CPT code 27331: Knee arthrotomy, anterior or posterior synovectomy2026 Medicare rate & RVUs in Idaho
Reports open knee surgery to remove synovial tissue from an anterior or posterior portion of the joint when direct surgical treatment is performed.
In Idaho, Medicare pays $420.15 for 27331 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27331 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 27331 covers
Code 27331 represents open entry into the knee joint to remove synovial tissue from either its anterior or posterior portion. Orthopedic surgeons may perform it for symptomatic synovial disease requiring direct surgical treatment. The operative report should establish the open approach and identify the portion of the joint treated. The procedure is typically performed in an operating room, including hospital outpatient and inpatient settings.
Select this code when the documented work is an anterior or posterior synovectomy, rather than a biopsy alone or a major synovectomy involving multiple compartments. Documentation should describe the synovial abnormality, surgical approach, area treated, and extent of tissue removal. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral procedures with modifier 50 are paid at 150%. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Idaho compares for 27331
Across 109 of 109 payment localities, the facility rate for 27331 runs from $408.31 in Arkansas to $560.42 in San Benito County, CA. Idaho pays $420.15. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$420.15
- Los Angeles, CA · California$494.54+$74.39
- Washington, DC area · District of Columbia$514.42+$94.27
- Miami, FL · Florida$531.53+$111.38
- Chicago, IL · Illinois$515.28+$95.13
- Manhattan, NY · New York$532.26+$112.11
- Alaska · Alaska$553.64+$133.49
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $413.96 |
| ArkansasArkansas | — | $408.31 |
| ArizonaArizona | — | $446.78 |
| Bakersfield, CACalifornia | — | $468.61 |
| Chico, CACalifornia | — | $465.22 |
| El Centro, CACalifornia | — | $465.43 |
| Fresno, CACalifornia | — | $465.22 |
| Hanford, CACalifornia | — | $465.22 |
| Madera, CACalifornia | — | $465.22 |
| Merced, CACalifornia | — | $465.22 |
| Modesto, CACalifornia | — | $465.22 |
| Napa, CACalifornia | — | $522.47 |
| Oxnard, CACalifornia | — | $490.08 |
| Redding, CACalifornia | — | $465.22 |
| Rest of CaliforniaCalifornia | — | $465.22 |
| Riverside, CACalifornia | — | $478.44 |
| Sacramento, CACalifornia | — | $483.85 |
| Salinas, CACalifornia | — | $481.98 |
| San Diego, CACalifornia | — | $490.26 |
| Marin County, CACalifornia | — | $547.20 |
| San Francisco, CACalifornia | — | $545.80 |
| San Benito County, CACalifornia | — | $560.42 |
| Santa Clara County, CACalifornia | — | $554.71 |
| San Luis Obispo, CACalifornia | — | $474.79 |
| Santa Cruz, CACalifornia | — | $492.48 |
| Santa Maria, CACalifornia | — | $482.95 |
| Santa Rosa, CACalifornia | — | $497.13 |
| Stockton, CACalifornia | — | $465.22 |
| Vallejo, CACalifornia | — | $520.46 |
| Visalia, CACalifornia | — | $465.22 |
| Yuba City, CACalifornia | — | $465.22 |
| ColoradoColorado | — | $467.19 |
| ConnecticutConnecticut | — | $489.27 |
| DelawareDelaware | — | $453.76 |
| Fort Lauderdale, FLFlorida | — | $495.68 |
| Rest of FloridaFlorida | — | $470.47 |
| Atlanta, GAGeorgia | — | $472.00 |
| Rest of GeorgiaGeorgia | — | $443.46 |
| Hawaii, Guam, HIHawaii | — | $472.78 |
| IowaIowa | — | $415.92 |
| East St. Louis, ILIllinois | — | $483.46 |
| Rest of IllinoisIllinois | — | $463.37 |
| Suburban Chicago, ILIllinois | — | $498.69 |
| IndianaIndiana | — | $422.24 |
| KansasKansas | — | $417.86 |
| KentuckyKentucky | — | $431.41 |
| New Orleans, LALouisiana | — | $452.06 |
| Rest of LouisianaLouisiana | — | $432.29 |
| Metropolitan Boston, MAMassachusetts | — | $506.27 |
| Rest of MassachusettsMassachusetts | — | $466.18 |
| Baltimore area, MDMaryland | — | $488.71 |
| Rest of MarylandMaryland | — | $460.86 |
| Rest of MaineMaine | — | $426.27 |
| Southern Maine, MEMaine | — | $442.43 |
| Detroit, MIMichigan | — | $479.99 |
