CPT code 27424: Patella surgery, removal or revision2026 Medicare rate & RVUs in New Mexico
Report 27424 when an orthopedic surgeon surgically removes or revises the kneecap, rather than reconstructing it for instability or resurfacing it with an implant.
In New Mexico, Medicare pays $693.52 for 27424 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27424 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 27424 covers
This code represents an operation to remove or revise the patella. Orthopedic surgeons typically perform it in a hospital or ambulatory surgical setting when the kneecap itself requires operative treatment, such as after significant damage or a prior patellar procedure. The operative report should make clear what was done to the patella and why; a procedure aimed at correcting patellar instability or resurfacing the patella is a different service.
Report 27424 for the patellar removal or revision actually performed, supported by the preoperative findings and operative details. CMS 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. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require 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 New Mexico compares for 27424
Across 109 of 109 payment localities, the facility rate for 27424 runs from $627.34 in Arkansas to $858.29 in Alaska. New Mexico pays $693.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$693.52
- Los Angeles, CA · California$748.68+$55.16
- Washington, DC area · District of Columbia$783.46+$89.94
- Miami, FL · Florida$825.15+$131.63
- Chicago, IL · Illinois$800.05+$106.53
- Manhattan, NY · New York$815.65+$122.13
- Alaska · Alaska$858.29+$164.77
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $635.76 |
| ArkansasArkansas | — | $627.34 |
| ArizonaArizona | — | $684.56 |
| Bakersfield, CACalifornia | — | $711.37 |
| Chico, CACalifornia | — | $705.51 |
| El Centro, CACalifornia | — | $705.86 |
| Fresno, CACalifornia | — | $705.51 |
| Hanford, CACalifornia | — | $705.51 |
| Madera, CACalifornia | — | $705.51 |
| Merced, CACalifornia | — | $705.51 |
| Modesto, CACalifornia | — | $705.51 |
| Napa, CACalifornia | — | $785.36 |
| Oxnard, CACalifornia | — | $741.13 |
| Redding, CACalifornia | — | $705.51 |
| Rest of CaliforniaCalifornia | — | $705.51 |
| Riverside, CACalifornia | — | $728.40 |
| Sacramento, CACalifornia | — | $731.92 |
| Salinas, CACalifornia | — | $729.05 |
| San Diego, CACalifornia | — | $740.23 |
| Marin County, CACalifornia | — | $820.11 |
| San Francisco, CACalifornia | — | $817.69 |
| San Benito County, CACalifornia | — | $840.17 |
| Santa Clara County, CACalifornia | — | $830.28 |
| San Luis Obispo, CACalifornia | — | $718.39 |
| Santa Cruz, CACalifornia | — | $742.50 |
| Santa Maria, CACalifornia | — | $730.15 |
| Santa Rosa, CACalifornia | — | $749.39 |
| Stockton, CACalifornia | — | $705.51 |
| Vallejo, CACalifornia | — | $781.88 |
| Visalia, CACalifornia | — | $705.51 |
| Yuba City, CACalifornia | — | $705.51 |
| ColoradoColorado | — | $711.69 |
| ConnecticutConnecticut | — | $748.77 |
| DelawareDelaware | — | $694.98 |
| Fort Lauderdale, FLFlorida | — | $765.47 |
| Rest of FloridaFlorida | — | $726.69 |
| Atlanta, GAGeorgia | — | $724.18 |
| Rest of GeorgiaGeorgia | — | $685.39 |
| Hawaii, Guam, HIHawaii | — | $715.19 |
| IowaIowa | — | $635.72 |
| IdahoIdaho | — | $642.63 |
| East St. Louis, ILIllinois | — | $752.26 |
| Rest of IllinoisIllinois | — | $718.08 |
| Suburban Chicago, ILIllinois | — | $769.44 |
| IndianaIndiana | — | $645.65 |
| KansasKansas | — | $640.04 |
| KentuckyKentucky | — | $664.79 |
| New Orleans, LALouisiana | — | $696.09 |
