CPT code 27407: Cruciate ligament repair, primary knee repair2026 Medicare rate & RVUs

Medicare pays $748.18 for 27407 nationally in a facility.

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

What 27407 covers

This code represents primary surgical repair of a torn cruciate ligament in the knee, with augmentation or reinforcement included when performed. An orthopedic surgeon typically performs the operation in a hospital or ambulatory surgery center for a cruciate injury considered suitable for repair. The service is distinct from reconstruction that replaces or rebuilds ligament function with a graft, and from repair of a collateral ligament.

Select the code from the operative work, not the diagnosis alone. The report should identify the repaired cruciate ligament and describe the primary repair and any augmentation or reinforcement. Medicare assigns a 90-day global period: the day-before preoperative visit and related postoperative care during the following 90 days are included. 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 27407 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27407 rates by state

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

How the 27407 rate is calculated

Each of 27407’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 27407

27407 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

27407 compared with similar codes

How to choose

27405Knee ligament repairPrimary collateral repair

27405 is for primary repair of a knee collateral ligament. Use 27407 for primary repair of a cruciate ligament.

27409Knee ligament repairCollateral and cruciate

27409 describes collateral ligament and/or capsule repair with local tissue. It is not the primary cruciate ligament repair represented by 27407.

27428Knee reconstructionIntra-articular ligament

27428 represents intra-articular knee ligament reconstruction. Choose 27407 when the operative service is primary repair of the native torn cruciate ligament.

29888ACL surgeryArthroscopically assisted

29888 is the arthroscopically aided ACL repair or reconstruction code. Distinguish it from 27407 by the documented operative approach and whether the service is primary repair.

Codes related to 27407

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

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