| Rest of MichiganMichigan | — | $445.54 |
| MinnesotaMinnesota | — | $437.12 |
| Metropolitan Kansas City, MOMissouri | — | $445.08 |
| Metropolitan St. Louis, MOMissouri | — | $449.00 |
| Rest of MissouriMissouri | — | $427.83 |
| MississippiMississippi | — | $417.95 |
| MontanaMontana | — | $459.51 |
| North CarolinaNorth Carolina | — | $429.86 |
| North DakotaNorth Dakota | — | $435.19 |
| NebraskaNebraska | — | $416.91 |
| New HampshireNew Hampshire | — | $463.58 |
| Northern New JerseyNew Jersey | — | $510.33 |
| Rest of New JerseyNew Jersey | — | $491.89 |
| New MexicoNew Mexico | — | $449.39 |
| NevadaNevada | — | $452.96 |
| NYC suburbs and Long Island, NYNew York | — | $549.40 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $498.18 |
| Queens, NYNew York | — | $530.79 |
| Rest of New YorkNew York | — | $436.27 |
| OhioOhio | — | $440.57 |
| OklahomaOklahoma | — | $426.63 |
| Portland, OROregon | — | $476.91 |
| Rest of OregonOregon | — | $446.50 |
| Metropolitan Philadelphia, PAPennsylvania | — | $480.18 |
| Rest of PennsylvaniaPennsylvania | — | $439.10 |
| Puerto RicoPuerto Rico | — | $461.43 |
| Rhode IslandRhode Island | — | $466.23 |
| South CarolinaSouth Carolina | — | $436.53 |
| South DakotaSouth Dakota | — | $432.32 |
| TennesseeTennessee | — | $420.33 |
| Austin, TXTexas | — | $468.21 |
| Beaumont, TXTexas | — | $436.66 |
| Brazoria, TXTexas | — | $450.12 |
| Dallas, TXTexas | — | $454.64 |
| Fort Worth, TXTexas | — | $452.95 |
| Galveston, TXTexas | — | $452.54 |
| Houston, TXTexas | — | $475.05 |
| Rest of TexasTexas | — | $444.27 |
| UtahUtah | — | $442.06 |
| VirginiaVirginia | — | $443.74 |
| Virgin Islands, VIUnited States Virgin Islands | — | $461.43 |
| VermontVermont | — | $437.08 |
| Rest of WashingtonWashington | — | $464.12 |
| King County, WAWashington | — | $512.38 |
| WisconsinWisconsin | — | $421.82 |
| West VirginiaWest Virginia | — | $448.16 |
| WyomingWyoming | — | $448.91 |
27331 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 27331 rate is calculated
Each of 27331’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27331
RVUs × geographic indexes × conversion factor
Work5.87
5.87 RVUs× 1.000 GPCI
Practice expense6.66
6.66 RVUs× 1.000 GPCI
Malpractice1.23
1.23 RVUs× 1.000 GPCI
Adjusted RVUs
13.7600
Conversion factor
$33.4009
Medicare rate
$459.60
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Idaho inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,842
- Code
- 27331
- Physician work
- 5.87
- Practice expense
- 6.66
- Malpractice
- 1.23
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.87 | × 1.000 | 5.8700 |
| Practice expense | 6.66 | × 0.920 | 6.1272 |
| Malpractice | 1.23 | × 0.473 | 0.5818 |
| Total RVUs | 12.5790 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$420.15
Facility: (5.87 × 1 + 6.66 × 0.92 + 1.23 × 0.473) × $33.4009 = $420.15
Payment rules and modifiers for 27331
27331 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27331
Knee arthrotomy, anterior or posterior synovectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27331
Knee arthrotomy, anterior or posterior synovectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27331 without 50 · national facility
$459.60
Knee arthrotomy, anterior or posterior synovectomy
27331-50 · Bilateral: 150%
$689.40
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 27331 has changed in Idaho
27331 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $420.15 | RVU26D |
| 2026-07-01 | Not available in this setting | $420.15 | RVU26C |
| 2026-04-01 | Not available in this setting | $420.15 | RVU26B |
| 2026-01-01 | Not available in this setting | $420.15 | RVU26A |
| 2025-10-01 | Not available in this setting | $434.23 | RVU25D |
| 2025-07-01 | Not available in this setting | $434.23 | RVU25C |
| 2025-04-01 | Not available in this setting | $434.23 | RVU25B |
| 2025-01-01 | Not available in this setting | $434.23 | RVU25A |
| 2024-10-01 | Not available in this setting | $441.72 | RVU24D |
| 2024-07-01 | Not available in this setting | $441.72 | RVU24C |
