No office rate
27405 is for primary repair of a knee collateral ligament. Use 27407 for primary repair of a cruciate ligament.
On this page
CMS RVU26D · Effective 2026-10-01
27407 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$750.00
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 27407: Primary cruciate ligament repair
Reports primary surgical repair of a torn knee cruciate ligament when the surgeon repairs the native ligament rather than performing a graft reconstruction.
This code represents primary surgical repair of a torn cruciate ligament in the knee, with augmentation or reinforcement included when performed. An orthopedic surgeon typically performs the operation in a hospital or ambulatory surgery center for a cruciate injury considered suitable for repair. The service is distinct from reconstruction that replaces or rebuilds ligament function with a graft, and from repair of a collateral ligament.
Select the code from the operative work, not the diagnosis alone. The report should identify the repaired cruciate ligament and describe the primary repair and any augmentation or reinforcement. Medicare assigns a 90-day global period: the day-before preoperative visit and related postoperative care during the following 90 days are included. 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27407
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.58 · 47%
- Practice expense (office) RVU9.57 · 43%
- Malpractice RVU2.25 · 10%
20
Medicare services in 2024 · #5911 by national volume
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.
27407 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
27409 describes collateral ligament and/or capsule repair with local tissue. It is not the primary cruciate ligament repair represented by 27407.
No office rate
27428 represents intra-articular knee ligament reconstruction. Choose 27407 when the operative service is primary repair of the native torn cruciate ligament.
No office rate
29888 is the arthroscopically aided ACL repair or reconstruction code. Distinguish it from 27407 by the documented operative approach and whether the service is primary repair.
The same code, a different location
How does Modesto compare?
27407 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
Unavailable
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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 27407
Office
Unavailable
Facility
$750.00
No comparable office rate is available.
Merced
California · 27407
Office
Unavailable
Facility
$750.00
No comparable office rate is available.
Napa
California · 27407
Office
Unavailable
Facility
$835.12
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27407
Office
Unavailable
Facility
$787.92
No comparable office rate is available.
Redding
California · 27407
Office
Unavailable
Facility
$750.00
No comparable office rate is available.
Rest Of California
California · 27407
Office
Unavailable
Facility
$750.00
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27407
Office
Unavailable
Facility
$774.18
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27407
Office
Unavailable
Facility
$778.13
No comparable office rate is available.
Salinas
California · 27407
Office
Unavailable
Facility
$775.09
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27407
Office
Unavailable
Facility
$787.01
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27407
Office
Unavailable
Facility
$872.15
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27407
Office
Unavailable
Facility
$869.59
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27407
Office
Unavailable
Facility
$893.47
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27407
Office
Unavailable
Facility
$883.02
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27407
Office
Unavailable
Facility
$763.75
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27407
Office
Unavailable
Facility
$789.45
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27407
Office
Unavailable
Facility
$776.27
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27407
Office
Unavailable
Facility
$796.79
No comparable office rate is available.
Stockton
California · 27407
Office
Unavailable
Facility
$750.00
No comparable office rate is available.
Vallejo
California · 27407
Office
Unavailable
Facility
$831.43
No comparable office rate is available.
Visalia
California · 27407
Office
Unavailable
Facility
$750.00
No comparable office rate is available.
Yuba City
California · 27407
Office
Unavailable
Facility
$750.00
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 27407
Office
Unavailable
Facility
$832.65
No comparable office rate is available.
Miami
Florida · 27407
Office
Unavailable
Facility
$876.19
No comparable office rate is available.
Chicago
Illinois · 27407
Office
Unavailable
Facility
$849.57
No comparable office rate is available.
Manhattan
New York · 27407
Office
Unavailable
Facility
$866.62
No comparable office rate is available.
Alaska*
Alaska · 27407
Office
Unavailable
Facility
$911.90
No comparable office rate is available.
Alabama
Alabama · 27407
Office
Unavailable
Facility
$675.61
No comparable office rate is available.
Arkansas
Arkansas · 27407
Office
Unavailable
Facility
$666.66
No comparable office rate is available.
Arizona
Arizona · 27407
Office
Unavailable
Facility
$727.45
No comparable office rate is available.
Colorado
Colorado · 27407
Office
Unavailable
Facility
$756.42
No comparable office rate is available.
Connecticut
Connecticut · 27407
Office
Unavailable
Facility
$795.64
No comparable office rate is available.
