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See a sample rate comparisonCPT 27323 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.
Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office None |
| Common Modifiers | None 51 - Multiple procedures 50 - Bilateral Procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27323 |
| Medicaid Fee Schedule | View Medicaid rates for 27323 |
National average reimbursement for CPT 27323 by major payers:
$345.78
$357.07
$363.27
$436.65
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CPT 27323
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Granbury LLC, Baylor Scott & White Surgicare-Granbury
$2,172.00Published rateBayonet Point Surgery Center Ltd
$587.00Published rateEyes On Stark Surgery Center, LLC, Vista Surgical Center
Eyes On Stark Surgery Center, LLC Dba Vista Surgical Center
$420.00Published rateHeart & Vascular Ambulatory Surgery Center, LLC
Heart Vascular Ambulatory Surgery Center LLC
$323.00Published rateRegional Eye Surgery Center,LLC
Regional Eye Surgery Center, LLC
$191.00Published rate
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See a sample payer proposalCPT 27323 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27323 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 27323 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 |
|---|---|---|
| 27306-CPT | Moderate | Tenotomy Percutane Adductor Or Hmstring; Sngle Tndon (Sepa, Tenotomy Percutaneous Adductor Or Hamstring; Single Tendon (Separate |
| 27323-CPT | Moderate | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
| 27324-CPT | Moderate | Biops Sft Tissue Of Thigh/ Knee Area; Deep (Subfasc Or Myomecto, Biopsy Soft Tissue Of Thigh Or Knee Area; Deep (Subfascial Or Intramu |
| 27325-CPT | Moderate | Neurectomy Hamstring Muscle |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27323. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27323 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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