CPT code 27405: Knee ligament repair, primary collateral repair2026 Medicare rate & RVUs in Florida
Primary repair of a torn knee collateral ligament or capsule, reported when the surgeon restores the damaged structure without performing a ligament reconstruction.
CMS doesn’t publish an office rate for 27405 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 27405 covers
This code describes an operation to restore a torn knee collateral ligament or capsule through primary repair, such as suturing or reattaching repairable tissue. An orthopedic surgeon typically performs the procedure in an operating room for a knee injury where the operative plan is direct repair rather than graft-based reconstruction. The operative report should identify the repaired structure and describe the repair performed.
Select this code for primary repair of collateral ligament or capsular tissue; a cruciate ligament repair or a reconstruction calls for a different code. The day before surgery and 90 days of related postoperative care are included in its 90-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires 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.
Where 27405 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $689.53 |
| Miami, FL | Unavailable | $740.76 |
| Rest of Florida | Unavailable | $655.14 |
How the 27405 rate is calculated
Each of 27405’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 · 27405
RVUs × geographic indexes × conversion factor
Work8.85
8.85 RVUs× 1.000 GPCI
Practice expense8.43
8.43 RVUs× 1.000 GPCI
Malpractice1.80
1.80 RVUs× 1.000 GPCI
Adjusted RVUs
19.0800
Conversion factor
$33.4009
Medicare rate
$637.29
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27405
27405 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27405
Knee ligament repair, primary collateral repair
| 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 · 27405
Knee ligament repair, primary collateral repair
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
27405 without 50 · national facility
$637.29
Knee ligament repair, primary collateral repair
27405-50 · Bilateral: 150%
$955.94
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).
27405 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27407Cruciate ligament repairPrimary knee repair
- 27405 is for primary collateral ligament or capsular repair; 27407 is for primary repair involving a cruciate ligament.
- 27409Knee ligament repairCollateral and cruciate
- Use 27409 for primary repair involving both collateral and cruciate ligaments, rather than collateral-only primary repair.
- 27427Knee reconstructionExtra-articular ligament
- 27405 describes primary repair of collateral ligament or capsular tissue. 27427 is for knee ligament reconstruction, a different operative service.
27405 billing questions
When should 27405 be chosen instead of 27407?
Use 27405 for primary repair of a collateral ligament or capsule. Code 27407 is for primary repair involving a cruciate ligament.
When does 27409 apply?
Use 27409 when the operative service is primary repair of both collateral and cruciate ligaments. It distinguishes that combined repair from a collateral-only repair reported with 27405.
Is primary repair different from ligament reconstruction?
Yes. This code represents direct primary repair of collateral ligament or capsular tissue; a ligament reconstruction is a different service, such as the reconstruction represented by 27427.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral repair reported?
For repair of both knees, modifier 50 is paid at 150% under the bilateral rule.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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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