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See a sample rate comparisonCPT 27519 Fee Schedule
Medicare rates as of October 2026
CPT 27519 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Surgery To Repair Broken Knee, Surgery To Repair Broken Knee Bones (Femoral Epiphyseal Separation). Pins Wires Or Screws May Be Used To Hold The Bones In Place.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient 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) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $810.97 national non-facility rate (2026)View Medicare rates for 27519 |
| Medicaid Fee Schedule | $643.745 median of the 8 states in the free previewView Medicaid rates for 27519 |
National average reimbursement for CPT 27519 by major payers:
$1,190.04
BCBS / Anthem
$1,247.27
UnitedHealthcare
$1,254.89
Aetna
$1,488.45
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27519.
CPT 27519
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$9,520.00Published rateBsc Reid Park LLC
$4,014.00Published rateSunset Ridge Surgery Center, LLC
$3,249.00Published rateMorganton Eye Physicians, P.A., Eye Surgery Center Of Shelby
Morganton Eye Physicians, P.A.
$2,295.00Published rateLaser & Surgical Services At Center For Sight LLC
Laser Surgical Services At Center For Sight LLC
$750.00Published rate
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See a sample payer proposalCPT 27519 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27519. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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) |
| 27511-CPT | Open Treatment Of Femoral Supr, Open Treatment Of Femoral Supracondylar Or Transcondylar Fracture Without Intercondylar Extension Includes Internal Fixation When Performed |
| 27516-CPT | Closed Treatment Of Distal Fem, Closed Treatment Of Distal Femoral Epiphyseal Separationwithout Manipulation Closed Treatment Of Distal Femoral Epiphyseal Separation |
| 27519-CPT | Surgery To Repair Broken Knee, Surgery To Repair Broken Knee Bones (Femoral Epiphyseal Separation). Pins Wires Or Screws May Be Used To Hold The Bones In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27519. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27519 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 27519 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27519 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 27519 in an ambulatory surgery center?
CMS lists CPT 27519 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27519?
Hospital price transparency files list CPT 27519 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.