of Southern Arizona Procedure Center
Pisa Asc Holdco LLC
$4,014.00Published rateEndoscopy Center Of Southeast Texas Lp, Endoscopy Center Of Southeast Texas
Endoscopy Center Of Southeast Texas Lp
$2,270.00Published ratePremier Surgery Center Of Pittsburgh, LLC
Premier Surgery Center Of Pittsburgh LLC
$1,753.00Published rateFour Corners Ambulatory Surgical Center LLC
$774.00Published rate
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See a sample payer proposalCPT 27303 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27303 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 27303 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 |
|---|---|---|
| 27301-CPT | Moderate | Ncision & Drain Deep Absces Bursa Or Hematom Thigh/ Knee, Incision And Drainage Deep Abscess Bursa Or Hematoma Thigh Or Knee |
| 27303-CPT | Moderate | Ncision Deep W/ Open Of Bone Cortex Femur Or Knee (Eg Osteom, Incision Deep With Opening Of Bone Cortex Femur Or Knee (Eg Osteom |
| 27305-CPT | Moderate | Relieve Tension In Upper Leg, Surgery To Cut Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs) In Hip Or Thigh To Relieve Tension Or Pressure. |
| 27310-CPT | Moderate | Arthrotomy Knee With Explora, Arthrotomy Knee With Exploration Drainage Or Removal Of Foreign Body (Eg Infection) Arthrotomy Knee With Exploration Drainage Or Removal Of |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27303. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27303 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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