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See a sample rate comparisonCPT 27475 Fee Schedule
Medicare rates as of October 2026
CPT 27475 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Arrest Epiphyseal Any Mthod (Eg Epiphysiodes); Distal Femur, Arrest Epiphyseal Any Method (Eg Epiphysiodesis); Distal Femur
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft 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 | 03600637 |
| Medicare Fee Schedule | $627.27 national non-facility rate (2026)View Medicare rates for 27475 |
| Medicaid Fee Schedule | $500.24 median of the 8 states in the free previewView Medicaid rates for 27475 |
National average reimbursement for CPT 27475 by major payers:
$883.70
BCBS / Anthem
$892.26
UnitedHealthcare
$940.33
Aetna
$1,091.74
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27475.
CPT 27475
5 of 25 sample ratesHigher to lower in this preview
El Paso Surgery Centers Lp
$8,266.00Published rateAnne Arundel-Sca Surgicenter, LLC, Aamc Surgery Center - Annapolis
Anne Arundelsca Surgicenter LLC
$3,428.00Published rateChelmsford Surgery Center LLC
$2,393.00Published rateThe Aesthetic Surgery Centre, PLLC, Cedar Laser And Surgery Center
Aesthetic Surgery Centre, PLLC
$1,690.00Published rateFarshid Paydar Md PC, The Eye Clinic
Farshid Paydar Md PC
$489.00Published rate
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See a sample payer proposalCPT 27475 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27475. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27472-CPT | Repair Nonunion Or Malunion, Repair Nonunion Or Malunion Femur Distal To Head Andneck With Iliac Or Other Autogenous Bone Graft (Includes Obtaining Graft) |
| 27475-CPT | Arrest Epiphyseal Any Mthod (Eg Epiphysiodes); Distal Femur, Arrest Epiphyseal Any Method (Eg Epiphysiodesis); Distal Femur |
| 27477-CPT | Arrest Epiphyseal Any Mthod (Eg Epiphysiodes); Tibia & Fibula, Arrest Epiphyseal Any Method (Eg Epiphysiodesis); Tibia And Fibula |
| 27500-CPT | Closed Treatment Of Femoral Sh, Closed Treatment Of Femoral Shaft Fracture Withoutmanipulation Closed Treatment Of Femoral Shaft Fracture Without |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27475. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27475 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 27475 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27475 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 27475 in an ambulatory surgery center?
CMS lists CPT 27475 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27475?
Hospital price transparency files list CPT 27475 under these revenue codes: 0360 and 0637. A revenue code names the hospital department or charge category for the line; it does not change what the service is.