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See a sample rate comparisonCPT 27331 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.
Arthrotomy Knee Including Jo, Arthrotomy Knee Including Joint Exploration Biopsy Orremoval Of Loose Or Foreign Bodies Arthrotomy Knee Including Joint Exploration Biopsy Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27331 |
| Medicaid Fee Schedule | View Medicaid rates for 27331 |
National average reimbursement for CPT 27331 by major payers:
$641.42
$641.50
$682.95
$790.70
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CPT 27331
5 of 25 sample ratesHigher to lower in this preview
Alaska Surgery Center, Limited Partnership
Alaska Surgery Center Limited Partnership
$8,156.00Published rateMiddle Tennessee Ambulatory Surgery Center, L.P.
Middle Tennessee Ambulatory Surgery Center Lp
$3,952.00Published rateBurnsville Surgery Center, P.A.
Burnsville Surgery Center PA
$2,100.00Published rateSuburban Endoscopy Center, LLC, Suburban Endoscopy Center
Suburban Endoscopy Center LLC
$1,514.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$765.00Published rate
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See a sample payer proposalCPT 27331 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27331 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 27331 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 27331. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27331 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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