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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27441 |
| Medicaid Fee Schedule | View Medicaid rates for 27441 |
National average reimbursement for CPT 27441 by major payers:

$1,133.60

$1,097.44

$1,118.17

$1,341.06
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Surgery Center Of Cullman LLC
Southern New Mexico Surgery Center
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 27441 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27441 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 27441 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 |
|---|---|---|
| 27440-CPT | High | Arthroplasty Knee Tibial Plateau |
| 27441-CPT | High | Arthroplst Knee Tibial Plateau; W/ Debrideme & Partial Synov, Arthroplasty Knee Tibial Plateau; With Debridement And Partial Synov |
| 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. |
| 27443-CPT | High | Knee Joint Replacement Surgery, Surgery To Replace The Damaged Cartilage Of The Knee And Repair Part Of The Knee That Connects To The Leg Bone (Femur) Or Tibial Plateau Joints With Artificial Parts. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27441. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27441 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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