CPT code 27440: Knee arthroplasty, tibial plateau2026 Medicare rate & RVUs in Mississippi

Reports knee arthroplasty focused on the tibial plateau, rather than replacement of a femoral condyle or a total knee joint.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Mississippi, Medicare pays $682.94 for 27440 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$682.94Hospital or facility

Check a contract rate as a % of Medicare · 27440 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27440 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 27440 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 27440 covers

An orthopedic surgeon performs this operation to reconstruct the knee’s tibial articular surface. It is a joint procedure for selected patients with disease or damage affecting the tibial plateau; it is distinct from replacing the full knee joint or resurfacing both the femoral and tibial sides. The service is generally performed in an operating room, with the operative report identifying the treated surface and the reconstructive work performed.

Select this code when the documented arthroplasty is limited to the tibial plateau. The operative report should support that extent and distinguish it from a broader compartment or total knee replacement. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Modifier 50 applies to a bilateral procedure, paid at 150%. Assistant-at-surgery payment may be available; 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 Mississippi compares for 27440

Across 109 of 109 payment localities, the facility rate for 27440 runs from $665.05 in Arkansas to $911.73 in Alaska. Mississippi pays $682.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

27440 in Mississippi vs other payment areas
  1. Mississippi · this page$682.94
  2. Los Angeles, CA · California$791.02+$108.08
  3. Washington, DC area · District of Columbia$828.81+$145.87
  4. Miami, FL · Florida$876.43+$193.49
  5. Chicago, IL · Illinois$849.82+$166.88
  6. Manhattan, NY · New York$864.00+$181.06
  7. Alaska · Alaska$911.73+$228.79

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

27440 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$673.90
ArkansasArkansas—$665.05
ArizonaArizona—$725.20
Bakersfield, CACalifornia—$752.07
Chico, CACalifornia—$745.71
El Centro, CACalifornia—$746.10
Fresno, CACalifornia—$745.71
Hanford, CACalifornia—$745.71

27440 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
27440 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 27440 in every payment locality

How the 27440 rate is calculated

Each of 27440’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 · 27440

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.81

10.81 RVUs× 1.000 GPCI

Practice expense9.21

9.21 RVUs× 1.000 GPCI

Malpractice2.31

2.31 RVUs× 1.000 GPCI

Adjusted RVUs

22.3300

Conversion factor

$33.4009

Medicare rate

$745.84

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,894

Code
27440
Physician work
10.81
Practice expense
9.21
Malpractice
2.31

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 27440 in Mississippi
ComponentRVULocality factorAdjusted
Physician work10.81× 1.00010.8100
Practice expense9.21× 0.8617.9298
Malpractice2.31× 0.7391.7071
Total RVUs20.4469
Conversion factor× 33.4009

Facility rate, Mississippi$682.94

Facility: (10.81 × 1 + 9.21 × 0.861 + 2.31 × 0.739) × $33.4009 = $682.94

Open 27440 in the RVU calculator

Payment rules and modifiers for 27440

27440 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27440

Knee arthroplasty, tibial plateau

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27440

Knee arthroplasty, tibial plateau

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27440 without 50 · national facility

$745.84

Knee arthroplasty, tibial plateau

27440-50 · Bilateral: 150%

$1,118.76

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).

When to use modifier 50

How 27440 has changed in Mississippi

27440 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$682.94RVU26D
2026-07-01Not available in this setting$682.94RVU26C
2026-04-01Not available in this setting$682.94RVU26B
2026-01-01Not available in this setting$682.94RVU26A
2025-10-01Not available in this setting$720.75RVU25D
2025-07-01Not available in this setting$720.75RVU25C
2025-04-01Not available in this setting$720.75RVU25B
2025-01-01Not available in this setting$720.75RVU25A
2024-10-01Not available in this setting$735.45RVU24D
2024-07-01Not available in this setting$735.45RVU24C
2024-04-01Not available in this setting$735.45RVU24B
2024-03-09Not available in this setting$735.45RVU24AR
2024-01-01Not available in this setting$723.44RVU24A
2023-10-01Not available in this setting$737.58RVU23D
2023-07-01Not available in this setting$737.58RVU23C
2023-04-01Not available in this setting$737.58RVU23B
2023-01-01Not available in this setting$737.58RVU23A
2022-10-01Not available in this setting$738.89RVU22D
2022-07-01Not available in this setting$738.89RVU22C
2022-04-01Not available in this setting$738.89RVU22B
2022-01-01Not available in this setting$738.89RVU22A
2021-10-01Not available in this setting$740.97RVU21D
2021-07-01Not available in this setting$740.97RVU21C
2021-04-01Not available in this setting$740.97RVU21B
2021-01-01Not available in this setting$740.97RVU21A
2020-10-01Not available in this setting$742.80RVU20D
2020-07-01Not available in this setting$742.80RVU20C
2020-04-01Not available in this setting$742.80RVU20B
2020-01-01Not available in this setting$742.80RVU20A
2019-10-01Not available in this setting$732.82RVU19D
2019-07-01Not available in this setting$732.82RVU19C
2019-04-01Not available in this setting$731.49RVU19B
2019-01-01Not available in this setting$731.49RVU19A
2018-10-01Not available in this setting$731.89RVU18D
2018-07-01Not available in this setting$731.89RVU18C
2018-04-01Not available in this setting$731.89RVU18B
2018-01-01Not available in this setting$731.89RVU18AR1
2017-10-01Not available in this setting$735.21RVU17D
2017-07-01Not available in this setting$735.21RVU17C
2017-04-01Not available in this setting$735.21RVU17B
2017-01-01Not available in this setting$735.21RVU17A
2016-10-01Not available in this setting$743.69RVU16D
2016-07-01Not available in this setting$743.69RVU16C
2016-04-01Not available in this setting$743.69RVU16B
2016-01-01Not available in this setting$743.69RVU16A
2015-10-01Not available in this setting$747.56RVU15D
2015-07-01Not available in this setting$747.56RVU15C
2015-04-01Not available in this setting$743.84RVU15B
2015-01-01Not available in this setting$743.84RVU15A
2014-10-01Not available in this setting$744.08RVU14D
2014-07-01Not available in this setting$744.08RVU14C
2014-04-01Not available in this setting$744.08RVU14B
2014-01-01Not available in this setting$744.08RVU14A
2013-10-01Not available in this setting$739.59RVU13D
2013-07-01Not available in this setting$739.59RVU13C
2013-04-01Not available in this setting$739.59RVU13B
2013-01-01Not available in this setting$739.59RVU13AR

Price 27440 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

27440 billing questions

How is this different from a total knee replacement?

This code is for arthroplasty focused on the tibial plateau. A total knee arthroplasty replaces the knee more broadly and is reported with 27447.

When should 27441 be considered instead?

27441 is the related tibial plateau arthroplasty code with debridement and partial synovectomy. The operative report must support that additional work.

What operative documentation supports 27440?

Document the knee surface treated, the arthroplasty performed, and the extent of reconstruction. The record should make clear that the service is limited to the tibial plateau.

Are related postoperative visits separately reported during the global period?

The 90-day global period includes the day-before preoperative visit and related postoperative care. The included care is part of the surgical global period.

How does Medicare handle bilateral procedures and other procedures performed in the same session?

A bilateral procedure reported with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are paid at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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
RVUs for 27440PPRRVU2026_Oct_nonQPP.csv, line 2,894 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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