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See a sample rate comparisonCPT 27425 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.
Release Lateral Retinacular Knee
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27425 |
| Medicaid Fee Schedule | View Medicaid rates for 27425 |
National average reimbursement for CPT 27425 by major payers:
$635.90
$604.82
$634.19
$751.12
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CPT 27425
5 of 25 sample ratesHigher to lower in this preview
Alpine Surgicenter, LLC
$8,156.00Published ratePediatric Surgery Center -Odessa, LLC
$3,500.00Published ratePomerado Outpatient Surgical Center L P, Palomar Surgical Center Escondido
Pomerado Outpatient Surgical Center L P
$2,576.00Published rateMetrolina Vascular Access Care LLC
$1,500.00Published rateMatthew Anderson
Deaconess Hospital Inc
$359.17Published rate
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See a sample payer proposalCPT 27425 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27425 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 27425 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 |
|---|---|---|
| 27403-CPT | Moderate | Arthrotomy With Open Meniscus Repair |
| 27405-CPT | Moderate | Suture Collat Ligament Knee Prim |
| 27424-CPT | High | Kneecap Surgery, Surgery To Remove The Kneecap (Patella). The Procedure Is Done To Prevent The Knee Popping Out Of Joint Frequently. |
| 27425-CPT | Moderate | Release Lateral Retinacular Knee |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27425. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27425 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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