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See a sample rate comparisonCPT 27637 Fee Schedule
Medicare rates as of October 2026
CPT 27637 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $707.77 national non-facility rate (2026)View Medicare rates for 27637 |
| Medicaid Fee Schedule | $565.855 median of the 8 states in the free previewView Medicaid rates for 27637 |
National average reimbursement for CPT 27637 by major payers:
$1,037.86
BCBS / Anthem
$1,017.14
UnitedHealthcare
$1,025.61
Aetna
$1,232.22
Cigna
Compare published rates across providers.
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CPT 27637
5 of 25 sample ratesHigher to lower in this preview
Trident Ambulatory Surgery Center, L.P.
Trident Ambulatory Surgery Center Lp
$7,402.00Published rateShore Outpatient Surgicenter LLC
$3,507.00Published rateSimi Valley Surgery Center Inc
$1,800.00Published rateExecutive Endoscopy, Inc., Endoscopy Center Of San Jose
Executive Endoscopy Inc
$1,397.00Published rateCj Elmwood Partners L P
$675.00Published rate
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See a sample payer proposalCPT 27637 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27637. 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 27637. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27637 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 27637 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27637 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27637 in an ambulatory surgery center?
CMS lists CPT 27637 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27637?
Hospital price transparency files list CPT 27637 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.