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See a sample rate comparisonCPT 27415 Fee Schedule
Last Verified: October 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.
Repair Knee With Transplant, Surgery To Repair A Knee. The Procedure Involves Transplanting Bone Or Cartilage.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27415 |
| Medicaid Fee Schedule | View Medicaid rates for 27415 |
National average reimbursement for CPT 27415 by major payers:
$1,735.70
$1,856.18
$1,950.15
$2,253.35
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CPT 27415
5 of 25 sample ratesHigher to lower in this preview
Novamed Surgery Center Of St Peters LLC, St Peters Ambulatory Surgery Center
Novamed Surgery Center Of St Peters LLC
$10,000.00Published rateDigestive Health Center LLC
$5,200.00Published rateComprehensive Pain Management Center, Inc.
$4,069.00Published rateOxford Urocare PLLC
$2,542.94Published rateEndoscopy Center Of Dayton Ltd
$962.00Published rate
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See a sample payer proposalCPT 27415 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27415 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 27415 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 |
|---|---|---|
| 27412-CPT | High | Autologous Chondrocyte Implantation, Knee |
| 27415-CPT | High | Repair Knee With Transplant, Surgery To Repair A Knee. The Procedure Involves Transplanting Bone Or Cartilage. |
| 27416-CPT | High | Osteochondral Autografts(S) K, Osteochondral Autografts(S) Knee Open (E.G. Mosaicplasty) (Includes Harvesting Of Autografts[S]) |
| 27422-CPT | Moderate | Revision Of Unstable Kneecap, Reconstruction Of Dislocating Patella With Extensor Realignment And Or Muscle Advancement Or Release Eg Campbell Goldwaite Type Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27415. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27415 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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