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See a sample rate comparisonCPT 27566 Fee Schedule
Medicare rates as of October 2026
CPT 27566 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $826.67 national non-facility rate (2026)View Medicare rates for 27566 |
| Medicaid Fee Schedule | $657.72 median of the 8 states in the free previewView Medicaid rates for 27566 |
National average reimbursement for CPT 27566 by major payers:
$1,212.94
BCBS / Anthem
$1,208.60
UnitedHealthcare
$1,220.43
Aetna
$1,461.97
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27566.
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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Payer Contract Negotiation
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See a sample payer proposalCPT 27566 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27566. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27556-CPT | 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 | 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 | 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 |
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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Frequently Asked Questions
What APC is CPT 27566 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27566 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27566 in an ambulatory surgery center?
CMS lists CPT 27566 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27566?
Hospital price transparency files list CPT 27566 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.