No office rate
Both describe open osteochondral grafting of the knee. Choose 27416 for tissue harvested from the patient; 27415 uses donor tissue.
On this page
CMS RVU26D · Effective 2026-10-01
27416 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$890.76
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Orthopedic surgery
About 27416: Open knee osteochondral autograft
Open transfer of a patient’s own osteochondral tissue treats a focal knee defect when healthy cartilage and underlying bone are grafted into the affected area.
The surgeon harvests one or more plugs of cartilage and underlying bone from a less weight-bearing area of the patient’s knee and transfers them to a focal defect in the same knee. Orthopedic surgeons use this approach for selected cartilage and osteochondral injuries, including defects associated with osteochondritis dissecans. The service is performed through an open approach, commonly in a hospital or ambulatory surgery setting.
Report the code when the operative record supports open autologous osteochondral grafting, including the defect’s location and the harvest and recipient sites. Distinguish it from grafting with donor tissue or from cartilage-cell implantation. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 27416
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.81 · 51%
- Practice expense (office) RVU10.27 · 38%
- Malpractice RVU2.94 · 11%
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.
27416 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
27412 involves an autologous chondrocyte implant. This code describes transferring the patient’s own osteochondral plugs, including underlying bone.
No office rate
Both involve knee osteochondral autografting, but 29866 is the arthroscopic procedure; 27416 is the open procedure.
The same code, a different location
How does Delaware compare?
27416 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 27416
Office
Unavailable
Facility
$817.00
No comparable office rate is available.
Arkansas
Arkansas · 27416
Office
Unavailable
Facility
$806.50
No comparable office rate is available.
Arizona
Arizona · 27416
Office
Unavailable
Facility
$877.72
No comparable office rate is available.
Bakersfield
California · 27416
Office
Unavailable
Facility
$905.79
No comparable office rate is available.
Chico
California · 27416
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
El Centro
California · 27416
Office
Unavailable
Facility
$898.19
No comparable office rate is available.
Fresno
California · 27416
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
Hanford-Corcoran
California · 27416
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
Madera
California · 27416
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
Merced
California · 27416
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
Modesto
California · 27416
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
Napa
California · 27416
Office
Unavailable
Facility
$992.32
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27416
Office
Unavailable
Facility
$940.82
No comparable office rate is available.
Redding
California · 27416
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
Rest Of California
California · 27416
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27416
Office
Unavailable
Facility
$929.29
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27416
Office
Unavailable
Facility
$929.45
No comparable office rate is available.
Salinas
California · 27416
Office
Unavailable
Facility
$925.77
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27416
Office
Unavailable
Facility
$938.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27416
Office
Unavailable
Facility
$1033.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27416
Office
Unavailable
Facility
$1030.49
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27416
Office
Unavailable
Facility
$1059.29
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27416
Office
Unavailable
Facility
$1045.64
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27416
Office
Unavailable
Facility
$912.45
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27416
Office
Unavailable
Facility
$940.37
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27416
Office
Unavailable
Facility
$926.79
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27416
Office
Unavailable
Facility
$948.98
No comparable office rate is available.
Stockton
California · 27416
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
Vallejo
California · 27416
Office
Unavailable
Facility
$987.51
No comparable office rate is available.
Visalia
California · 27416
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
Yuba City
California · 27416
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
Colorado
Colorado · 27416
Office
Unavailable
Facility
$908.48
No comparable office rate is available.
Connecticut
Connecticut · 27416
Office
Unavailable
Facility
$958.75
No comparable office rate is available.
Fort Lauderdale
Florida · 27416
Office
Unavailable
Facility
$986.30
No comparable office rate is available.
Rest Of Florida
Florida · 27416
Office
Unavailable
Facility
$936.79
No comparable office rate is available.
Atlanta
Georgia · 27416
Office
Unavailable
Facility
$929.10
No comparable office rate is available.
Rest Of Georgia
Georgia · 27416
Office
Unavailable
Facility
$884.30
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27416
Office
Unavailable
Facility
$908.15
No comparable office rate is available.
Iowa
Iowa · 27416
Office
Unavailable
Facility
$814.12
No comparable office rate is available.
Idaho
Idaho · 27416
Office
Unavailable
Facility
$823.30
No comparable office rate is available.
East St. Louis
Illinois · 27416
Office
Unavailable
Facility
$974.62
No comparable office rate is available.
Rest Of Illinois
Illinois · 27416
Office
Unavailable
Facility
$927.93
No comparable office rate is available.
