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CPT 27599 Fee Schedule

Last Verified: October 2026

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.

Unlisted Procedure Femur Or K, Unlisted Procedure Femur Or Knee
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

24 - Ambulatory Surgical Center

22 - On Campus Outpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 27599
Medicaid Fee ScheduleView Medicaid rates for 27599

National average reimbursement for CPT 27599 by major payers:

bcbs

$1,184.44

uhc

$173.67

aetna

$3,686.33

cigna

$3,129.56

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 27599.

CPT 27599
5 of 25 sample ratesHigher to lower in this preview
  1. Hss Asc Of Manhattan LLC, Hss Asc Of Manhattan

    NYAmbulatory Surgical Clinic/CenterNPI 1346792165Tax ID 47-1353602

    $2,018.00Published rate
  2. Summit Ambulatory Surgical Center, LLC

    MDAmbulatory Surgical Clinic/CenterNPI 1518154517Tax ID 52-2148280

    $574.00Published rate
  3. Old Town Endoscopy Center LLC, Digestive Health Center Of Dallas

    Old Town Endoscopy Center LLC

    TXAmbulatory Surgical Clinic/CenterNPI 1821067554Tax ID 75-2774028

    $391.00Published rate
  4. Center For Pain Medicine Surgery Center LLC

    NDAmbulatory Surgical Clinic/CenterNPI 1578918124Tax ID 81-1657416

    $125.00Published rate
  5. Fredericktown Ambulatory Surgical Facility, Inc.

    Fredericktown Ambulatory Surgical Facility Inc

    MDAmbulatory Surgical Clinic/CenterNPI 1972658706Tax ID 52-1935764

    $45.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 27599 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 27599 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 27599 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.

CodeComplexityDescription
27560-CPTModerateSet Dislocated Kneecap, Treatment Of A Dislocated Kneecap By Manually Moving The Bone Into Proper Position. A Splint Or Brace May Be Applied For Additional Support.
27562-CPTModerateSet Dislocated Kneecap, Treatment Of A Dislocated Kneecap By Manually Moving The Bone Into Proper Position. A Splint Or Brace May Be Applied For Additional Support.
27599-CPTHighUnlisted Procedure Femur Or K, Unlisted Procedure Femur Or Knee
27600-CPTModerateSurgery On Connective Tissue, Surgery To Cut The Leg Fascia (Strong Connective Tissue That Surrounds Muscle Bone And Organs). This Relieves Pressure From Swelling In A Confined Body Area (Compartment Syndrome). The Condition Can Lead To Tissue Death Or Amputation.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27599. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 27599 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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