| Rest of LouisianaLouisiana | — | $666.65 |
| Metropolitan Boston, MAMassachusetts | — | $768.06 |
| Rest of MassachusettsMassachusetts | — | $710.86 |
| Baltimore area, MDMaryland | — | $748.16 |
| Rest of MarylandMaryland | — | $705.19 |
| Rest of MaineMaine | — | $653.23 |
| Southern Maine, MEMaine | — | $675.14 |
| Detroit, MIMichigan | — | $742.41 |
| Rest of MichiganMichigan | — | $687.20 |
| MinnesotaMinnesota | — | $662.69 |
| Metropolitan Kansas City, MOMissouri | — | $684.18 |
| Metropolitan St. Louis, MOMissouri | — | $689.85 |
| Rest of MissouriMissouri | — | $660.90 |
| MississippiMississippi | — | $643.88 |
| MontanaMontana | — | $703.95 |
| North CarolinaNorth Carolina | — | $658.33 |
| North DakotaNorth Dakota | — | $661.83 |
| NebraskaNebraska | — | $636.77 |
| New HampshireNew Hampshire | — | $707.48 |
| Northern New JerseyNew Jersey | — | $777.87 |
| Rest of New JerseyNew Jersey | — | $751.89 |
| NevadaNevada | — | $692.51 |
| NYC suburbs and Long Island, NYNew York | — | $843.02 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $762.49 |
| Queens, NYNew York | — | $811.40 |
| Rest of New YorkNew York | — | $667.98 |
| OhioOhio | — | $678.59 |
| OklahomaOklahoma | — | $656.17 |
| Portland, OROregon | — | $724.47 |
| Rest of OregonOregon | — | $681.76 |
| Metropolitan Philadelphia, PAPennsylvania | — | $736.11 |
| Rest of PennsylvaniaPennsylvania | — | $675.61 |
| Puerto RicoPuerto Rico | — | $706.32 |
| Rhode IslandRhode Island | — | $712.63 |
| South CarolinaSouth Carolina | — | $670.65 |
| South DakotaSouth Dakota | — | $656.85 |
| TennesseeTennessee | — | $643.89 |
| Austin, TXTexas | — | $714.02 |
| Beaumont, TXTexas | — | $672.08 |
| Brazoria, TXTexas | — | $688.41 |
| Dallas, TXTexas | — | $695.79 |
| Fort Worth, TXTexas | — | $693.72 |
| Galveston, TXTexas | — | $692.42 |
| Houston, TXTexas | — | $731.41 |
| Rest of TexasTexas | — | $681.91 |
| UtahUtah | — | $678.86 |
| VirginiaVirginia | — | $678.08 |
| Virgin Islands, VIUnited States Virgin Islands | — | $706.32 |
| VermontVermont | — | $665.95 |
| Rest of WashingtonWashington | — | $707.30 |
| King County, WAWashington | — | $775.75 |
| WisconsinWisconsin | — | $642.28 |
| West VirginiaWest Virginia | — | $695.51 |
| WyomingWyoming | — | $685.59 |
27424 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 27424 rate is calculated
Each of 27424’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 · 27424
RVUs × geographic indexes × conversion factor
Work9.98
9.98 RVUs× 1.000 GPCI
Practice expense8.97
8.97 RVUs× 1.000 GPCI
Malpractice2.13
2.13 RVUs× 1.000 GPCI
Adjusted RVUs
21.0800
Conversion factor
$33.4009
Medicare rate
$704.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,885
- Code
- 27424
- Physician work
- 9.98
- Practice expense
- 8.97
- Malpractice
- 2.13
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.98 | × 1.000 | 9.9800 |
| Practice expense | 8.97 | × 0.917 | 8.2255 |
| Malpractice | 2.13 | × 1.201 | 2.5581 |
| Total RVUs | 20.7636 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$693.52
Facility: (9.98 × 1 + 8.97 × 0.917 + 2.13 × 1.201) × $33.4009 = $693.52
Payment rules and modifiers for 27424
27424 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27424
Patella surgery, removal or revision
| 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 · 27424
Patella surgery, removal or revision
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
27424 without 50 · national facility
$704.09
Patella surgery, removal or revision
27424-50 · Bilateral: 150%
$1,056.14
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).
