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See a sample rate comparisonCPT 27420 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.
Kneecap Surgery, Surgery To Change The Location Where A Tendon Or Muscle Attaches To The Kneecap. The Procedure Prevents The Joint From Dislocating Again And Again.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27420 |
| Medicaid Fee Schedule | View Medicaid rates for 27420 |
National average reimbursement for CPT 27420 by major payers:
$1,012.88
$1,007.81
$1,059.09
$1,229.05
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CPT 27420
5 of 25 sample ratesHigher to lower in this preview
Greater Dayton Surgery Center LLC
Greater Dayton Surgery Center
$11,491.00Published rateNorth Scottsdale Ambulatory Surgery Center, LLC
North Scottsdale Ambulatory Surgery Center LLC
$4,014.00Published ratePv Peninsula Plastic Surgery Center
$2,585.00Published rateThe Harlingen Endoscopy Center Lp, Valley Endoscopy Center
The Harlingen Endoscopy Center Lp
$1,599.00Published rateDelta Endoscopy Center, P.C.
Delta Endoscopy Center PC
$1.00Published rate
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See a sample payer proposalCPT 27420 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27420 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 27420 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 |
|---|---|---|
| 27420-CPT | High | Kneecap Surgery, Surgery To Change The Location Where A Tendon Or Muscle Attaches To The Kneecap. The Procedure Prevents The Joint From Dislocating Again And Again. |
| 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 |
| 27424-CPT | High | Kneecap Surgery, Surgery To Remove The Kneecap (Patella). The Procedure Is Done To Prevent The Knee Popping Out Of Joint Frequently. |
| 27430-CPT | Moderate | Remove Thigh/Knee Scar Tissue, Surgery To Remove Scar Tissue Surrounding The Quadriceps Muscle And Tendon Of Thigh And To Improve Mobility Of The Knee. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27420. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27420 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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