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See a sample rate comparisonCPT 27610 Fee Schedule
Medicare rates as of October 2026
CPT 27610 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Arthrotomy Ankle Including E, Arthrotomy Ankle Including Exploration Drainage Orremoval Of Foreign Body Arthrotomy Ankle Including Exploration Drainage Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Add-on Codes | 2070020704Sign up to view all 3 |
| Common Revenue Codes | 03600960Sign up to view all 3 |
| Medicare Fee Schedule | $609.57 national non-facility rate (2026)View Medicare rates for 27610 |
| Medicaid Fee Schedule | $488.725 median of the 8 states in the free previewView Medicaid rates for 27610 |
National average reimbursement for CPT 27610 by major payers:
$856.03
BCBS / Anthem
$878.76
UnitedHealthcare
$934.38
Aetna
$1,066.91
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27610.
CPT 27610
5 of 25 sample ratesHigher to lower in this preview
Lindustries, LLC, Seventh Avenue Surgery Center
Lindustries LLC
$4,143.10Published rateShawnee Mission Prairie Star Surgery Center LLC, Adventhealth Surgery Center Lenexa
Shawnee Mission Prairie Star Surgery Center LLC
$2,703.00Published rateNorthwest Atlanta Vascular Care LLC
$1,699.00Published rateUniversity Of Maryland Surgcial Assoc PA, University Of Maryland Urological Surgery Center
University Of Maryland Surgical Associates P A
$1,000.00Published rateAlta-Rose Surgery Center LLC
$678.00Published rate
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See a sample payer proposalCPT 27610 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27610. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27610-CPT | Arthrotomy Ankle Including E, Arthrotomy Ankle Including Exploration Drainage Orremoval Of Foreign Body Arthrotomy Ankle Including Exploration Drainage Or |
| 27612-CPT | Arthrotomy Posteri Capsulr Rlease Ankle W//W/O Achille, Arthrotomy Posterior Capsular Release Ankle With Or Without Achille |
| 27620-CPT | Exploratory Surgery Of Ankle, Surgery To Explore An Ankle Joint. The Procedure May Involve Removal Of Tissue For Testing (Biopsy) Or Removal Of A Foreign Object. |
| 27625-CPT | Remove Lining Of Ankle Joint, Exploration Of Ankle Joint. The Procedure Includes Removal Of Inflamed Joint Lining To Alleviate Pain. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27610 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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Frequently Asked Questions
What APC is CPT 27610 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27610 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27610 in an ambulatory surgery center?
CMS lists CPT 27610 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which add-on codes are billed with CPT 27610?
CMS add-on code edits list CPT 27610 as a primary code for these add-on codes: 20700, 20704 and 20705.
Which revenue codes are billed with CPT 27610?
Hospital price transparency files list CPT 27610 under these revenue codes: 0360, 0960 and 0975. A revenue code names the hospital department or charge category for the line; it does not change what the service is.