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See a sample rate comparisonCPT 27634 Fee Schedule
Medicare rates as of October 2026
CPT 27634 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5073 - Level 3 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600361Sign up to view all 6 |
| Medicare Fee Schedule | $623.26 national non-facility rate (2026)View Medicare rates for 27634 |
| Medicaid Fee Schedule | $491.77 median of the 8 states in the free previewView Medicaid rates for 27634 |
National average reimbursement for CPT 27634 by major payers:
$949.79
BCBS / Anthem
$932.59
UnitedHealthcare
$943.21
Aetna
$1,126.38
Cigna
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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 table lists codes related to 27634. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27632-CPT | 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 | 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 | 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 | 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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Frequently Asked Questions
What APC is CPT 27634 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27634 to APC 5073 (Level 3 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27634 in an ambulatory surgery center?
CMS lists CPT 27634 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27634?
Hospital price transparency files list CPT 27634 under these revenue codes: including 0360, 0361, 0490, 0960 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.