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CPT 27603 Fee Schedule

Last Verified: February 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.

I&D,Leg/Ankle;Deep Abscess/Hematoma
Key FactDetail
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 LevelModerate
Medicare Fee ScheduleView Medicare rates for 27603

National average reimbursement for CPT 27603 by major payers:

bcbs

$645.39

uhc

$710.73

aetna

$750.76

cigna

$873.69

Preview provider-level rates for...
For billing codeCPT 27603
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 27603

United
27603$1779.001346508520 - FIRST GI ENDOSCOPY AND SURGERY CENTER LLC270870899 - (NJ) FIRST GI ENDOSCOPY AND SURGERY CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$2307.001154956928 - ADVANCED SURGICAL CARE OF CLEARWATER LLC833698204 - (FL) ADVANCED SURGICAL CARE OF CLEARWATER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$775.001811168164 - UROLOGIC SPECIALISTS OF NEW ENGLAND LLC208951188 - (RI) UROLOGIC SPECIALISTS OF NEW ENGLAND, LLCRIAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$2025.001568918746 - ORTHOPEDIC SURGERY CENTER OF PALM BEACH COUNTY, LLC812594417 - (FL) ORTHOPEDIC SURGERY CENTER OF PALM BEACH COUNTY LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$979.001881094894 - CENTER FOR COLON AND DIGESTIVE DISEASES LLC465382670 - (SC) CENTER FOR COLON AND DIGESTIVE DISEASES LLCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$950.001669772893 - ADVANCED EYE SURGERY CENTER, L.L.C.273717607 - (KS) ADVANCED EYE SURGERY CENTER LLCKSAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$1600.001932496908 - CONCOURSE DIAGNOSTIC SURGERY CENTER, LLC, CONCOURSE DIAGNOSTIC SURGERY CENTER,LLC273205326 - (CA) CONCOURSE DIAGNOSTIC & SURGERY CENTERCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$4405.001467920389 - KU MEDWEST AMBULATORY SURGERY CENTER, LLC20664568 - (KS) KU MEDWEST AMBULATORY SURGERY CENTER LLCKSAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$2000.001316009194 - ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER LLC, TINLEY WOODS SURGERY CENTER364437931 - (IL) ADVOCATE SOUTHWEST AMBULATORY SURGEILAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$1011.001497869267 - DOCTORS SURGERY CENTER, INC752545398 - (TX) DOCTORS SURGERY CENTER INCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$2865.001013136456 - SOUTH JERSEY MUSCULOSKELETAL INSTITUTE, LLC, ADVANCED SURGICAL INSTITUTE204481032 - (NJ) SOUTH JERSEY MUSCULOSKELETAL INSTITUTE, LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$927.001376982371 - PHILLIP ADAMS350593390 - DEACONESS HOSPITAL INCINHospitalist Physician (208M00000X)
United
27603$1816.001497165179 - SURGERY CENTER OF SCOTTSDALE, LLC, MOUNTAIN VIEW SURGERY CENTER OF PHOENIX731553441 - (AZ) SURGERY CENTER OF SCOTTSDALE LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
27603$425.921205539012 - HANNAH WHITE350593390 - DEACONESS HOSPITAL INCINPhysician Assistant (363A00000X)
United
27603$5177.001528121316 - SAINT LUKES SOUTH SURGERY CENTER LLC201721929 - (KS) SAINT LUKES SOUTH SURGERY CENTER LLCKSAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 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.

CodeComplexityDescription
27600-CPTModerateDecompress Ant Compartment Leg
27601-CPTModerateDecomp Fasc Leg;Post Compt Only
27602-CPTModerateDecompression Fasciotmy,Leg;Ant/Post.Com
27603-CPTModerateI&D,Leg/Ankle;Deep Abscess/Hematoma

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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