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CPT 27360 Fee Schedule

Medicare rates as of October 2026

CPT 27360 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.

Partial Removal Leg Bone S, Partial Excision Craterization Saucerization Or Diaphysectomy Bone Femur Proximal Tibia And Or Fibula Eg Osteomyelitis Or Bone Abscess
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

21Inpatient Hospital

22On Campus Outpatient Hospital

Common Modifiers

RTRight side of body

LTLeft 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
Add-on Codes2070020702
Common Revenue Codes03600960Sign up to view all 3
Medicare Fee Schedule$856.73 national non-facility rate (2026)View Medicare rates for 27360
Medicaid Fee Schedule$684.46 median of the 8 states in the free previewView Medicaid rates for 27360

National average reimbursement for CPT 27360 by major payers:

BCBS / Anthem logo

$1,257.01

BCBS / Anthem

UnitedHealthcare logo

$1,173.33

UnitedHealthcare

Aetna logo

$1,256.09

Aetna

Cigna logo

$1,458.56

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 27360.

CPT 27360
5 of 25 sample ratesHigher to lower in this preview
  1. Aurora Gi Asc LLC, Wisconsin Digestive Health Center

    Aurora Gi Asc LLC

    WIAmbulatory Surgical Clinic/CenterNPI 1174969372Tax ID 46-1848055

    $9,159.00Published rate
  2. Winter Haven Ambulatory Surgical Center LLC

    Winter Haven Ambulatory Surgical Center, LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1538126362Tax ID 59-3659906

    $3,623.00Published rate
  3. Northwest Renal Clinic, Inc., Northwest Dialysis Access Center

    Northwest Renal Clinic, PC

    ORAmbulatory Surgical Clinic/CenterNPI 1164946984Tax ID 93-0751490

    $2,100.00Published rate
  4. University Center For Ambulatory Surgery, LLC, Ucas, LLC

    University Center For Ambulatory Surgery, LLC

    MDAmbulatory Surgical Clinic/CenterNPI 1629016076Tax ID 52-2149129

    $1,135.00Published rate
  5. Endoscopy Center Of Toms River, LLC

    Endoscopy Center Of Toms River LLC

    NJAmbulatory Surgical Clinic/CenterNPI 1922237213Tax ID 30-0568338

    $654.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 27360 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The table lists codes related to 27360. Select one to see its fee schedule.

CodeDescription
27355-CPTRemove 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-CPTRemove 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-CPTRemove 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.
27360-CPTPartial Removal Leg Bone S, 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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Frequently Asked Questions

What APC is CPT 27360 assigned to?


Medicare's hospital outpatient payment system (OPPS) assigns CPT 27360 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 27360 in an ambulatory surgery center?


CMS lists CPT 27360 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.

Which add-on codes are billed with CPT 27360?


CMS add-on code edits list CPT 27360 as a primary code for these add-on codes: 20700 and 20702.

Which revenue codes are billed with CPT 27360?


Hospital price transparency files list CPT 27360 under these revenue codes: 0360, 0960 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.

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