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See a sample rate comparisonCPT 27640 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Partial Excision (Craterizatio, Partial Excision (Craterization Saucerization Ordiaphysectomy) Bone (Eg Osteomyelitis Or Exostosis) Tibia
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27640 |
| Medicaid Fee Schedule | View Medicaid rates for 27640 |
National average reimbursement for CPT 27640 by major payers:
$1,126.83
$1,146.82
$1,190.70
$1,382.39
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CPT 27640
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center, Memorial Hermann Surgery Center, The Woodlands
Memorial Hermann Surgery Center
$6,904.00Published rateWindsor Mill Surgery Center, LLC
Windsor Mill Surgery Center LLC
$3,188.00Published rateBalboa Nephrology Medical Group,Inc., San Diego Access And Surgery Center
Balboa Nephrology Medical Group, Inc.
$1,900.00Published ratePatrick Duffy
Deaconess Hospital Inc
$1,455.94Published rateOsi, LLC
$992.00Published rate
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See a sample payer proposalCPT 27640 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27640 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 27640 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). |
| 27640-CPT | High | Partial Excision (Craterizatio, Partial Excision (Craterization Saucerization Ordiaphysectomy) Bone (Eg Osteomyelitis Or Exostosis) Tibia |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27640. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27640 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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