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See a sample rate comparisonCPT 27358 Fee Schedule
Last Verified: September 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.
Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Thigh Bone (Femur). A Device May Be Attached To The Bone To Help Repair It.
| 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 27358 |
| Medicaid Fee Schedule | View Medicaid rates for 27358 |
National average reimbursement for CPT 27358 by major payers:
$415.02
$384.10
$395.87
$455.45
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CPT 27358
5 of 25 sample ratesHigher to lower in this preview
Seashore Surgical Institute, LLC
Seashore Surgical Institute
$1,708.00Published rateRoswell Surgery Center LLC, Roswell Surgery Center
Roswell Surgery Center LLC
$531.00Published rateFindlay Surgery Center Ltd
Findlay Surgery Center, Ltd
$275.00Published rateVacco LLC
$150.00Published rateCoppel Surgical Solutions, Nevada Surgical Suites
Coppel Surgical Solutions
$40.00Published rate
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See a sample payer proposalCPT 27358 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27358 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 27358 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 |
|---|---|---|
| 27355-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Thigh Bone (Femur). A Device May Be Attached To The Bone To Help Repair It. |
| 27356-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From The Thigh Bone (Femur). The Area Is Repaired With A Bone Graft. |
| 27357-CPT | High | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From The Thigh Bone (Femur). The Area Is Repaired With A Bone Graft. |
| 27358-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Thigh Bone (Femur). A Device May Be Attached To The Bone To Help Repair It. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27358. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27358 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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