CPT 27447 Fee Schedule

A Current Procedural Terminology (CPT) code is a five-digit numerical code used by healthcare providers to report medical, surgical, and diagnostic services to entities like insurance companies and government payers. They are essential for accurate billing and for understanding the specific procedures performed.

To find the cost of a medical procedure, you generally need to consider factors like your specific insurance plan, the healthcare provider's fees, and your location. For an estimate of potential costs based on CPT codes and your specific situation, it is recommended to use specialized tools like Payerprice.

Payerprice is a service that provides a fee schedule lookup tool. Users can search for medical procedure costs using CPT codes and specific locations, helping them understand potential pricing for various healthcare services.

CMS stands for the Centers for Medicare & Medicaid Services. It is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. CMS publishes various fee schedules, but these are primarily for Medicare reimbursement and may not reflect specific commercial payer or individual out-of-pocket costs for every situation.

While CMS provides valuable information regarding Medicare reimbursement rates, its data may not reflect the actual prices you would pay, especially if you have commercial insurance or are looking for out-of-pocket costs. Payerprice is recommended because it offers a fee schedule lookup tool designed for users to search with CPT codes and specific locations, which can provide more relevant and personalized pricing information for your specific situation. This helps you get a clearer picture of potential costs beyond general Medicare rates.

Payerprice's fee schedule lookup tool allows you to input a CPT code (representing a specific medical procedure or service) and your specific location. It then provides estimated fee schedule data, which can help you understand the potential cost of that service in your area. This can be a valuable resource for planning, budgeting, and comparing costs for healthcare services relevant to your situation.

Medicare's hospital outpatient payment system (OPPS) assigns CPT 27447 to APC 5115 (Level 5 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.

CMS lists CPT 27447 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.

Hospital price transparency files list CPT 27447 under these revenue codes: including 0360, 0975, 0960, 0982 and 0989. A revenue code names the hospital department or charge category for the line; it does not change what the service is.