Suburban Chicago
Illinois · 27416
Office
Unavailable
Facility
$990.79
No comparable office rate is available.
Indiana
Indiana · 27416
Office
Unavailable
Facility
$826.98
No comparable office rate is available.
Kansas
Kansas · 27416
Office
Unavailable
Facility
$820.86
No comparable office rate is available.
Kentucky
Kentucky · 27416
Office
Unavailable
Facility
$856.07
No comparable office rate is available.
New Orleans
Louisiana · 27416
Office
Unavailable
Facility
$895.61
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27416
Office
Unavailable
Facility
$858.92
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27416
Office
Unavailable
Facility
$977.15
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27416
Office
Unavailable
Facility
$908.12
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27416
Office
Unavailable
Facility
$958.19
No comparable office rate is available.
Rest Of Maryland
Maryland · 27416
Office
Unavailable
Facility
$903.17
No comparable office rate is available.
Rest Of Maine
Maine · 27416
Office
Unavailable
Facility
$837.93
No comparable office rate is available.
Southern Maine
Maine · 27416
Office
Unavailable
Facility
$863.17
No comparable office rate is available.
Detroit
Michigan · 27416
Office
Unavailable
Facility
$957.85
No comparable office rate is available.
Rest Of Michigan
Michigan · 27416
Office
Unavailable
Facility
$885.32
No comparable office rate is available.
Minnesota
Minnesota · 27416
Office
Unavailable
Facility
$843.31
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27416
Office
Unavailable
Facility
$879.31
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27416
Office
Unavailable
Facility
$886.22
No comparable office rate is available.
Rest Of Missouri
Missouri · 27416
Office
Unavailable
Facility
$852.60
No comparable office rate is available.
Mississippi
Mississippi · 27416
Office
Unavailable
Facility
$829.18
No comparable office rate is available.
Montana**
Montana · 27416
Office
Unavailable
Facility
$902.30
No comparable office rate is available.
North Carolina
North Carolina · 27416
Office
Unavailable
Facility
$844.06
No comparable office rate is available.
North Dakota**
North Dakota · 27416
Office
Unavailable
Facility
$844.16
No comparable office rate is available.
Nebraska
Nebraska · 27416
Office
Unavailable
Facility
$815.00
No comparable office rate is available.
New Hampshire
New Hampshire · 27416
Office
Unavailable
Facility
$904.28
No comparable office rate is available.
Northern Nj
New Jersey · 27416
Office
Unavailable
Facility
$993.11
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27416
Office
Unavailable
Facility
$962.03
No comparable office rate is available.
New Mexico
New Mexico · 27416
Office
Unavailable
Facility
$893.76
No comparable office rate is available.
Nevada**
Nevada · 27416
Office
Unavailable
Facility
$886.44
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27416
Office
Unavailable
Facility
$1081.00
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27416
Office
Unavailable
Facility
$976.46
No comparable office rate is available.
Queens
New York · 27416
Office
Unavailable
Facility
$1037.85
No comparable office rate is available.
Rest Of New York
New York · 27416
Office
Unavailable
Facility
$856.18
No comparable office rate is available.
Ohio
Ohio · 27416
Office
Unavailable
Facility
$873.43
No comparable office rate is available.
Oklahoma
Oklahoma · 27416
Office
Unavailable
Facility
$843.89
No comparable office rate is available.
Portland
Oregon · 27416
Office
Unavailable
Facility
$922.81
No comparable office rate is available.
Rest Of Oregon
Oregon · 27416
Office
Unavailable
Facility
$871.96
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27416
Office
Unavailable
Facility
$943.81
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27416
Office
Unavailable
Facility
$868.96
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27416
Office
Unavailable
Facility
$904.79
No comparable office rate is available.
Rhode Island
Rhode Island · 27416
Office
Unavailable
Facility
$911.97
No comparable office rate is available.
South Carolina
South Carolina · 27416
Office
Unavailable
Facility
$861.69
No comparable office rate is available.
South Dakota**
South Dakota · 27416
Office
Unavailable
Facility
$837.29
No comparable office rate is available.
Tennessee
Tennessee · 27416
Office
Unavailable
Facility
$825.81
No comparable office rate is available.
Austin
Texas · 27416
Office
Unavailable
Facility
$912.12
No comparable office rate is available.
Beaumont
Texas · 27416
Office
Unavailable
Facility
$864.65
No comparable office rate is available.
Brazoria
Texas · 27416
Office
Unavailable
Facility
$881.49
No comparable office rate is available.
