CPT 27700 Fee Schedule
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.
| 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 27700 |
| Medicaid Fee Schedule | View Medicaid rates for 27700 |
National average reimbursement for CPT 27700 by major payers:
$939.78
$835.99
$854.05
$1,057.57
CPT 27700 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27700 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 27700 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 |
|---|---|---|
| 27690-CPT | Moderate | Transfer Or Transplant Of Sing, Transfer Or Transplant Of Single Tendon (With Muscleredirection Or Rerouting) Superficial (Eg Anterior Tibial Extensors Into Midfoot) |
| 27691-CPT | High | 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 | Low | 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 | Moderate | 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 27700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27700 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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