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See a sample rate comparisonCPT 27606 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.
Tenotomy Percutane Achilles Tndon (Sepa Proc); Gnral, Tenotomy Percutaneous Achilles Tendon (Separate Procedure); General
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27606 |
| Medicaid Fee Schedule | View Medicaid rates for 27606 |
National average reimbursement for CPT 27606 by major payers:
$386.23
$394.69
$400.41
$460.97
Compare published rates across providers.
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CPT 27606
5 of 25 sample ratesHigher to lower in this preview
Pearland Surgery Center, LLC
$5,729.00Published rateSummit Ambulatory Surgical Center, LLC
$2,307.00Published rateWest Side Gi, LLC
Westside Gi Center, LLC
$1,315.00Published rateOrthopedics Surgical Center Of The North Shore LLC
Orthopedic Surgical Center Of The North Shore
$1,109.61Published rateMid-Michigan Endoscopy Center, PLLC, Charter Endoscopy Center
Mid Michigan Endoscopy Center
$490.00Published rate
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See a sample payer proposalCPT 27606 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27606 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 27606 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 |
|---|---|---|
| 27604-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. |
| 27605-CPT | Moderate | Tenotomy Percutane Achilles Tndon (Sepa Proc); Local An, Tenotomy Percutaneous Achilles Tendon (Separate Procedure); Local An |
| 27606-CPT | Moderate | Tenotomy Percutane Achilles Tndon (Sepa Proc); Gnral, Tenotomy Percutaneous Achilles Tendon (Separate Procedure); General |
| 27607-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 27606. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27606 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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