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See a sample rate comparisonCPT 27429 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.
Ligamentous Reconstr (Augment) Knee Intra-Articular (Open, Ligamentous Reconstruction (Augmentation) Knee; Intra-Articular (Open
| 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 27429 |
| Medicaid Fee Schedule | View Medicaid rates for 27429 |
National average reimbursement for CPT 27429 by major payers:
$1,681.77
$1,677.84
$1,740.52
$2,044.59
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CPT 27429
5 of 25 sample ratesHigher to lower in this preview
Premier Orthopaedic Surgery Center, LLC
$22,817.00Published ratePacific Endoscopy And Surgery Center, LLC
$7,803.00Published rateAsc Development Company, LLC, National Spine And Pain Centers
Asc Development Company LLC
$3,474.00Published rateDoctors Park Surgery Inc
Doctors Park Surgery, Inc
$2,620.00Published rateDigestive Health Center LLC
Digestive Health Center, Ltd.
$850.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27429 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27429 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 27429 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 27429. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27429 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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