CPT 27360 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27360 |
National average reimbursement for CPT 27360 by major payers:
$1,257.01
$1,173.33
$1,256.09
$1,491.84
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 27360 | ||||||
United | 27360 | $775.00 | 1306843867 - PALM BEACH OUTPATIENT SURGICAL CENTER, LLC, PALM BEACH OUTPATIENT SURGICAL CENTER | 900133346 - (FL) PALM BEACH OUTPATIENT SURGICAL CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $2771.00 | 1093433021 - SYNERGY SURGICENTER, LLC, SYNERGY SURGERY CENTER | 872796682 - SYNERGY SURGICENTER LLC | CO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $654.00 | 1922237213 - ENDOSCOPY CENTER OF TOMS RIVER, LLC | 300568338 - (NJ) ENDOSCOPY CENTER OF TOMS RIVER LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $4600.00 | 1639146541 - CENTENNIAL ASC, LLC, BAYLOR SURGICARE AT CENTENNIAL | 352199232 - (TX) CENTENNIAL ASC LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $3829.00 | 1386119253 - CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC, CHRISTUS SURGERY CENTER OLYMPIA HILLS | 384092858 - (TX) CHRISTUS AMBULATORY SURGERY CENTER AT OLYMPIA HILLS LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $1135.00 | 1629016076 - UNIVERSITY CENTER FOR AMBULATORY SURGERY, LLC, UCAS, LLC | 522149129 - UNIVERSITY CENTER FOR AMBULATORY SURGERY, LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $1040.00 | 1093726309 - INSIGHT SURGERY & LASER CENTER, LLC | 203458868 - (OH) INSIGHT SURGERY LASER CENTER LLC | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $6451.00 | 1902851009 - 90210 SURGERY MEDICAL CENTER, LLC, 90210 SURGERY MEDICAL CENTER AT LINDEN | 134341801 - (CA) 90210 SURGERY MEDICAL CENTER | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $1050.00 | 1619049939 - ENDOSCOPY CENTER MONROE LLC, CAROLINA ENDOSCOPY CENTER MONROE | 260731594 - (NC) ENDOSCOPY CENTER MONROE LLC | NC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $1680.00 | 1457345530 - SYRINGA SURGICAL CENTER | 200968551 - (ID) SYRINGA SURGICAL CENTER, LLC | ID | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $2100.00 | 1164946984 - NORTHWEST RENAL CLINIC, INC., NORTHWEST DIALYSIS ACCESS CENTER | 930751490 - (OR) NORTHWEST RENAL CLINIC, PC | OR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $9159.00 | 1174969372 - AURORA GI ASC LLC, WISCONSIN DIGESTIVE HEALTH CENTER | 461848055 - (WI) AURORA GI ASC LLC | WI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $866.00 | 1093907339 - TAYLOR SURGERY CENTER, LLC, SURGICAL ARTS SURGERY CENTER | 710860395 - (AR) TAYLOR SURGERY CENTER LLC | AR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $2771.00 | 1063598597 - CLEAR CREEK SURGERY CENTER LLC | 200871085 - (CO) CLEAR CREEK SURGERY CENTER, LLC | CO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 27360 | $1935.00 | 1174233522 - THOMAS EYE SURGERY CENTER OF FAYETTE | 881476592 - (GA) THOMAS EYE SURGERY CENTER OF FAYETTE | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 27360 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27360 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 27360 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 | Exc Lesion Femur |
| 27356-CPT | Moderate | Exc/Curet-Cyst/Tumor-Femur;Autogrft |
| 27357-CPT | High | Excis/Curet Bone Cyst/Ben.Tumor-Femur;W/ |
| 27360-CPT | High | Partial Excision (Craterization, Saucerization, Or Diaphysectomy) Bone, Femur, Proximal Tibia And/Or Fibula (Eg, Osteomyelitis Or Bone Abscess) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27360 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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