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See a sample rate comparisonCPT 27427 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Lig.Reconstr,Knee;Extra-Articular
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27427 |
| Medicaid Fee Schedule | View Medicaid rates for 27427 |
National average reimbursement for CPT 27427 by major payers:
$930.53
$965.89
$1,054.01
$1,175.92
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CPT 27427
5 of 25 sample ratesHigher to lower in this preview
Kyle Morse
$4,228.74Published rateNitin N Bhatia
Regents Of The University Of California
$3,141.62Published rateJeffrey Wong
Orthowest
$1,088.08Published rateDavid Nelles
$750.20Published rateKeith Brookenthal
The Adolescent & Children'S Orthopedic Surgeons, Inc.
$533.78Published rate
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See a sample payer proposalCPT 27427 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27427 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 27427 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 |
| 27427-CPT | Moderate | Lig.Reconstr,Knee;Extra-Articular |
| 27428-CPT | High | Ligamentous Reconstr (Augment) Knee Intra-Articular (Open, Ligamentous Reconstruction (Augmentation) Knee; Intra-Articular (Open |
| 27429-CPT | High | Ligamentous Reconstr (Augment) Knee Intra-Articular (Open, Ligamentous Reconstruction (Augmentation) Knee; Intra-Articular (Open |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27427. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27427 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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