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See a sample rate comparisonCPT 27603 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.
Drain Leg Or Ankle Infection, Surgery To Cut Open And Drain A Deep Infection Or Collection Of Blood (Hematoma) Of The Leg Or Ankle.
| 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 27603 |
| Medicaid Fee Schedule | View Medicaid rates for 27603 |
National average reimbursement for CPT 27603 by major payers:
$645.39
$710.73
$750.76
$657.48
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CPT 27603
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Surgery Center LLC
$5,177.00Published rateOrthopedic Surgery Center Of Palm Beach County, LLC
Orthopedic Surgery Center Of Palm Beach County LLC
$2,025.00Published rateConcourse Diagnostic Surgery Center, LLC, Concourse Diagnostic Surgery Center,LLC
Concourse Diagnostic & Surgery Center
$1,600.00Published rateAdvanced Eye Surgery Center, L.L.C.
Advanced Eye Surgery Center LLC
$950.00Published rateBay Area Endoscopy Center Limited Partnership
$360.00Published rate
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See a sample payer proposalCPT 27603 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27603 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 27603 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 |
|---|---|---|
| 27600-CPT | Moderate | Surgery 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. |
| 27601-CPT | Moderate | Surgery 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. |
| 27602-CPT | Moderate | Surgery 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. |
| 27603-CPT | Moderate | Drain Leg Or Ankle Infection, Surgery To Cut Open And Drain A Deep Infection Or Collection Of Blood (Hematoma) Of The Leg Or Ankle. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27603. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27603 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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