CPT code 27441: Knee revision, joint revision2026 Medicare rate & RVUs in Minnesota
Reports revision surgery on the knee joint, with code selection supported by the operative report describing the specific revision performed.
In Minnesota, Medicare pays $721.19 for 27441 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27441 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 27441 covers
This code represents operative revision of a knee joint. An orthopedic surgeon typically performs the procedure in an operating room when the knee requires surgical revision after prior treatment. The operative report should identify the joint work performed and explain why revision was needed; the code should not be selected from the diagnosis alone.
Report it for the documented revision service, distinguishing it from a primary total knee replacement and from revision codes with more specifically defined work. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, payment is 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 Minnesota compares for 27441
Across 109 of 109 payment localities, the facility rate for 27441 runs from $685.59 in Arkansas to $940.76 in Alaska. Minnesota pays $721.19. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Minnesota · this page$721.19
- Los Angeles, CA · California$814.24+$93.05
- Washington, DC area · District of Columbia$853.55+$132.36
- Miami, FL · Florida$903.94+$182.75
- Chicago, IL · Illinois$876.56+$155.37
- Manhattan, NY · New York$890.22+$169.03
- Alaska · Alaska$940.76+$219.57
Other areas in Minnesota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $694.69 |
| ArkansasArkansas | — | $685.59 |
| ArizonaArizona | — | $747.32 |
| Bakersfield, CACalifornia | — | $774.36 |
| Chico, CACalifornia | — | $767.76 |
| El Centro, CACalifornia | — | $768.16 |
| Fresno, CACalifornia | — | $767.76 |
| Hanford, CACalifornia | — | $767.76 |
| Madera, CACalifornia | — | $767.76 |
| Merced, CACalifornia | — | $767.76 |
| Modesto, CACalifornia | — | $767.76 |
| Napa, CACalifornia | — | $852.20 |
| Oxnard, CACalifornia | — | $805.75 |
| Redding, CACalifornia | — | $767.76 |
| Rest of CaliforniaCalifornia | — | $767.76 |
| Riverside, CACalifornia | — | $793.55 |
| Sacramento, CACalifornia | — | $795.85 |
| Salinas, CACalifornia | — | $792.72 |
| San Diego, CACalifornia | — | $804.39 |
| Marin County, CACalifornia | — | $889.06 |
| San Francisco, CACalifornia | — | $886.34 |
| San Benito County, CACalifornia | — | $910.88 |
| Santa Clara County, CACalifornia | — | $899.73 |
| San Luis Obispo, CACalifornia | — | $781.20 |
| Santa Cruz, CACalifornia | — | $806.47 |
| Santa Maria, CACalifornia | — | $793.78 |
| Santa Rosa, CACalifornia | — | $813.91 |
| Stockton, CACalifornia | — | $767.76 |
| Vallejo, CACalifornia | — | $848.28 |
| Visalia, CACalifornia | — | $767.76 |
| Yuba City, CACalifornia | — | $767.76 |
| ColoradoColorado | — | $775.52 |
| ConnecticutConnecticut | — | $816.98 |
| DelawareDelaware | — | $758.59 |
| Fort Lauderdale, FLFlorida | — | $837.39 |
| Rest of FloridaFlorida | — | $795.12 |
| Atlanta, GAGeorgia | — | $790.80 |
| Rest of GeorgiaGeorgia | — | $750.18 |
| Hawaii, Guam, HIHawaii | — | $777.64 |
| IowaIowa | — | $693.64 |
| IdahoIdaho | — | $701.30 |
| East St. Louis, ILIllinois | — | $824.83 |
| Rest of IllinoisIllinois | — | $786.49 |
| Suburban Chicago, ILIllinois | — | $841.51 |
| IndianaIndiana | — | $704.53 |
| KansasKansas | — | $698.78 |
| KentuckyKentucky | — | $727.04 |
| New Orleans, LALouisiana | — | $761.01 |
| Rest of LouisianaLouisiana | — | $729.24 |
| Metropolitan Boston, MAMassachusetts | — | $835.79 |
| Rest of MassachusettsMassachusetts | — | $774.86 |
| Baltimore area, MDMaryland | — | $816.39 |
| Rest of MarylandMaryland | — | $769.49 |
| Rest of MaineMaine | — | $713.24 |
| Southern Maine, MEMaine | — | $736.16 |
| Detroit, MIMichigan | — | $812.60 |
| Rest of MichiganMichigan | — | $751.70 |
