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See a sample rate comparisonCPT 27328 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.
Exc Thigh Knee Tum Deep 5cm, Excision Tumor Soft Tissue Of Thigh Or Knee Area Subfascial Eg Intramuscular Less Than 5 Cm
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27328 |
| Medicaid Fee Schedule | View Medicaid rates for 27328 |
National average reimbursement for CPT 27328 by major payers:
$825.09
$780.65
$849.61
$975.22
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CPT 27328
5 of 25 sample ratesHigher to lower in this preview
Christus Santa Rosa Surgery Center L.L.P., Christus Santa Rosa Surgery Center
$3,493.00Published rateFlagstaff Bone & Joint Surgical Center, LLC, Surgery Center At Flagstaff Bone & Joint
Flagstaff Bone Joint Surgical Center LLC
$1,073.00Published rateSilver State Surgery Center West LLC
$774.00Published rateAlliance Surgery Ltd, Bayside Surgery Center
$544.00Published rateMeredyth Surgery Center, PC
$368.00Published rate
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See a sample payer proposalCPT 27328 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27328 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 27328 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 |
| 27327-CPT | Moderate | Xcision Tumor Sft Tissue Of Thigh/ Knee Area Subcutane Less, Excision Tumor Soft Tissue Of Thigh Or Knee Area Subcutaneous; Less |
| 27328-CPT | Moderate | Exc Thigh Knee Tum Deep 5cm, Excision Tumor Soft Tissue Of Thigh Or Knee Area Subfascial Eg Intramuscular Less Than 5 Cm |
| 27329-CPT | High | Radical Resection Of Tumor (Eg, Radical Resection Of Tumor (Eg Malignant Neoplasm) Soft Tissue Of Thigh Or Knee Area Less Than 5 Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27328. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27328 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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