CPT code 27409: Knee ligament repair, collateral and cruciate2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $815.39 for 27409 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27409 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 27409 covers

This code describes primary repair of torn collateral and cruciate ligaments in one knee during the same operation. An orthopedic surgeon typically performs the procedure for a multiligament knee injury when the injured structures can be repaired primarily, such as by repairing or reattaching torn ligament tissue. The service is generally performed in a hospital operating room or ambulatory surgery center.

Report the code when the operative documentation supports primary repair of both ligament groups; it does not describe reconstruction in place of primary repair. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery reported with modifier 50, CMS pays 150%. Assistant-at-surgery services may be paid; 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.

How Wisconsin compares for 27409

Across 109 of 109 payment localities, the facility rate for 27409 runs from $800.01 in Arkansas to $1,099.72 in Alaska. Wisconsin pays $815.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27409 rates by state

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

See 27409 in every payment locality

How the 27409 rate is calculated

Each of 27409’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 27409

27409 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 27409

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

How 27409 has changed in Wisconsin

Price 27409 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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