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See a sample rate comparisonCPT 27562 Fee Schedule
Medicare rates as of October 2026
CPT 27562 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | 23Emergency Room 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5111 - Level 1 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500981Sign up to view all 8 |
| Medicare Fee Schedule | $476.30 national non-facility rate (2026)View Medicare rates for 27562 |
| Medicaid Fee Schedule | $376.59 median of the 8 states in the free previewView Medicaid rates for 27562 |
National average reimbursement for CPT 27562 by major payers:
$700.46
BCBS / Anthem
$640.09
UnitedHealthcare
$668.49
Aetna
$814.97
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27562.
CPT 27562
5 of 25 sample ratesHigher to lower in this preview
Rock Hill Surgery Center, LLC, Carolina Surgical Center
Rock Hill Surgery Center LLC
$2,879.00Published rateEssex Surgical Arts Surgery Center, LLC, Mobile Vascular Physicians
Essex Surgical Arts Surgery
$500.00Published rateEnt Realty Corp, The Surgery Center
Ent Realty Corp
$285.00Published rateCleaver Medical Group Surgery Center
$120.00Published rateAmin Surgery Center For Women LLC
$64.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27562 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27562. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27560-CPT | 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 | 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 | 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 | 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 27562. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27562 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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Frequently Asked Questions
What APC is CPT 27562 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27562 to APC 5111 (Level 1 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27562 in an ambulatory surgery center?
CMS lists CPT 27562 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27562?
Hospital price transparency files list CPT 27562 under these revenue codes: including 0450, 0981, 0360, 0361 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.