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See a sample rate comparisonCPT 27652 Fee Schedule
Medicare rates as of October 2026
CPT 27652 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| 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 | 03600975Sign up to view all 5 |
| Medicare Fee Schedule | $616.58 national non-facility rate (2026)View Medicare rates for 27652 |
| Medicaid Fee Schedule | $499.78 median of the 8 states in the free previewView Medicaid rates for 27652 |
National average reimbursement for CPT 27652 by major payers:
$896.20
BCBS / Anthem
$935.16
UnitedHealthcare
$942.59
Aetna
$1,125.65
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27652.
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 table lists codes related to 27652. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27650-CPT | Repair,Primary,Open/Percut.Ruptured Achi |
| 27652-CPT | Repair Graft Achilles Tendon, Repair Primary Open Or Percutaneous Ruptured Achilles Tendon With Graft Includes Obtaining Graft |
| 27654-CPT | Repair,2ndary,Ruptured Achilles Tendon,W |
| 27656-CPT | 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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Frequently Asked Questions
What APC is CPT 27652 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27652 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 27652 in an ambulatory surgery center?
CMS lists CPT 27652 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27652?
Hospital price transparency files list CPT 27652 under these revenue codes: 0360, 0975, 0960, 0490 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.