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See a sample rate comparisonCPT 27466 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.
Osteoplasty, Femur; Lengthening
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27466 |
| Medicaid Fee Schedule | View Medicaid rates for 27466 |
National average reimbursement for CPT 27466 by major payers:
$1,569.04
$1,603.25
$1,680.75
$1,937.57
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CPT 27466
5 of 25 sample ratesHigher to lower in this preview
Puyallup Ambulatory Surgery Center, LLC
Puyallup Ambulatory Surgery Center LLC
$7,777.00Published rateLiberty Corner Surgical Center LLC
$4,000.00Published rateSpecialty Surgicare Of Las Vegas, Lp
$2,121.00Published ratePoole Endoscopy Center, LLC
$1,692.00Published rateGastro-Intestinal Center Inc
Gastrointestinal Center Inc
$675.00Published rate
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See a sample payer proposalCPT 27466 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27466 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 27466 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 |
|---|---|---|
| 27465-CPT | High | Shortening Femur |
| 27466-CPT | High | Osteoplasty, Femur; Lengthening |
| 27472-CPT | High | Repair Nonunion Or Malunion, Repair Nonunion Or Malunion Femur Distal To Head Andneck With Iliac Or Other Autogenous Bone Graft (Includes Obtaining Graft) |
| 27496-CPT | Moderate | Surgery On Thigh Or Knee, Surgery To Cut The Connective Tissue In The Thigh Or Knee. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27466. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27466 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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