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See a sample rate comparisonCPT 27580 Fee Schedule
Last Verified: October 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.
Surgery To Fuse Knee Bones, Surgery To Join Together Two Or More Bones Of The Knee Joint. The Procedure Eliminates Motion Between The Bones.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27580 |
| Medicaid Fee Schedule | View Medicaid rates for 27580 |
National average reimbursement for CPT 27580 by major payers:
$1,940.65
$1,960.81
$2,054.96
$2,384.99
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CPT 27580
5 of 25 sample ratesHigher to lower in this preview
Ventura Endoscopy Center Partners LLC
$7,888.00Published rateWalla Walla Clinic, Inc., Walla Walla Clinic Ambulatory Surgery Center
Walla Walla Clinic, Inc.
$5,455.00Published rateTaylor Station Surgical Center Ltd
Taylor Station Surgical Center
$3,663.00Published rateVirginia Cardiovascular Specialists, Vcs Heart And Vascular Center
Virginia Cardiovascular Specialists PC
$2,735.00Published rateMason Esc, LLC, Mason Eye Surgery Center
Mason Esc LLC
$982.00Published rate
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See a sample payer proposalCPT 27580 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27580 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 27580 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 |
|---|---|---|
| 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. |
| 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 |
| 27580-CPT | High | Surgery To Fuse Knee Bones, Surgery To Join Together Two Or More Bones Of The Knee Joint. The Procedure Eliminates Motion Between The Bones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27580. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27580 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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