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See a sample rate comparisonCPT 27440 Fee Schedule
Last Verified: September 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.
Arthroplasty Knee Tibial Plateau
| 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 27440 |
| Medicaid Fee Schedule | View Medicaid rates for 27440 |
National average reimbursement for CPT 27440 by major payers:
$1,099.32
$1,059.86
$1,084.15
$1,298.37
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CPT 27440
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Orthopaedic Surgery Center
Emory Ambulatory Surgery Center At Dunwoody LLC
$6,846.00Published rateThe Polyclinic, The Polyclinic Plastic Surgery Center
The Polyclinic, PLLC
$4,016.00Published rateDialysis Access Services, LLC
Dialysis Access Services LLC
$2,200.00Published rateEye Care Surgery Center Of Memphis, LLC
$1,417.00Published rateMiddletown Endoscopy Asc LLC, The Gi Endoscopy Center
Middletown Endoscopy Asc LLC
$912.00Published rate
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See a sample payer proposalCPT 27440 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27440 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 27440 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 |
|---|---|---|
| 27438-CPT | High | Arthroplasty, Patella; W Prosthesis |
| 27440-CPT | High | Arthroplasty Knee Tibial Plateau |
| 27442-CPT | High | Knee Joint Replacement Surgery, Surgery To Replace The Damaged Ends Of A Knee Joint (Cartilage) With Artificial Parts Where It Joins The Leg (Femur) Bone. |
| 27486-CPT | High | Revisn Of Total Knee Arthroplst W//W/O Allogrft; 1 Comp, Revision Of Total Knee Arthroplasty With Or Without Allograft; 1 Comp |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27440. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27440 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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