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See a sample rate comparisonCPT 27412 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Autologous Chondrocyte Implantation, Knee
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 27412 |
| Medicaid Fee Schedule | View Medicaid rates for 27412 |
National average reimbursement for CPT 27412 by major payers:
$2,208.47
$2,230.68
$2,352.20
$2,698.48
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CPT 27412
5 of 25 sample ratesHigher to lower in this preview
West Park Surgery Center, L.P., Medical City Surgery Center/Mckinney
West Park Surgery Center Lp
$8,207.00Published rateAntietam Urosurgical Center LLC Asc
$4,394.00Published rateEndoscopy Center Of North Baltimore
$2,913.00Published rateFry Eye Surgery Center, LLC
Fry Eye Surgery Center LLC
$1,500.00Published rateGastrointestinal Diagnostic Endoscopy Woodstock, LLC, Town Lake Endoscopy Center
Gastrointestinal Diagnostic Endoscopy Woodstock LLC
$515.00Published rate
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See a sample payer proposalCPT 27412 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27412 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 27412 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 |
|---|---|---|
| 27405-CPT | Moderate | Suture Collat Ligament Knee Prim |
| 27409-CPT | High | Rpair Primar Torn Ligamnt &/Or Capsule Knee Collateral R, Repair Primary Torn Ligament And/Or Capsule Knee; Collateral And Cr |
| 27412-CPT | High | Autologous Chondrocyte Implantation, Knee |
| 27425-CPT | Moderate | Release Lateral Retinacular Knee |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27412. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27412 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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