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See a sample rate comparisonCPT 27330 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.
Exploratory Knee Surgery, Surgery To Explore The Knee Joint. The Procedure May Take A Sample Of Tissue For Testing (Biopsy) Drain Excess Fluid Or Remove Foreign Objects.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27330 |
| Medicaid Fee Schedule | View Medicaid rates for 27330 |
National average reimbursement for CPT 27330 by major payers:
$593.46
$554.05
$574.45
$693.57
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CPT 27330
5 of 25 sample ratesHigher to lower in this preview
Iu Health Arnett Hospital, Inc, Arnett Surgery Center, LLC
Indiana University Health Arnett Inc
$7,264.00Published rateCenter For Orthopedic Surgery, LLC
Center For Orthopedic Surgery LLC
$3,077.00Published rateEye Surgery Center Of Morristown, LLC
Eye Surgery Center Of Morristown LLC
$1,538.00Published rateNew Albany Outpatient Surgery, LLC, Surgical Center Of New Albany
$945.00Published rateEndosurg Outpatient Center LLC
$550.00Published rate
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See a sample payer proposalCPT 27330 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27330 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 27330 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 |
|---|---|---|
| 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 |
| 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 |
| 27330-CPT | Moderate | Exploratory Knee Surgery, Surgery To Explore The Knee Joint. The Procedure May Take A Sample Of Tissue For Testing (Biopsy) Drain Excess Fluid Or Remove Foreign Objects. |
| 27331-CPT | Moderate | Arthrotomy Knee Including Jo, Arthrotomy Knee Including Joint Exploration Biopsy Orremoval Of Loose Or Foreign Bodies Arthrotomy Knee Including Joint Exploration Biopsy Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27330. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27330 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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