CPT 27447 Fee Schedule
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.
| 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 • RT - Right side of body • LT - Left side of body |
| Complexity Level | High |
National average reimbursement for CPT 27447 by major payers:
$1,815.53
$1,915.93
$1,981.97
$2,273.90
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 27447 | ||||||
United | 27447 | $4158.87 | 1376777599 - JUAN LUJAN | 202088165 - ATLANTIC HEALTH SYSTEM INC | NJ | Surgery Physician (208600000X) |
United | 27447 | $5051.79 | 1164434734 - ALEXANDER CLARK | 562669185 | NY | Orthopaedic Surgery Physician (207X00000X) |
United | 27447 | $5041.25 | 1356313258 - SANDRA TOMITA | 135562308 - NEW YORK UNIVERSITY | CA | Pediatric Surgery Physician (2086S0120X) |
United | 27447 | $1891.23 | 1568802031 - DOUGLAS STEINER | 341963354 | OH | Orthopaedic Surgery Physician (207X00000X) |
United | 27447 | $2970.62 | 1144218215 - CHARLES FARBER | 202088165 - ATLANTIC HEALTH SYSTEM INC | NJ | Hematology & Oncology Physician (207RH0003X) |
United | 27447 | $1977.93 | 1700405966 - DILMAN NATT | 264709927 - WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES, P.C | NY | Student in an Organized Health Care Education/Training Program (390200000X) |
United | 27447 | $2589.81 | 1447646468 - STEVEN RIVERO | 135562308 | NY | Orthopaedic Surgery Physician (207X00000X) |
United | 27447 | $2884.09 | 1982066387 - AMAR SHERE | 202088165 - ATLANTIC HEALTH SYSTEM INC | GA | Cardiovascular Disease Physician (207RC0000X) |
United | 27447 | $5041.25 | 1831506336 - MICHELE DAMIANI | 135562308 - NEW YORK UNIVERSITY | NY | Medical Physician Assistant (363AM0700X) |
United | 27447 | $11707.16 | 1447646468 - STEVEN RIVERO | 135562308 | NY | Orthopaedic Surgery Physician (207X00000X) |
United | 27447 | $1970.31 | 1679634224 - JOAN SAPIENZA | 202088165 - ATLANTIC HEALTH SYSTEM INC | NJ | Nurse Practitioner (363L00000X) |
United | 27447 | $6843.37 | 1104289230 - JOSHUA GELTMAN | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Emergency Medicine Physician (207P00000X) |
United | 27447 | $3440.80 | 1629366307 - XIAOQING O'LEARY | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Anatomic Pathology & Clinical Pathology Physician (207ZP0102X) |
United | 27447 | $1516.19 | 1164434734 - ALEXANDER CLARK | 562669185 | NY | Orthopaedic Surgery Physician (207X00000X) |
United | 27447 | $2059.84 | 1730159427 - ALBERT VOLK | 593377108 | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 27447 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27447 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 27447 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 |
|---|---|---|
| 27445 | High | Arthroplasty Knee Total Prosthetic |
| 27446 | High | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
| 27447 | High | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
| 27487 | High | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27447. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27447 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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