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See a sample rate comparisonCPT 27391 Fee Schedule
Last Verified: October 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.
Tenotomy Hamstring Multiple Unilat
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27391 |
| Medicaid Fee Schedule | View Medicaid rates for 27391 |
National average reimbursement for CPT 27391 by major payers:
$726.89
$768.44
$776.36
$945.76
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CPT 27391
5 of 25 sample ratesHigher to lower in this preview
Sjv Management, LLC, South Jersey Vascular Surgery Center
Sjv Management, LLC
$5,127.00Published rateWestgate Surgery Center, LLC, Westgate Surgery Center
Westgate Surgery Center LLC
$2,353.00Published ratePacific Vascucare Surgery Center
$1,925.00Published rateThe Nebraska Ambulatory Surgical Center, LLC, The Nebraska Ambulatory Surgical Center
The Nebraska Ambulatory Surgical Center LLC
$1,310.00Published rateWhite Oak Surgery Center
$719.00Published rate
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See a sample payer proposalCPT 27391 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27391 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 27391 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 |
|---|---|---|
| 27390-CPT | Moderate | Tenotomy Hamstring Single |
| 27391-CPT | Moderate | Tenotomy Hamstring Multiple Unilat |
| 27392-CPT | Moderate | Tenotomy Open Hmstring Knee To Hip; Multi Tendons Bilate, Tenotomy Open Hamstring Knee To Hip; Multiple Tendons Bilateral |
| 27393-CPT | Moderate | Lengthening Of Hamstring Tendon; Single |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27391. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27391 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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