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See a sample rate comparisonCPT 27596 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Amputation,Thigh,Thru Femur;Reamput
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27596 |
| Medicaid Fee Schedule | View Medicaid rates for 27596 |
National average reimbursement for CPT 27596 by major payers:
$962.52
$982.14
$1,032.33
$1,168.47
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CPT 27596
5 of 25 sample ratesHigher to lower in this preview
Columbia North Hills Hospital Subsidiary Lp, Medical City North Hills
Columbia North Hills Hospital Subsidiary Lp
$17,452.00Published rateSurgery Center Of Scottsdale, LLC
Surgery Center Of Scottsdale LLC
$6,365.00Published rateAk Surgery Center, LLC
Ak Surgery Center LLC
$3,603.00Published ratePain Care Surgery Of Louisville, LLC
Pain Care Surgery Of Louisville LLC
$3,199.00Published rateLaser And Vision Surgery Center, LLC
Laser And Vision Surgery Center LLC
$720.00Published rate
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See a sample payer proposalCPT 27596 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27596 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 27596 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 |
|---|---|---|
| 27590-CPT | High | Amputat,Thigh,Thru Femur,Any Level; |
| 27591-CPT | High | Amputat Thigh Through Femur Any Levl; Immedia Fit Techniq, Amputation Thigh Through Femur Any Level; Immediate Fitting Techniq |
| 27592-CPT | Moderate | Amputat Thigh Through Femur Any Levl; Opn Circular (Guilloti, Amputation Thigh Through Femur Any Level; Open Circular (Guillotin |
| 27596-CPT | Moderate | Amputation,Thigh,Thru Femur;Reamput |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27596. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27596 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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