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See a sample rate comparisonCPT 27477 Fee Schedule
Medicare rates as of October 2026
CPT 27477 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Arrest Epiphyseal Any Mthod (Eg Epiphysiodes); Tibia & Fibula, Arrest Epiphyseal Any Method (Eg Epiphysiodesis); Tibia And Fibula
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $687.39 national non-facility rate (2026)View Medicare rates for 27477 |
| Medicaid Fee Schedule | $547.60 median of the 8 states in the free previewView Medicaid rates for 27477 |
National average reimbursement for CPT 27477 by major payers:
$992.78
BCBS / Anthem
$992.86
UnitedHealthcare
$1,054.53
Aetna
$1,209.37
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27477.
CPT 27477
5 of 25 sample ratesHigher to lower in this preview
Saint Vincent Hlth Ctr Spu
Highmark Health
$17,863.40Published rateAmbulatory Surgery Center Of Spartanburg, LLC
Ambulatory Surgery Center Of Spartanburg
$3,260.00Published ratePvscg, LLC
Pvscg LLC
$1,759.00Published rateDulaney Eye Institute, LLC
Dulaney Eye Institute LLC
$1,339.00Published rateEye Surgery Center Of Maryville LLC, Eyes Of Illinois Surgery Center
Novamed Eye Surgery Center Of Maryville LLC
$624.00Published rate
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See a sample payer proposalCPT 27477 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27477. 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 |
| 27503-CPT | Treatment Of Thigh Fracture, Closed Treatment Of Supracondylar Or Transcondylar Femoral Fracture With Or Without Intercondylar Extension With Manipulation With Or Without Skin Or Skeletal Traction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27477. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27477 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 27477 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27477 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 27477 in an ambulatory surgery center?
CMS lists CPT 27477 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27477?
Hospital price transparency files list CPT 27477 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.