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See a sample rate comparisonCPT 27443 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27443 |
| Medicaid Fee Schedule | View Medicaid rates for 27443 |
National average reimbursement for CPT 27443 by major payers:
$1,109.15
$1,102.98
$1,114.02
$1,342.86
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CPT 27443
5 of 25 sample ratesHigher to lower in this preview
Ridge View Endoscopy Center
$27,537.00Published rateMid Rivers Ambulatory Surgery Center Lp, Mid Rivers Surgery Center
Mid Rivers Ambulatory Surgery Center Lp
$5,966.00Published rateOhio Specialty Surgical Suites, LLC
Ohio Specialty Surgical Suites LLC
$3,700.00Published rateGriffiss Ec, LLC, Griffiss Eye Surgery Center
Griffiss Ec LLC
$1,661.00Published rateMid-Bronx Endoscopy Center LLC
Midbronx Endoscopy Center LLC
$400.00Published rate
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See a sample payer proposalCPT 27443 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27443 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 27443 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 |
|---|---|---|
| 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. |
| 27446-CPT | High | Surgical Service Bundle Includes All Surgery Related Health Services Which Are Incurred In Connection With An Approved Outpatient Surgical Procedure, Billed Via The Agreed Upon Cpt Codes And Reimbursed At A Single Payment Rate Including All Services Such |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27443. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27443 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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