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See a sample rate comparisonCPT 27614 Fee Schedule
Last Verified: September 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.
Biops Sft Tissue Of Leg/Ankle Area; Deep (Subfasci Or Intramus, Biopsy Soft Tissue Of Leg Or Ankle Area; Deep (Subfascial Or Intramus
| 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 27614 |
| Medicaid Fee Schedule | View Medicaid rates for 27614 |
National average reimbursement for CPT 27614 by major payers:
$755.42
$763.30
$789.80
$689.49
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CPT 27614
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Southwest Fort Worth
$6,245.00Published rateRiva Road Surgical Center, LLC
Riva Road Surgical Center LLC
$2,307.00Published rateAlbany Surgery Center, LLP
Albany Surgery Center LLP
$1,678.00Published rateAcademy Orthopedics, LLC, Dba Academy Orthopedics, LLC, Ambulatory Surgical Center
Academy Orthopedics, LLC
$1,250.00Published rateGabriel Ballinger
Deaconess Hospital Inc
$464.80Published rate
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See a sample payer proposalCPT 27614 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27614 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 27614 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 |
|---|---|---|
| 27613-CPT | Moderate | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
| 27614-CPT | Moderate | Biops Sft Tissue Of Leg/Ankle Area; Deep (Subfasci Or Intramus, Biopsy Soft Tissue Of Leg Or Ankle Area; Deep (Subfascial Or Intramus |
| 27615-CPT | High | Radical Resection Of Tumor (Eg, Radical Resection Of Tumor (Eg Malignant Neoplasm) Soft Tissue Of Leg Or Ankle Area Less Than 5 Cm |
| 27616-CPT | High | Radical Resection Of Tumor (Eg, Radical Resection Of Tumor (Eg Malignant Neoplasm) Soft Tissue Of Leg Or Ankle Area 5 Cm Or Greater |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27614. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27614 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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