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See a sample rate comparisonCPT 27652 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.
Repair Graft Achilles Tendon, Repair Primary Open Or Percutaneous Ruptured Achilles Tendon With Graft Includes Obtaining Graft
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27652 |
| Medicaid Fee Schedule | View Medicaid rates for 27652 |
National average reimbursement for CPT 27652 by major payers:
$896.20
$935.16
$942.59
$1,125.65
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CPT 27652
5 of 25 sample ratesHigher to lower in this preview
Princess Anne Ambulatory Surgery Management LLC, Princess Anne Ambulatory Surgery Center
Princess Anne Ambulatory Surgery Management, LLC
$8,316.00Published rateMethodist Craig Ranch Surgery Center LLC
$3,407.00Published rateSight Partners, LLC, Empire Eye Physicians
$2,412.00Published rateOhi West, Inc, Bayfront Health Ambulatory Surgery Center
Ohi West Inc
$1,530.00Published rateMelissa Eisenhauer
Deaconess Hospital Inc
$550.38Published rate
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See a sample payer proposalCPT 27652 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27652 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 27652 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 |
|---|---|---|
| 27650-CPT | Moderate | Repair,Primary,Open/Percut.Ruptured Achi |
| 27652-CPT | Moderate | Repair Graft Achilles Tendon, Repair Primary Open Or Percutaneous Ruptured Achilles Tendon With Graft Includes Obtaining Graft |
| 27654-CPT | Moderate | Repair,2ndary,Ruptured Achilles Tendon,W |
| 27656-CPT | Moderate | Repair Leg Connective Tissue, Surgery To Repair A Problem (Abnormality) In The Strong Connective Tissue (Fascia) Of A Leg. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27652. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27652 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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