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See a sample rate comparisonCPT 27562 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 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27562 |
| Medicaid Fee Schedule | View Medicaid rates for 27562 |
National average reimbursement for CPT 27562 by major payers:
$700.46
$640.09
$668.49
$814.97
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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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See a sample payer proposalCPT 27562 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27562 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 27562 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 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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