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See a sample rate comparisonCPT 27690 Fee Schedule
Medicare rates as of October 2026
CPT 27690 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Transfer Or Transplant Of Sing, Transfer Or Transplant Of Single Tendon (With Muscleredirection Or Rerouting) Superficial (Eg Anterior Tibial Extensors Into Midfoot)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Add-on Codes | 27692 |
| Common Revenue Codes | 03600960Sign up to view all 3 |
| Medicare Fee Schedule | $608.23 national non-facility rate (2026)View Medicare rates for 27690 |
| Medicaid Fee Schedule | $491.415 median of the 8 states in the free previewView Medicaid rates for 27690 |
National average reimbursement for CPT 27690 by major payers:
$807.21
BCBS / Anthem
$859.61
UnitedHealthcare
$905.71
Aetna
$1,053.83
Cigna
Compare published rates across providers.
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CPT 27690
5 of 25 sample ratesHigher to lower in this preview
Premier At Exton Surgery Center, LLC
$6,506.00Published rateDry Creek Surgery Center, LLC
Dry Creek Surgery Center LLC
$3,834.00Published rateBellingham Urology Group, PLLC
$2,749.00Published rateLewes De Endoscopy Asc LLC, Seaside Endoscopy Pavilion
Lewes De Endoscopy Asc LLC
$2,011.00Published rateCherry Hill Women'S Center, Inc.
Cherry Hill Womens Center Inc
$980.00Published rate
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See a sample payer proposalCPT 27690 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27690. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27690-CPT | Transfer Or Transplant Of Sing, Transfer Or Transplant Of Single Tendon (With Muscleredirection Or Rerouting) Superficial (Eg Anterior Tibial Extensors Into Midfoot) |
| 27691-CPT | Revise Lower Leg Tendon, Transfer Or Transplant Of Single Tendon With Muscle Redirection Or Rerouting Deep Eg Anterior Tibial Or Posterior Tibial Through Interosseous Space Flexor Digitorum Longus Flexor Hallucis Longus Or Peroneal Tendon To Midfoot Or Hindfoot |
| 27692-CPT | Revise Additional Leg Tendon, Transfer Or Transplant Of Single Tendon (With Muscle Redirection Or Rerouting); Each Additional Tendon (List Separately In Addition To Code For Primary Procedure) |
| 27700-CPT | Reshape Ankle Joint, Surgery To Reshape The Damaged End Of An Ankle Joint By Grinding Down The Surface. The Procedure Stimulates Growth Of New Tissue (Bone). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27690. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27690 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 27690 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27690 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 27690 in an ambulatory surgery center?
CMS lists CPT 27690 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which add-on codes are billed with CPT 27690?
CMS add-on code edits list CPT 27690 as a primary code for these add-on codes: 27692.
Which revenue codes are billed with CPT 27690?
Hospital price transparency files list CPT 27690 under these revenue codes: 0360, 0960 and 0490. A revenue code names the hospital department or charge category for the line; it does not change what the service is.