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Billing code 27562: Patellar reductionMedicare rate & RVUs

Reports closed reduction of a dislocated kneecap when anesthesia is required, rather than open repair or treatment of a dislocation of the knee joint.

CMS RVU26DEffective Oct 1, 2026109 payment localities45 Medicare services in 2024

Medicare pays $476.30 for 27562 nationally in a facility.

Medicare rate · 27562

Patellar reduction

Swap in your local Medicare rate.

Work RVUs
5.83
Total RVUs
14.26
Global days
090

National rate · 2026

$476.30

Facility setting, before claim adjustments.

See every locality for 27562 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 27562 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 27562 covers

An orthopedic surgeon uses closed manipulation to return a displaced patella to its normal position when anesthesia is required. The kneecap is reduced without surgically exposing the joint; the service may be performed in an operating room or another setting equipped for anesthesia. This code concerns patellar dislocation, not a dislocation of the tibiofemoral knee joint or a patellar fracture.

Report the service when documentation identifies the affected patella and supports closed reduction under anesthesia. Distinguish it from closed patellar treatment without anesthesia and from open treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 treatment, 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.

Where 27562 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27562 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$428.20
Alaska*Unavailable$570.50
ArizonaUnavailable$462.85
ArkansasUnavailable$422.23
AtlantaUnavailable$489.11
AustinUnavailable$485.84
BakersfieldUnavailable$486.69
Baltimore/Surr. CntysUnavailable$506.81
BeaumontUnavailable$451.75
BrazoriaUnavailable$466.51

27562 rates by state

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

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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
27562 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

How the 27562 rate is calculated

Each of 27562’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 · 27562

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.83Practice expense 7.18Malpractice 1.25

14.2600 adjusted RVUs×$33.4009 conversion factor=$476.30

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27562

27562 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27562

Patellar reduction

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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
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 · 27562

Patellar reduction

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

27562 without 50 · national facility

$476.30

Patellar reduction

27562-50 · Bilateral: 150%

$714.45

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

27562 compared with similar codes

Compare codes

27562 vs 27560 vs 27566 vs 27552: national Medicare rates

Swap in your local Medicare rate.

  • 27562
    Patellar reduction · 5.83 wRVU
    —
  • 27560
    Patellar dislocation · 3.89 wRVU
    $466.61
  • 27566
    Patellar dislocation · 12.39 wRVU
    —
  • 27552
    Knee reduction · 7.98 wRVU
    —

How to choose

27560Patellar dislocation
Both codes concern closed treatment of patellar dislocation. Choose 27562 when anesthesia is required; choose 27560 when it is not.
27566Patellar dislocation
Use 27566 when the patellar dislocation is treated with open surgical exposure; 27562 describes closed reduction under anesthesia.
27552Knee reduction
27552 concerns closed treatment under anesthesia of a knee-joint dislocation. 27562 is specific to dislocation of the patella.

Codes related to 27562

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

Codes related to 27562
CodeHow it relatesNational office range
Same family
27560Patellar dislocationClosed treatment of patellar dislocation without anesthesia.$408.68–$602.18
Used instead
27566Patellar dislocationOpen treatment of patellar dislocation instead of closed reduction.No office rate
27552Knee reductionClosed treatment under anesthesia for a knee-joint dislocation, not a patellar dislocation.No office rate
27550Knee dislocationClosed treatment without anesthesia for a knee-joint dislocation, not a patellar dislocation.$543.25–$786.62

27562 billing questions

When is 27562 reported instead of 27560?

Use 27562 when closed treatment of the patellar dislocation requires anesthesia. Use 27560 for closed treatment without anesthesia.

How does 27562 differ from 27566?

27562 describes closed reduction under anesthesia. 27566 is used for open treatment of the patellar dislocation.

Can this code be used for any knee dislocation?

No. It is for dislocation of the patella. A dislocation of the tibiofemoral knee joint belongs to a different code family.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral treatment paid?

CMS pays bilateral treatment reported with modifier 50 at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are 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 27562PPRRVU2026_Oct_nonQPP.csv, line 2,951 (RVU26D)

Open CMS sourceHow we calculate rates

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