CPT code 27403: Meniscus repair, open arthrotomy2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $612.67 for 27403 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27403 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 27403 covers

This code describes open repair of a torn meniscus, the crescent-shaped cartilage pad in the knee joint. An orthopedic surgeon exposes the joint through an arthrotomy and repairs the meniscal tissue, typically in an operating room. It is distinct from arthroscopic meniscus repair, which uses a scope and small portals rather than an open joint exposure.

Report the code when the operative record supports an open meniscal repair, including the tear treated and the repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures reported with modifier 50, CMS pays at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; 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 Puerto Rico compares for 27403

Across 109 of 109 payment localities, the facility rate for 27403 runs from $543.82 in Arkansas to $742.09 in Alaska. Puerto Rico pays $612.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27403 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 27403 in every payment locality

How the 27403 rate is calculated

Each of 27403’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.

Payment rules and modifiers for 27403

27403 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 27403

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 27403 has changed in Puerto Rico

Price 27403 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates