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See a sample rate comparisonCPT 27646 Fee Schedule
Last Verified: October 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.
Remove Growth From Leg Bone, Surgery To Remove An Abnormal Growth (Tumor) From A Section Of Lower Leg Bone (Either Tibia Or Fibula).
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27646 |
| Medicaid Fee Schedule | View Medicaid rates for 27646 |
National average reimbursement for CPT 27646 by major payers:
$1,941.65
$1,910.49
$2,049.49
$2,380.93
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CPT 27646
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc.
Deaconess Hospital Inc
$13,127.00Published rateAzendo LLC, Tri-Pointe Surgery Center
Azendo LLC
$5,963.00Published rateSand Lake Surgicenter LLC, Sand Lake Surgery Center
Sand Lake Surgicenter, LLC
$3,489.00Published rateBoston Eye Surgery & Laser Center Trust, Boston Eye Surgery & Laser Center
Boston Eye Surgery & Laser Center Trust
$1,077.00Published rateHalcyon Laser & Surgery Center, Inc.
Halcyon Laser Surgery Center Inc
$60.00Published rate
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See a sample payer proposalCPT 27646 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27646 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 27646 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 |
|---|---|---|
| 27641-CPT | Moderate | Partial Excision (Craterizatio, Partial Excision (Craterization Saucerization Ordiaphysectomy) Bone (Eg Osteomyelitis Or Exostosis) Fibula |
| 27645-CPT | High | Remove Growth From Leg Bone, Surgery To Remove An Abnormal Growth (Tumor) From A Section Of Lower Leg Bone (Either Tibia Or Fibula). |
| 27646-CPT | High | Remove Growth From Leg Bone, Surgery To Remove An Abnormal Growth (Tumor) From A Section Of Lower Leg Bone (Either Tibia Or Fibula). |
| 27647-CPT | High | Remove Growth From Ankle Bone, Surgery To Remove An Abnormal Growth (Tumor) From An Ankle Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27646. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27646 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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