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See a sample rate comparisonCPT 27455 Fee Schedule
Medicare rates as of October 2026
CPT 27455 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Osteotomy Proximal Tibia Inc, Osteotomy Proximal Tibia Including Fibular Excision Orosteotomy (Includes Correction Of Genu Varus(Bowleg) Or Genu Valgus (Knock-Knee)) Before Ep Iphyseal Closure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $892.81 national non-facility rate (2026)View Medicare rates for 27455 |
| Medicaid Fee Schedule | $710.885 median of the 8 states in the free previewView Medicaid rates for 27455 |
National average reimbursement for CPT 27455 by major payers:
$1,279.82
BCBS / Anthem
$1,284.02
UnitedHealthcare
$1,335.11
Aetna
$1,564.38
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27455.
CPT 27455
5 of 25 sample ratesHigher to lower in this preview
Orthopedic Surgery Center Of The Fox Valley LLC
Orthopedic Surgery Center Of The Fox Valley
$8,018.00Published rateLowcountry Ambulatory Center, LLC
Lowcountry Ambulatory Center LLC
$6,492.00Published rateHealthcare Partners Asc-Lb, LLC, Davita Medical Asc
Healthcare Partners Asclb LLC
$3,937.00Published rateBuffalo Ambulatory Services, Inc, Buffalo Ambulatory Surgery Center
Buffalo Ambulatory Services, Inc
$1,782.00Published rateAsc-Tcg, LLC, Tri-County Center For Endoscopy & Surgery
Asc - Tcg LLC
$900.00Published rate
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See a sample payer proposalCPT 27455 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27455. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27455-CPT | Osteotomy Proximal Tibia Inc, Osteotomy Proximal Tibia Including Fibular Excision Orosteotomy (Includes Correction Of Genu Varus(Bowleg) Or Genu Valgus (Knock-Knee)) Before Ep Iphyseal Closure |
| 27457-CPT | Knee/Leg Surgery, Osteotomy Proximal Tibia Including Fibular Excision Or Osteotomy (Includes Correction Of Genu Varus (Bowleg) Or Genu Valgus (Knock-Knee)) Unilateral; After Epiphyseal Closure |
| 27477-CPT | Arrest Epiphyseal Any Mthod (Eg Epiphysiodes); Tibia & Fibula, Arrest Epiphyseal Any Method (Eg Epiphysiodesis); Tibia And Fibula |
| 27479-CPT | Arrest Epiphyseal Any Method, Arrest Epiphyseal Any Method (Eg Epiphydiodesis)Combined Distal Femur Proximal Tibia And Fibulaarrest Epiphyseal Any Method (Eg Epiphydiodes Is) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27455. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27455 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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Frequently Asked Questions
What APC is CPT 27455 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27455 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27455 in an ambulatory surgery center?
CMS lists CPT 27455 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27455?
Hospital price transparency files list CPT 27455 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.