CPT code 27412: Cartilage implantation, autologous chondrocytes2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $1,380.92 for 27412 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27412 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 27412 covers

This procedure treats a focal articular-cartilage defect by implanting cartilage cells taken from the same patient and expanded in culture. An orthopedic surgeon harvests cartilage for the cell preparation, then performs the implantation at a later stage, commonly through an arthrotomy. The treatment is directed at a localized cartilage lesion rather than generalized knee arthritis or a loose cartilage fragment.

Report the code for the autologous cell implantation service; cartilage harvest and the arthrotomy needed for implantation are included, not separately coded as independent procedures. The operative record should establish the focal defect, the autologous cell technique, and the implantation performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. 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 payment 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 South Dakota compares for 27412

Across 109 of 109 payment localities, the facility rate for 27412 runs from $1,338.59 in Arkansas to $1,854.22 in Alaska. South Dakota pays $1,380.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27412 rates by state

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

See 27412 in every payment locality

How the 27412 rate is calculated

Each of 27412’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 27412

27412 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 27412

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

How 27412 has changed in South Dakota

Price 27412 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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