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See a sample rate comparisonCPT 27335 Fee Schedule
Medicare rates as of October 2026
CPT 27335 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 | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | 59Distinct Procedural Service ASPA/NP/CNS assistant at surgery RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600960 |
| Medicare Fee Schedule | $719.12 national non-facility rate (2026)View Medicare rates for 27335 |
| Medicaid Fee Schedule | $572.835 median of the 8 states in the free previewView Medicaid rates for 27335 |
National average reimbursement for CPT 27335 by major payers:
$1,087.99
BCBS / Anthem
$1,034.90
UnitedHealthcare
$1,058.90
Aetna
$1,261.17
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27335.
CPT 27335
5 of 25 sample ratesHigher to lower in this preview
Northwest Surgery Center, Ltd, Northwest Surgery Center Red Oak
Northwest Surgery Center Ltd
$7,990.00Published rateLebonheur East Surgery Center II Lp, Lebonheur East Surgery Center Lp
Lebonheur East Surgery Center II Lp
$2,651.00Published rateFresno Ca Endoscopy Asc, Lp, Central California Endoscopy Center
Fresno Ca Endoscopy Asc Lp
$1,807.00Published rateWestern Washington Endoscopy Centers LLC, Digestive Health Network Endoscopy Center
Western Washington Endoscopy Centers LLC
$1,248.00Published rateSuncoast Eye Center PA, Suncoast Surgery Institute
Suncoast Eye Center PA
$455.00Published rate
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See a sample payer proposalCPT 27335 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27335. 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 27335. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27335 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 27335 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27335 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27335 in an ambulatory surgery center?
CMS lists CPT 27335 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27335?
Hospital price transparency files list CPT 27335 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.