| Metropolitan Kansas City, MOMissouri | — | $747.64 |
| Metropolitan St. Louis, MOMissouri | — | $753.71 |
| Rest of MissouriMissouri | — | $723.33 |
| MississippiMississippi | — | $704.18 |
| MontanaMontana | — | $768.39 |
| North CarolinaNorth Carolina | — | $718.67 |
| North DakotaNorth Dakota | — | $720.94 |
| NebraskaNebraska | — | $694.62 |
| New HampshireNew Hampshire | — | $771.35 |
| Northern New JerseyNew Jersey | — | $847.70 |
| Rest of New JerseyNew Jersey | — | $820.12 |
| New MexicoNew Mexico | — | $758.72 |
| NevadaNevada | — | $755.48 |
| NYC suburbs and Long Island, NYNew York | — | $920.39 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $832.00 |
| Queens, NYNew York | — | $884.93 |
| Rest of New YorkNew York | — | $729.11 |
| OhioOhio | — | $742.00 |
| OklahomaOklahoma | — | $717.23 |
| Portland, OROregon | — | $788.75 |
| Rest of OregonOregon | — | $743.50 |
| Metropolitan Philadelphia, PAPennsylvania | — | $803.61 |
| Rest of PennsylvaniaPennsylvania | — | $738.51 |
| Puerto RicoPuerto Rico | — | $770.79 |
| Rhode IslandRhode Island | — | $777.35 |
| South CarolinaSouth Carolina | — | $732.77 |
| South DakotaSouth Dakota | — | $715.33 |
| TennesseeTennessee | — | $702.99 |
| Austin, TXTexas | — | $778.30 |
| Beaumont, TXTexas | — | $734.73 |
| Brazoria, TXTexas | — | $751.11 |
| Dallas, TXTexas | — | $759.30 |
| Fort Worth, TXTexas | — | $757.22 |
| Galveston, TXTexas | — | $755.58 |
| Houston, TXTexas | — | $799.51 |
| Rest of TexasTexas | — | $744.83 |
| UtahUtah | — | $741.62 |
| VirginiaVirginia | — | $739.67 |
| Virgin Islands, VIUnited States Virgin Islands | — | $770.79 |
| VermontVermont | — | $725.83 |
| Rest of WashingtonWashington | — | $770.85 |
| King County, WAWashington | — | $843.64 |
| WisconsinWisconsin | — | $699.95 |
| West VirginiaWest Virginia | — | $762.15 |
| WyomingWyoming | — | $747.71 |
27441 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 27441 rate is calculated
Each of 27441’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 · 27441
RVUs × geographic indexes × conversion factor
Work11.25
11.25 RVUs× 1.000 GPCI
Practice expense9.36
9.36 RVUs× 1.000 GPCI
Malpractice2.40
2.40 RVUs× 1.000 GPCI
Adjusted RVUs
23.0100
Conversion factor
$33.4009
Medicare rate
$768.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Minnesota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,895
- Code
- 27441
- Physician work
- 11.25
- Practice expense
- 9.36
- Malpractice
- 2.40
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.25 | × 1.000 | 11.2500 |
| Practice expense | 9.36 | × 1.029 | 9.6314 |
| Malpractice | 2.40 | × 0.296 | 0.7104 |
| Total RVUs | 21.5918 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$721.19
Facility: (11.25 × 1 + 9.36 × 1.029 + 2.4 × 0.296) × $33.4009 = $721.19
Payment rules and modifiers for 27441
27441 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27441
Knee revision, joint 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 · 27441
Knee revision, joint 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
27441 without 50 · national facility
$768.55
Knee revision, joint revision
27441-50 · Bilateral: 150%
$1,152.83
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 27441 has changed in Minnesota
27441 · 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 | $721.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $721.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $721.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $721.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $771.83 | RVU25D |
| 2025-07-01 | Not available in this setting | $771.83 | RVU25C |
| 2025-04-01 | Not available in this setting | $771.83 | RVU25B |
| 2025-01-01 | Not available in this setting | $771.83 | RVU25A |
| 2024-10-01 | Not available in this setting | $786.19 | RVU24D |
| 2024-07-01 | Not available in this setting | $786.19 | RVU24C |
