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See a sample rate comparisonCPT 27365 Fee Schedule
Last Verified: October 2026
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.
Remove Growth And Leg Bone, Surgery To Remove An Abnormal Growth (Tumor) And A Section Of An Upper Leg (Femur) Or Knee Bone.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27365 |
| Medicaid Fee Schedule | View Medicaid rates for 27365 |
National average reimbursement for CPT 27365 by major payers:
$2,584.82
$2,539.88
$2,821.91
$3,163.85
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CPT 27365
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$20,777.00Published rateDigestivecare, LLC, Digestivecare Endoscopy Unit
Digestive Care, Inc.
$6,365.00Published rateEpic Surgery Center LLC
$4,100.00Published rateSurgery Center Jv, The Surgery Center Of Huntsville
The Surgery Center Of Huntsville
$2,721.00Published rateNovamed Eye Surgery Center Of Overland Park, LLC, Overland Park Surgery Center
Novamed Eye Surgery Center Of Overland Park LLC
$760.00Published rate
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See a sample payer proposalCPT 27365 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27365 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 27365 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 |
|---|---|---|
| 27337-CPT | Moderate | Xcision Tumor Sft Tissue Of Thigh/ Knee Area Subcutane 3 Cm, Excision Tumor Soft Tissue Of Thigh Or Knee Area Subcutaneous; 3 Cm |
| 27339-CPT | High | Exc Thigh Knee Tum Dep 5cm, Excision Tumor Soft Tissue Of Thigh Or Knee Area Subfascial Eg Intramuscular 5 Cm Or Greater |
| 27364-CPT | High | Radical Resection Of Tumor (Eg, Radical Resection Of Tumor (Eg Malignant Neoplasm) Soft Tissue Of Thigh Or Knee Area 5 Cm Or Greater |
| 27365-CPT | High | Remove Growth And Leg Bone, Surgery To Remove An Abnormal Growth (Tumor) And A Section Of An Upper Leg (Femur) Or Knee Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27365. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27365 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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