Delaware
Delaware · 27407
Office
Unavailable
Facility
$738.52
No comparable office rate is available.
Fort Lauderdale
Florida · 27407
Office
Unavailable
Facility
$813.06
No comparable office rate is available.
Rest Of Florida
Florida · 27407
Office
Unavailable
Facility
$771.92
No comparable office rate is available.
Atlanta
Georgia · 27407
Office
Unavailable
Facility
$769.46
No comparable office rate is available.
Rest Of Georgia
Georgia · 27407
Office
Unavailable
Facility
$728.09
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27407
Office
Unavailable
Facility
$760.33
No comparable office rate is available.
Iowa
Iowa · 27407
Office
Unavailable
Facility
$675.69
No comparable office rate is available.
Idaho
Idaho · 27407
Office
Unavailable
Facility
$683.00
No comparable office rate is available.
East St. Louis
Illinois · 27407
Office
Unavailable
Facility
$798.81
No comparable office rate is available.
Rest Of Illinois
Illinois · 27407
Office
Unavailable
Facility
$762.68
No comparable office rate is available.
Suburban Chicago
Illinois · 27407
Office
Unavailable
Facility
$817.30
No comparable office rate is available.
Indiana
Indiana · 27407
Office
Unavailable
Facility
$686.22
No comparable office rate is available.
Kansas
Kansas · 27407
Office
Unavailable
Facility
$680.22
No comparable office rate is available.
Kentucky
Kentucky · 27407
Office
Unavailable
Facility
$706.31
No comparable office rate is available.
New Orleans
Louisiana · 27407
Office
Unavailable
Facility
$739.54
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27407
Office
Unavailable
Facility
$708.26
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27407
Office
Unavailable
Facility
$816.41
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27407
Office
Unavailable
Facility
$755.52
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27407
Office
Unavailable
Facility
$794.98
No comparable office rate is available.
Rest Of Maryland
Maryland · 27407
Office
Unavailable
Facility
$749.39
No comparable office rate is available.
Rest Of Maine
Maine · 27407
Office
Unavailable
Facility
$694.20
No comparable office rate is available.
Southern Maine
Maine · 27407
Office
Unavailable
Facility
$717.57
No comparable office rate is available.
Detroit
Michigan · 27407
Office
Unavailable
Facility
$788.55
No comparable office rate is available.
Rest Of Michigan
Michigan · 27407
Office
Unavailable
Facility
$730.07
No comparable office rate is available.
Minnesota
Minnesota · 27407
Office
Unavailable
Facility
$704.54
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27407
Office
Unavailable
Facility
$726.95
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27407
Office
Unavailable
Facility
$732.99
No comparable office rate is available.
Rest Of Missouri
Missouri · 27407
Office
Unavailable
Facility
$702.11
No comparable office rate is available.
Mississippi
Mississippi · 27407
Office
Unavailable
Facility
$684.13
No comparable office rate is available.
Montana**
Montana · 27407
Office
Unavailable
Facility
$748.03
No comparable office rate is available.
North Carolina
North Carolina · 27407
Office
Unavailable
Facility
$699.63
No comparable office rate is available.
North Dakota**
North Dakota · 27407
Office
Unavailable
Facility
$703.54
No comparable office rate is available.
Nebraska
Nebraska · 27407
Office
Unavailable
Facility
$676.82
No comparable office rate is available.
New Hampshire
New Hampshire · 27407
Office
Unavailable
Facility
$751.89
No comparable office rate is available.
Northern Nj
New Jersey · 27407
Office
Unavailable
Facility
$826.70
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27407
Office
Unavailable
Facility
$799.01
No comparable office rate is available.
New Mexico
New Mexico · 27407
Office
Unavailable
Facility
$736.76
No comparable office rate is available.
Nevada**
Nevada · 27407
Office
Unavailable
Facility
$735.95
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27407
Office
Unavailable
Facility
$895.62
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27407
Office
Unavailable
Facility
$810.23
No comparable office rate is available.
Queens
New York · 27407
Office
Unavailable
Facility
$862.19
No comparable office rate is available.
Rest Of New York
New York · 27407
Office
Unavailable
Facility
$709.88
No comparable office rate is available.
Ohio
Ohio · 27407
Office
Unavailable
Facility
$720.97
No comparable office rate is available.
Oklahoma
Oklahoma · 27407
Office
Unavailable
Facility
$697.22
No comparable office rate is available.
