CPT code 27429: Knee reconstruction, intra- and extra-articular2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $1,096.03 for 27429 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27429 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 27429 covers

This code describes reconstruction of knee ligament stabilizers using both an intra-articular and an extra-articular component. Orthopedic surgeons commonly perform the procedure for substantial knee instability when stabilization is needed inside and outside the joint, such as an intra-articular cruciate ligament reconstruction combined with extra-articular augmentation. It is generally performed in an operating room, often for complex ligament injuries or persistent instability.

Report the code when the operative documentation supports both components of the reconstruction; an isolated intra-articular or extra-articular reconstruction belongs to a different code in the family. The note should identify the reconstructed structures and describe the work performed in each location. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 bilateral reporting is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. 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 North Carolina compares for 27429

Across 109 of 109 payment localities, the facility rate for 27429 runs from $1,045.49 in Arkansas to $1,434.18 in Alaska. North Carolina pays $1,096.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27429 rates by state

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

See 27429 in every payment locality

How the 27429 rate is calculated

Each of 27429’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 27429

27429 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 27429

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

How 27429 has changed in North Carolina

Price 27429 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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