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See a sample rate comparisonCPT 27333 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | View Medicare rates for 27333 |
| Medicaid Fee Schedule | $450.955 median of the 8 states in the free previewView Medicaid rates for 27333 |
National average reimbursement for CPT 27333 by major payers:

$795.32
BCBS / Anthem

$791.47
UnitedHealthcare

$804.95
Aetna

$972.07
Cigna
Choose a payer to see a sample of rates for CPT 27333.
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
Foundation Surgery Affiliate Of Huntingdon Valley Lp, Huntingdon Valley Surgery Center
Foundation Surgery Affiliate Of Huntingdon Valley
Wichita Orthopaedic Asc LLC, Surgery Center Of Kansas
Wichita Orthopaedic Asc LLC
Advanced Interventional Pain Surgery Center LLC
Kunesh Eye Surgery Center
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See a sample payer proposalCPT 27333 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27333. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27332-CPT | Arthrotomy W/ Xcision Of Semilunar Cartilage (Meniscectomy) Knee, Arthrotomy With Excision Of Semilunar Cartilage (Meniscectomy) Knee; |
| 27333-CPT | Arthrotomy W/ Xcision Of Semilunar Cartilage (Meniscectomy) Knee, Arthrotomy With Excision Of Semilunar Cartilage (Meniscectomy) Knee; |
| 27334-CPT | Removal Of Knee Joint Lining, Exploration Of Knee Joint. The Procedure Includes Removal Of Inflamed Joint Lining To Alleviate Pain. |
| 27335-CPT | Removal Of Knee Joint Lining, Exploration Of Knee Joint. The Procedure Includes Removal Of Inflamed Joint Lining To Alleviate Pain. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27333. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27333 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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Medicare's hospital outpatient payment system (OPPS) assigns CPT 27333 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
CMS lists CPT 27333 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Hospital price transparency files list CPT 27333 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.