CPT code 27416: Knee cartilage graft, autograft, open approach2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $867.79 for 27416 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27416 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 27416 covers

The surgeon harvests one or more plugs of cartilage and underlying bone from a less weight-bearing area of the patient’s knee and transfers them to a focal defect in the same knee. Orthopedic surgeons use this approach for selected cartilage and osteochondral injuries, including defects associated with osteochondritis dissecans. The service is performed through an open approach, commonly in a hospital or ambulatory surgery setting.

Report the code when the operative record supports open autologous osteochondral grafting, including the defect’s location and the harvest and recipient sites. Distinguish it from grafting with donor tissue or from cartilage-cell implantation. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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 Virginia compares for 27416

Across 109 of 109 payment localities, the facility rate for 27416 runs from $806.50 in Arkansas to $1,111.33 in Alaska. Virginia pays $867.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27416 rates by state

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

See 27416 in every payment locality

How the 27416 rate is calculated

Each of 27416’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 27416

27416 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 27416

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

How 27416 has changed in Virginia

Price 27416 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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