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See a sample rate comparisonCPT 27709 Fee Schedule
Medicare rates as of October 2026
CPT 27709 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Corrective Surgery On Leg Bone, Surgery To Correct The Alignment Of One Or Both Bones Of The Lower Leg (Tibia Or Fibula).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $1,051.13 national non-facility rate (2026)View Medicare rates for 27709 |
| Medicaid Fee Schedule | $828.125 median of the 8 states in the free previewView Medicaid rates for 27709 |
National average reimbursement for CPT 27709 by major payers:
$1,532.55
BCBS / Anthem
$1,521.90
UnitedHealthcare
$1,634.50
Aetna
$1,839.83
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27709.
CPT 27709
5 of 25 sample ratesHigher to lower in this preview
Tampa Bay Joint And Spine, LLC, Tampa Bay Joint And Spine Surgery Center
Tampa Bay Joint And Spine LLC
$4,339.00Published rateGs Campus Asc, LLC, Lafayette Surgery Center
Gs Campus Asc LLC
$3,304.00Published ratePrince Frederick Surgery Center LLC
Prince Frederick Surgery Center, LLC
$2,540.00Published rateWestern PA Surgery Center, Beaver County Branch, LLC
Western PA Surgery Center Beaver
$1,850.00Published rateNovamed Surgery Center Of Nashua, LLC, Nashua Eye Surgery Center
Novamed Surgery Center Of Nashua LLC
$814.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27709 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27709. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27705-CPT | Corrective Surgery On Leg Bone, Surgery To Correct The Alignment Of One Or Both Bones Of The Lower Leg (Tibia Or Fibula). |
| 27707-CPT | Corrective Surgery On Leg Bone, Surgery To Correct The Alignment Of One Or Both Bones Of The Lower Leg (Tibia Or Fibula). |
| 27709-CPT | Corrective Surgery On Leg Bone, Surgery To Correct The Alignment Of One Or Both Bones Of The Lower Leg (Tibia Or Fibula). |
| 27715-CPT | Lengthen Tibia & Fibula |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27709. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27709 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 27709 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27709 to APC 5115 (Level 5 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27709 in an ambulatory surgery center?
CMS lists CPT 27709 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 27709?
Hospital price transparency files list CPT 27709 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.