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See a sample rate comparisonCPT 27418 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.
Use Tendon To Realign Kneecap, Surgery To Realign The Kneecap (Patella) By Moving The Patella Tendon To A Different Location On The Tibial Tubercle (Small Bump On Shin Bone). The Procedure Is Done To Relieve Pain.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27418 |
| Medicaid Fee Schedule | View Medicaid rates for 27418 |
National average reimbursement for CPT 27418 by major payers:
$1,089.51
$1,121.94
$1,200.37
$1,362.34
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CPT 27418
5 of 25 sample ratesHigher to lower in this preview
Catholic Health Initiatives Colorado, Cmg Orthopedics St. Mary-Corwin
$17,316.00Published rateMichelle Dudevoir
$1,792.72Published rateCary Motz
$1,398.47Published rateOrthopedic Professional Association P.C., Boulder Bone And Joint
$1,172.06Published rateAjay Kanakamedala
$714.20Published rate
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See a sample payer proposalCPT 27418 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27418 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 27418 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 |
|---|---|---|
| 27350-CPT | Moderate | Patellectomyor Hemipatellectomy |
| 27412-CPT | High | Autologous Chondrocyte Implantation, Knee |
| 27418-CPT | High | Use Tendon To Realign Kneecap, Surgery To Realign The Kneecap (Patella) By Moving The Patella Tendon To A Different Location On The Tibial Tubercle (Small Bump On Shin Bone). The Procedure Is Done To Relieve Pain. |
| 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 27418. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27418 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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