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See a sample rate comparisonCPT 27560 Fee Schedule
Last Verified: September 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.
Set Dislocated Kneecap, Treatment Of A Dislocated Kneecap By Manually Moving The Bone Into Proper Position. A Splint Or Brace May Be Applied For Additional Support.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None 54 - Surgical Care Only LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27560 |
| Medicaid Fee Schedule | View Medicaid rates for 27560 |
National average reimbursement for CPT 27560 by major payers:
$509.98
$490.17
$541.40
$601.21
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CPT 27560
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Beltway Surgery Center Springmill
$4,613.00Published rateMaple Lawn Surgery Center
Maple Lawn Surgery Center, LLC
$566.00Published rateNorthwest Endoscopy Center, LLC
Northwest Endoscopy Center LLC
$300.00Published rateTown Center Asc LLC
$179.00Published rateJeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc
Jeffrey L Bober Dpm PA
$37.00Published rate
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See a sample payer proposalCPT 27560 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27560 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 27560 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 |
|---|---|---|
| 27560-CPT | Moderate | Set Dislocated Kneecap, Treatment Of A Dislocated Kneecap By Manually Moving The Bone Into Proper Position. A Splint Or Brace May Be Applied For Additional Support. |
| 27562-CPT | Moderate | Set Dislocated Kneecap, Treatment Of A Dislocated Kneecap By Manually Moving The Bone Into Proper Position. A Splint Or Brace May Be Applied For Additional Support. |
| 27566-CPT | High | Open Treatment Of Patellar Dis, Open Treatment Of Patellar Dislocation With Or Withoutpartial Or Total Patellectomy Open Treatmentof Patellar Dislocation With Or Without |
| 27570-CPT | Moderate | Manipulation Of Knee Joint Under General Anesthesia (Includes Application Of Traction Or Other Fixation Devices) Rn Review Medicaid>=5/14/2011, Commercial>=7/5/2011 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27560. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27560 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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