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See a sample rate comparisonCPT 27664 Fee Schedule
Last Verified: October 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/Suture Exten.Ten-Leg;Prim,W/O Gra
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27664 |
| Medicaid Fee Schedule | View Medicaid rates for 27664 |
National average reimbursement for CPT 27664 by major payers:
$503.96
$502.04
$516.79
$607.41
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CPT 27664
5 of 25 sample ratesHigher to lower in this preview
Surgery Center, LLC
The Surgery Center, LLC
$10,099.00Published rateNaperville Surgical Centre LLC
Naperville Surgical Centre, LLC
$2,760.00Published rateSalmon Creek Plastic Surgery PC, Salmon Creek Plastic Surgery PC/Asc Facility
Salmon Creek Plastic Surgery, PC
$1,920.00Published rateEye Care Surgery Center Of Memphis, LLC
$1,035.00Published ratePremier Endoscopy Center LLC
$383.00Published rate
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See a sample payer proposalCPT 27664 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27664 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 27664 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27664. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27664 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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