How 27424 has changed in New Mexico
27424 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $693.52 | RVU26D |
| 2026-07-01 | Not available in this setting | $693.52 | RVU26C |
| 2026-04-01 | Not available in this setting | $693.52 | RVU26B |
| 2026-01-01 | Not available in this setting | $693.52 | RVU26A |
| 2025-10-01 | Not available in this setting | $724.02 | RVU25D |
| 2025-07-01 | Not available in this setting | $724.02 | RVU25C |
| 2025-04-01 | Not available in this setting | $724.02 | RVU25B |
| 2025-01-01 | Not available in this setting | $724.02 | RVU25A |
| 2024-10-01 | Not available in this setting | $738.43 | RVU24D |
| 2024-07-01 | Not available in this setting | $738.43 | RVU24C |
| 2024-04-01 | Not available in this setting | $738.43 | RVU24B |
| 2024-03-09 | Not available in this setting | $738.43 | RVU24AR |
| 2024-01-01 | Not available in this setting | $726.38 | RVU24A |
| 2023-10-01 | Not available in this setting | $743.23 | RVU23D |
| 2023-07-01 | Not available in this setting | $743.23 | RVU23C |
| 2023-04-01 | Not available in this setting | $743.23 | RVU23B |
| 2023-01-01 | Not available in this setting | $743.23 | RVU23A |
| 2022-10-01 | Not available in this setting | $748.53 | RVU22D |
| 2022-07-01 | Not available in this setting | $748.53 | RVU22C |
| 2022-04-01 | Not available in this setting | $748.53 | RVU22B |
| 2022-01-01 | Not available in this setting | $748.53 | RVU22A |
| 2021-10-01 | Not available in this setting | $748.26 | RVU21D |
| 2021-07-01 | Not available in this setting | $748.26 | RVU21C |
| 2021-04-01 | Not available in this setting | $748.26 | RVU21B |
| 2021-01-01 | Not available in this setting | $748.26 | RVU21A |
| 2020-10-01 | Not available in this setting | $763.29 | RVU20D |
| 2020-07-01 | Not available in this setting | $763.29 | RVU20C |
| 2020-04-01 | Not available in this setting | $763.29 | RVU20B |
| 2020-01-01 | Not available in this setting | $763.29 | RVU20A |
| 2019-10-01 | Not available in this setting | $770.11 | RVU19D |
| 2019-07-01 | Not available in this setting | $770.11 | RVU19C |
| 2019-04-01 | Not available in this setting | $766.96 | RVU19B |
| 2019-01-01 | Not available in this setting | $766.96 | RVU19A |
| 2018-10-01 | Not available in this setting | $768.04 | RVU18D |
| 2018-07-01 | Not available in this setting | $768.04 | RVU18C |
| 2018-04-01 | Not available in this setting | $768.04 | RVU18B |
| 2018-01-01 | Not available in this setting | $768.04 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $761.01 | RVU17D |
| 2017-07-01 | Not available in this setting | $761.01 | RVU17C |
| 2017-04-01 | Not available in this setting | $761.01 | RVU17B |
| 2017-01-01 | Not available in this setting | $761.01 | RVU17A |
| 2016-10-01 | Not available in this setting | $755.75 | RVU16D |
| 2016-07-01 | Not available in this setting | $755.75 | RVU16C |
| 2016-04-01 | Not available in this setting | $755.75 | RVU16B |
| 2016-01-01 | Not available in this setting | $755.75 | RVU16A |
| 2015-10-01 | Not available in this setting | $760.72 | RVU15D |
| 2015-07-01 | Not available in this setting | $760.72 | RVU15C |
| 2015-04-01 | Not available in this setting | $756.93 | RVU15B |
| 2015-01-01 | Not available in this setting | $756.93 | RVU15A |
| 2014-10-01 | Not available in this setting | $740.57 | RVU14D |
| 2014-07-01 | Not available in this setting | $740.57 | RVU14C |
| 2014-04-01 | Not available in this setting | $740.57 | RVU14B |
| 2014-01-01 | Not available in this setting | $740.57 | RVU14A |
| 2013-10-01 | Not available in this setting | $725.71 | RVU13D |
| 2013-07-01 | Not available in this setting | $725.71 | RVU13C |
| 2013-04-01 | Not available in this setting | $725.71 | RVU13B |
| 2013-01-01 | Not available in this setting | $725.71 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
27424 billing questions
How is 27424 different from patellar instability reconstruction?
Use 27424 when the operation removes or revises the patella itself. Codes 27420 and 27422 describe reconstruction directed at a dislocating patella.
Is this the code for patellar resurfacing with an implant?
No. Code 27438 describes patellar arthroplasty with a prosthetic implant; 27424 is for removal or revision of the patella.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
How is bilateral surgery handled?
CMS pays bilateral surgery reported with modifier 50 at 150%.
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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