CPT 27487 Fee Schedule
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.
| 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 • RT - Right side of body • LT - Left side of body |
| Complexity Level | High |
National average reimbursement for CPT 27487 by major payers:
$2,347.00
$2,393.68
$2,529.05
$2,938.01
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 27487 | ||||||
United | 27487 | $1831.68 | 1750743191 - JEFFREY SURINA | 201778316 | AZ | Orthopaedic Surgery Physician (207X00000X) |
United | 27487 | $3778.85 | 1295262194 - LEE GAMMON | 541581185 - MCV ASSOCIATED PHYSICIANS | VA | Orthopaedic Surgery Physician (207X00000X) |
United | 27487 | $5391.56 | 1326195454 - MARC TOMPKINS | 410991680 - FAIRVIEW HEALTH SERVICES | MN | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 27487 | $1652.61 | 1295983567 - THOMAS BERKBIGLER | 471044519 - (MO) BERKBIGLER ORTHOPAEDICS AND SPORTS SPECIALISTS LLC | MO | Orthopaedic Surgery Physician (207X00000X) |
United | 27487 | $1560.80 | 1043253487 - JEFFREY GUTTMAN | 932557965 | NY | Orthopaedic Surgery Physician (207X00000X) |
United | 27487 | $4254.33 | 1285923391 - NATHAN LANHAM | 251857035 | PA | Orthopaedic Surgery Physician (207X00000X) |
United | 27487 | $2896.95 | 1346773066 - GARY DRIVER | 273846421 - FOOT AND ANKLE SPECIALISTS OF THE MID ATLANTIC, LLC | TX | Orthopaedic Foot and Ankle Surgery Physician (207XX0004X) |
United | 27487 | $2726.82 | 1689669111 - CARL PAINTER | 263956318 - HSHS MEDICAL GROUP INC | OK | Orthopaedic Surgery Physician (207X00000X) |
United | 27487 | $2992.58 | 1104015148 - RASESH DESAI | 311118087 - (KY) COMMONWEALTH HEALTH CORPORATION INC | KY | Orthopaedic Surgery Physician (207X00000X) |
United | 27487 | $3775.07 | 1427514454 - AUSTIN THOMAS | 942854057 - IHC HEALTH SERVICES INC | CA | Orthopaedic Surgery Physician (207X00000X) |
United | 27487 | $1635.48 | 1366072555 - BENEDICTINE UNIVERSITY | 362722198 - (IL) BENEDICTINE UNIVERSITY | IL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 27487 | $4030.23 | 1104026442 - ANDREW COLLETTE | 431704371 - FREEMAN HEALTH SYSTEM | MO | Orthopaedic Surgery Physician (207X00000X) |
United | 27487 | $3305.22 | 1609947423 - RILEY HALE | 840593455 - (CO) ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES, PC | CO | Orthopaedic Surgery Physician (207X00000X) |
United | 27487 | $3424.71 | 1629165618 - DAVID RYAN | 581076549 - (GA) ATHENS ORTHOPEDIC CLINIC PA | GA | Orthopaedic Surgery Physician (207X00000X) |
United | 27487 | $1754.63 | 1225202666 - OCH PROFESSIONAL SERVICES | 261483274 - (MS) OCH PROFESSIONAL SERVICES | MS | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 27487 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27487 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 27487 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 |
|---|---|---|
| 27438 | High | Arthroplasty, Patella; W Prosthesis |
| 27447 | High | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
| 27486 | High | Revis.Totl Knee Arthroplas;1 Compon |
| 27487 | High | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27487. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27487 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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