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See a sample rate comparisonCPT 27566 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.
Open Treatment Of Patellar Dis, Open Treatment Of Patellar Dislocation With Or Withoutpartial Or Total Patellectomy Open Treatmentof Patellar Dislocation With Or Without
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27566 |
| Medicaid Fee Schedule | View Medicaid rates for 27566 |
National average reimbursement for CPT 27566 by major payers:
$1,212.94
$1,208.60
$1,220.43
$1,461.97
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CPT 27566
5 of 25 sample ratesHigher to lower in this preview
Pearland Surgery Center, LLC
$9,182.00Published rateRed Cedar Surgery Center, LLC, Red Cedar Surgery Center, PLLC
Red Cedar Surgery Center, PLLC
$6,492.00Published rateOrthoatlanta Surgery Center Of Fayetteville, LLC
Orthoatlanta Surgery Center Of Fayetteville LLC
$4,742.00Published rateCape Coral Ambulatory Surgery Center, LLC, Cape Coral Surgery Center
Cape Coral Ambulatory Surgery Center LLC
$2,075.00Published rateAffiliated Ambulatory Surgery Center LLC
Affiliated Ambulatory Surgery Center, LLC
$390.00Published rate
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See a sample payer proposalCPT 27566 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27566 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 27566 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 |
|---|---|---|
| 27556-CPT | High | Surgery On Dislocated Knee, Surgery To Repair A Dislocated Knee Where There Is Significant Injury To Surrounding Tissue. Pins Or Wires May Be Used To Hold The Joint While It Heals. |
| 27558-CPT | High | Surgery On Dislocated Knee, Surgery To Repair A Dislocated Knee Where There Is Significant Injury To Surrounding Tissue. Pins Or Wires May Be Used To Hold The Joint While It Heals. |
| 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. |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27566. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27566 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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