| 2024-04-01 | Not available in this setting | $786.19 | RVU24B |
| 2024-03-09 | Not available in this setting | $786.19 | RVU24AR |
| 2024-01-01 | Not available in this setting | $773.36 | RVU24A |
| 2023-10-01 | Not available in this setting | $794.57 | RVU23D |
| 2023-07-01 | Not available in this setting | $794.57 | RVU23C |
| 2023-04-01 | Not available in this setting | $794.57 | RVU23B |
| 2023-01-01 | Not available in this setting | $794.57 | RVU23A |
| 2022-10-01 | Not available in this setting | $799.90 | RVU22D |
| 2022-07-01 | Not available in this setting | $799.90 | RVU22C |
| 2022-04-01 | Not available in this setting | $799.90 | RVU22B |
| 2022-01-01 | Not available in this setting | $799.90 | RVU22A |
| 2021-10-01 | Not available in this setting | $802.37 | RVU21D |
| 2021-07-01 | Not available in this setting | $802.37 | RVU21C |
| 2021-04-01 | Not available in this setting | $802.37 | RVU21B |
| 2021-01-01 | Not available in this setting | $802.37 | RVU21A |
| 2020-10-01 | Not available in this setting | $810.11 | RVU20D |
| 2020-07-01 | Not available in this setting | $810.11 | RVU20C |
| 2020-04-01 | Not available in this setting | $810.11 | RVU20B |
| 2020-01-01 | Not available in this setting | $810.11 | RVU20A |
| 2019-10-01 | Not available in this setting | $807.16 | RVU19D |
| 2019-07-01 | Not available in this setting | $807.16 | RVU19C |
| 2019-04-01 | Not available in this setting | $806.38 | RVU19B |
| 2019-01-01 | Not available in this setting | $806.38 | RVU19A |
| 2018-10-01 | Not available in this setting | $805.88 | RVU18D |
| 2018-07-01 | Not available in this setting | $805.88 | RVU18C |
| 2018-04-01 | Not available in this setting | $805.88 | RVU18B |
| 2018-01-01 | Not available in this setting | $805.88 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $801.47 | RVU17D |
| 2017-07-01 | Not available in this setting | $801.47 | RVU17C |
| 2017-04-01 | Not available in this setting | $801.47 | RVU17B |
| 2017-01-01 | Not available in this setting | $801.47 | RVU17A |
| 2016-10-01 | Not available in this setting | $797.69 | RVU16D |
| 2016-07-01 | Not available in this setting | $797.69 | RVU16C |
| 2016-04-01 | Not available in this setting | $797.69 | RVU16B |
| 2016-01-01 | Not available in this setting | $797.69 | RVU16A |
| 2015-10-01 | Not available in this setting | $802.34 | RVU15D |
| 2015-07-01 | Not available in this setting | $802.34 | RVU15C |
| 2015-04-01 | Not available in this setting | $798.34 | RVU15B |
| 2015-01-01 | Not available in this setting | $798.34 | RVU15A |
| 2014-10-01 | Not available in this setting | $792.27 | RVU14D |
| 2014-07-01 | Not available in this setting | $792.27 | RVU14C |
| 2014-04-01 | Not available in this setting | $792.27 | RVU14B |
| 2014-01-01 | Not available in this setting | $792.27 | RVU14A |
| 2013-10-01 | Not available in this setting | $779.97 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Minnesota rate applies
Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.
- Ada
- Adams
- Adrian
- Afton
- Aitkin
- Akeley
- Albany
- Albert Lea
27441 billing questions
How is this distinguished from a primary total knee replacement?
This code is for revision surgery on a knee joint. A primary total knee replacement is reported with 27447 when the documented procedure is primary rather than revision surgery.
What documentation supports reporting this code?
The operative report should describe the revision performed, the knee joint work, and the clinical reason for revising it. The diagnosis by itself does not establish the service.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is this code paid when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can modifier 50 be used for bilateral surgery?
Yes. CMS identifies this as a bilateral procedure; reporting modifier 50 results in payment 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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