| 2024-04-01 | Not available in this setting | $441.72 | RVU24B |
| 2024-03-09 | Not available in this setting | $441.72 | RVU24AR |
| 2024-01-01 | Not available in this setting | $434.51 | RVU24A |
| 2023-10-01 | Not available in this setting | $440.94 | RVU23D |
| 2023-07-01 | Not available in this setting | $440.94 | RVU23C |
| 2023-04-01 | Not available in this setting | $440.94 | RVU23B |
| 2023-01-01 | Not available in this setting | $440.94 | RVU23A |
| 2022-10-01 | Not available in this setting | $437.89 | RVU22D |
| 2022-07-01 | Not available in this setting | $437.89 | RVU22C |
| 2022-04-01 | Not available in this setting | $437.89 | RVU22B |
| 2022-01-01 | Not available in this setting | $437.89 | RVU22A |
| 2021-10-01 | Not available in this setting | $438.48 | RVU21D |
| 2021-07-01 | Not available in this setting | $438.48 | RVU21C |
| 2021-04-01 | Not available in this setting | $438.48 | RVU21B |
| 2021-01-01 | Not available in this setting | $438.48 | RVU21A |
| 2020-10-01 | Not available in this setting | $445.31 | RVU20D |
| 2020-07-01 | Not available in this setting | $445.31 | RVU20C |
| 2020-04-01 | Not available in this setting | $445.31 | RVU20B |
| 2020-01-01 | Not available in this setting | $445.31 | RVU20A |
| 2019-10-01 | Not available in this setting | $448.59 | RVU19D |
| 2019-07-01 | Not available in this setting | $448.59 | RVU19C |
| 2019-04-01 | Not available in this setting | $448.59 | RVU19B |
| 2019-01-01 | Not available in this setting | $448.59 | RVU19A |
| 2018-10-01 | Not available in this setting | $447.08 | RVU18D |
| 2018-07-01 | Not available in this setting | $447.08 | RVU18C |
| 2018-04-01 | Not available in this setting | $447.08 | RVU18B |
| 2018-01-01 | Not available in this setting | $447.08 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $444.55 | RVU17D |
| 2017-07-01 | Not available in this setting | $444.55 | RVU17C |
| 2017-04-01 | Not available in this setting | $444.55 | RVU17B |
| 2017-01-01 | Not available in this setting | $444.55 | RVU17A |
| 2016-10-01 | Not available in this setting | $443.14 | RVU16D |
| 2016-07-01 | Not available in this setting | $443.14 | RVU16C |
| 2016-04-01 | Not available in this setting | $443.14 | RVU16B |
| 2016-01-01 | Not available in this setting | $443.14 | RVU16A |
| 2015-10-01 | Not available in this setting | $446.07 | RVU15D |
| 2015-07-01 | Not available in this setting | $446.07 | RVU15C |
| 2015-04-01 | Not available in this setting | $443.86 | RVU15B |
| 2015-01-01 | Not available in this setting | $443.86 | RVU15A |
| 2014-10-01 | Not available in this setting | $442.94 | RVU14D |
| 2014-07-01 | Not available in this setting | $442.94 | RVU14C |
| 2014-04-01 | Not available in this setting | $442.94 | RVU14B |
| 2014-01-01 | Not available in this setting | $442.94 | RVU14A |
| 2013-10-01 | Not available in this setting | $441.94 | RVU13D |
| 2013-07-01 | Not available in this setting | $441.94 | RVU13C |
| 2013-04-01 | Not available in this setting | $441.94 | RVU13B |
| 2013-01-01 | Not available in this setting | $441.94 | RVU13AR |
Where the Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
27331 billing questions
How is 27331 different from 27330?
Use 27331 for open removal of synovial tissue from an anterior or posterior portion of the knee joint. Code 27330 is for an arthrotomy performed to obtain a biopsy.
When should a major synovectomy code be considered instead?
Compare the documented extent with 27334 and 27335, which describe major synovectomy involving two or three knee compartments. Code 27331 distinguishes an anterior or posterior synovectomy.
How does Medicare handle bilateral reporting?
For a bilateral procedure reported with modifier 50, CMS pays 150%.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What should the operative report support?
Document the open approach, the synovial abnormality, whether the anterior or posterior portion was treated, and the extent of tissue removal.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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