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See a sample rate comparisonCPT 27634 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.
Exc Leg Ankle Tum Dep 5 Cm, Excision Tumor Soft Tissue Of Leg Or Ankle Area Subfascial Eg Intramuscular 5 Cm Or Greater
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27634 |
| Medicaid Fee Schedule | View Medicaid rates for 27634 |
National average reimbursement for CPT 27634 by major payers:
$949.79
$932.59
$943.21
$1,126.38
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CPT 27634
5 of 25 sample ratesHigher to lower in this preview
Rock Hill Surgery Center, LLC, Carolina Surgical Center
Rock Hill Surgery Center LLC
$13,579.00Published rateSurgcenter Of St. Lucie, LLC
$2,388.00Published rateSsm St. Joseph Surgery Center, LLC, The Surgery Center At St. Joseph Medical Park
Ssm St Joseph Surgery Center LLC
$1,548.00Published rateThe Center For Aesthetic Surgery LLC
$1,213.00Published rateMelbourne Asc Lp, The Surgery Center Of Melbourne
Melbourne Asc Lp
$410.00Published rate
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See a sample payer proposalCPT 27634 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27634 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 27634 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 |
|---|---|---|
| 27632-CPT | Moderate | Xcision Tumor Sft Tissue Of Leg/Ankle Area Subcutane 3 Cm, Excision Tumor Soft Tissue Of Leg Or Ankle Area Subcutaneous; 3 Cm |
| 27634-CPT | Moderate | Exc Leg Ankle Tum Dep 5 Cm, Excision Tumor Soft Tissue Of Leg Or Ankle Area Subfascial Eg Intramuscular 5 Cm Or Greater |
| 27635-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone In The Lower Leg (Tibia Or Fibula). |
| 27637-CPT | High | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone In The Lower Leg (Tibia Or Fibula). The Area Is Repaired With A Bone Graft. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27634. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27634 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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