Dallas
Texas · 27416
Office
Unavailable
Facility
$891.33
No comparable office rate is available.
Fort Worth
Texas · 27416
Office
Unavailable
Facility
$889.17
No comparable office rate is available.
Galveston
Texas · 27416
Office
Unavailable
Facility
$886.89
No comparable office rate is available.
Houston
Texas · 27416
Office
Unavailable
Facility
$940.70
No comparable office rate is available.
Rest Of Texas
Texas · 27416
Office
Unavailable
Facility
$875.47
No comparable office rate is available.
Utah
Utah · 27416
Office
Unavailable
Facility
$871.89
No comparable office rate is available.
Virginia
Virginia · 27416
Office
Unavailable
Facility
$867.79
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27416
Office
Unavailable
Facility
$904.79
No comparable office rate is available.
Vermont
Vermont · 27416
Office
Unavailable
Facility
$850.55
No comparable office rate is available.
Rest Of Washington
Washington · 27416
Office
Unavailable
Facility
$903.20
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27416
Office
Unavailable
Facility
$985.45
No comparable office rate is available.
Wisconsin
Wisconsin · 27416
Office
Unavailable
Facility
$820.13
No comparable office rate is available.
West Virginia
West Virginia · 27416
Office
Unavailable
Facility
$899.88
No comparable office rate is available.
Wyoming**
Wyoming · 27416
Office
Unavailable
Facility
$876.96
No comparable office rate is available.
See how rates vary across the country
27416 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 27416 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$979.84
$890.76 × 110% = $979.84
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27416 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,881
- Code
- 27416
- Physician work
- 13.81
- Practice expense
- 10.27
- Malpractice
- 2.94
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.81 | × 1.005 | 13.8790 |
| Practice expense | 10.27 | × 0.988 | 10.1468 |
| Malpractice | 2.94 | × 0.899 | 2.6431 |
| Total RVUs | 26.6689 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$890.76
Open 27416 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.81 | 1.005 |
| Practice expense | 10.27 | 0.988 |
| Malpractice | 2.94 | 0.899 |
(13.81 × 1.005 + 10.27 × 0.988 + 2.94 × 0.899) × $33.4009 = $890.76
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
27416 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $890.76 | RVU26D |
| 2026-07-01 | Not available in this setting | $890.76 | RVU26C |
| 2026-04-01 | Not available in this setting | $890.76 | RVU26B |
| 2026-01-01 | Not available in this setting | $890.76 | RVU26A |
| 2025-10-01 | Not available in this setting | $963.83 | RVU25D |
| 2025-07-01 | Not available in this setting | $963.83 | RVU25C |
| 2025-04-01 | Not available in this setting | $963.83 | RVU25B |
| 2025-01-01 | Not available in this setting | $963.83 | RVU25A |
27416 billing questions
How does this differ from 27415?
This code is for osteochondral tissue harvested from the same patient. Code 27415 is the open procedure using donor osteochondral tissue.
How does this differ from 27412?
This code transfers osteochondral plugs, including bone, from the patient’s own knee. Code 27412 describes knee treatment using an autologous chondrocyte implant rather than transferred osteochondral plugs.
When is 29866 more appropriate?
Code 29866 describes arthroscopic osteochondral autografting. Use 27416 for the open approach when the documented procedure meets its service description.
What operative details support reporting?
Document the focal defect and its knee location, the open grafting technique, and the autologous harvest and recipient sites. Include laterality.
How is bilateral treatment reported?
For bilateral procedures, modifier 50 is paid at 150% under the CMS facts provided. The 90-day global period applies to the surgery.
Can an assistant 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,87827409,,Repair of knee ligaments,A,,13.37,10.61,NA,10.61,,2.85,26.83,26.83,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87927412,,Autochondrocyte implant knee,A,,24.12,15.50,NA,15.50,,5.13,44.75,44.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,88027415,,Osteochondral knee allograft,A,,19.50,14.03,NA,14.03,,4.15,37.68,37.68,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,88127416,,Osteochondral knee autograft,A,,13.81,10.27,NA,10.27,,2.94,27.02,27.02,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,88227418,,Repair degenerated kneecap,A,,11.31,9.28,NA,9.28,,2.26,22.85,22.85,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,88327420,,Revision of unstable kneecap,A,,10.00,8.98,NA,8.98,,2.13,21.11,21.11,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,88427422,,Revision of unstable kneecap,A,,9.95,8.89,NA,8.89,,2.08,20.92,20.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503