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See a sample rate comparisonCPT 27397 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.
Move Or Replace Thigh Tendon, Surgery To Transplant Or Transfer One Or More Tendons In The Thigh To A Different Location In The Thigh. The Procedure May Involve Moving Muscle Tissue As Well.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | LT - Left side of body None 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27397 |
| Medicaid Fee Schedule | View Medicaid rates for 27397 |
National average reimbursement for CPT 27397 by major payers:
$1,236.63
$1,223.96
$1,247.36
$1,550.59
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CPT 27397
5 of 25 sample ratesHigher to lower in this preview
Summit Orthopedics, Ltd, Plymouth Surgery Center
Summit Orthopedics, Ltd.
$5,824.00Published rateSunrise Ophthalmology Asc LLC, Foundation For Advanced Eye Care
$3,320.00Published rateTampa Bay Surgery Center Associates,Ltd
Tampa Bay Surgery Center Assoc
$2,600.00Published rateNei Ambulatory Surgery Center Inc PC
$1,374.00Published rateChesapeake Ambulatory Surgery Center
$750.00Published rate
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See a sample payer proposalCPT 27397 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27397 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 27397 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 |
|---|---|---|
| 27396-CPT | Moderate | Move Or Replace Thigh Tendon, Surgery To Transplant Or Transfer One Or More Tendons In The Thigh To A Different Location In The Thigh. The Procedure May Involve Moving Muscle Tissue As Well. |
| 27397-CPT | High | Move Or Replace Thigh Tendon, Surgery To Transplant Or Transfer One Or More Tendons In The Thigh To A Different Location In The Thigh. The Procedure May Involve Moving Muscle Tissue As Well. |
| 27400-CPT | Moderate | Move A Thigh Tendon Or Muscle, Surgery To Move All Or Part Of The Hamstring Muscle Or Tendon (Located At The Back Of The Thigh). The Procedure Reattaches One End Of The Tendon Or Muscle To The Thigh Bone (Femur). |
| 27405-CPT | Moderate | Suture Collat Ligament Knee Prim |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27397. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27397 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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