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See a sample rate comparisonCPT 27334 Fee Schedule
Medicare rates as of October 2026
CPT 27334 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Removal Of Knee Joint Lining, Exploration Of Knee Joint. The Procedure Includes Removal Of Inflamed Joint Lining To Alleviate Pain.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | 59Distinct Procedural Service ASPA/NP/CNS assistant at surgery |
| 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 | 03600960 |
| Medicare Fee Schedule | $649.98 national non-facility rate (2026)View Medicare rates for 27334 |
| Medicaid Fee Schedule | $518.505 median of the 8 states in the free previewView Medicaid rates for 27334 |
National average reimbursement for CPT 27334 by major payers:
$937.39
BCBS / Anthem
$924.03
UnitedHealthcare
$989.24
Aetna
$1,130.69
Cigna
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CPT 27334
5 of 25 sample ratesHigher to lower in this preview
East Mequon Surgery Center LLC
$9,270.00Published rateBreckenridge Surgery Center Lp
$2,715.00Published rateSarasota Endoscopy Asc LLC, Bayview Endoscopy Center
The Sarasota Endoscopy Asc, LLC
$1,800.00Published ratePremiere Surgery Center, Inc
Premiere Surgery Center Inc
$1,246.00Published rateThe Rome Endoscopy Center
$525.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27334 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27334. 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 27334. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27334 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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Frequently Asked Questions
What APC is CPT 27334 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27334 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27334 in an ambulatory surgery center?
CMS lists CPT 27334 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27334?
Hospital price transparency files list CPT 27334 under these revenue codes: 0360 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.