Portland
Oregon · 27407
Office
Unavailable
Facility
$770.08
No comparable office rate is available.
Rest Of Oregon
Oregon · 27407
Office
Unavailable
Facility
$724.58
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27407
Office
Unavailable
Facility
$782.15
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27407
Office
Unavailable
Facility
$717.84
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27407
Office
Unavailable
Facility
$750.57
No comparable office rate is available.
Rhode Island
Rhode Island · 27407
Office
Unavailable
Facility
$757.33
No comparable office rate is available.
South Carolina
South Carolina · 27407
Office
Unavailable
Facility
$712.61
No comparable office rate is available.
South Dakota**
South Dakota · 27407
Office
Unavailable
Facility
$698.28
No comparable office rate is available.
Tennessee
Tennessee · 27407
Office
Unavailable
Facility
$684.30
No comparable office rate is available.
Austin
Texas · 27407
Office
Unavailable
Facility
$758.86
No comparable office rate is available.
Beaumont
Texas · 27407
Office
Unavailable
Facility
$714.08
No comparable office rate is available.
Brazoria
Texas · 27407
Office
Unavailable
Facility
$731.60
No comparable office rate is available.
Dallas
Texas · 27407
Office
Unavailable
Facility
$739.41
No comparable office rate is available.
Fort Worth
Texas · 27407
Office
Unavailable
Facility
$737.19
No comparable office rate is available.
Galveston
Texas · 27407
Office
Unavailable
Facility
$735.84
No comparable office rate is available.
Houston
Texas · 27407
Office
Unavailable
Facility
$777.03
No comparable office rate is available.
Rest Of Texas
Texas · 27407
Office
Unavailable
Facility
$724.59
No comparable office rate is available.
Utah
Utah · 27407
Office
Unavailable
Facility
$721.34
No comparable office rate is available.
Virginia
Virginia · 27407
Office
Unavailable
Facility
$720.65
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27407
Office
Unavailable
Facility
$750.57
No comparable office rate is available.
Vermont
Vermont · 27407
Office
Unavailable
Facility
$707.86
No comparable office rate is available.
Rest Of Washington
Washington · 27407
Office
Unavailable
Facility
$751.75
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27407
Office
Unavailable
Facility
$824.66
No comparable office rate is available.
Wisconsin
Wisconsin · 27407
Office
Unavailable
Facility
$682.75
No comparable office rate is available.
West Virginia
West Virginia · 27407
Office
Unavailable
Facility
$738.70
No comparable office rate is available.
Wyoming**
Wyoming · 27407
Office
Unavailable
Facility
$728.64
No comparable office rate is available.
See how rates vary across the country
27407 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, 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 27407 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$825.00
$750.00 × 110% = $825.00
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 27407 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
2,877
- Code
- 27407
- Physician work
- 10.58
- Practice expense
- 9.57
- Malpractice
- 2.25
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.58 | × 1.017 | 10.7599 |
| Practice expense | 9.57 | × 1.096 | 10.4887 |
| Malpractice | 2.25 | × 0.536 | 1.2060 |
| Total RVUs | 22.4546 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$750.00
Open 27407 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.58 | 1.017 |
| Practice expense | 9.57 | 1.096 |
| Malpractice | 2.25 | 0.536 |
(10.58 × 1.017 + 9.57 × 1.096 + 2.25 × 0.536) × $33.4009 = $750.00
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
27407 · 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 | $750.00 | RVU26D |
| 2026-07-01 | Not available in this setting | $750.00 | RVU26C |
| 2026-04-01 | Not available in this setting | $750.00 | RVU26B |
| 2026-01-01 | Not available in this setting | $750.00 | RVU26A |
| 2025-10-01 | Not available in this setting | $798.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $798.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $798.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $798.60 | RVU25A |
27407 billing questions
How is 27407 different from a knee ligament reconstruction code?
Use 27407 for primary repair of the native torn cruciate ligament, including any augmentation or reinforcement. A reconstruction code represents a reconstruction rather than this primary repair.
Can 27407 be reported for a collateral ligament repair?
No. This code is for a cruciate ligament; 27405 describes primary collateral ligament repair, while 27409 addresses collateral ligament and/or capsule repair with local tissue.
Is 27407 appropriate when the cruciate procedure is arthroscopically aided?
Compare the operative approach and work with the arthroscopically aided cruciate procedure codes. For example, 29888 covers arthroscopically aided ACL repair or reconstruction; 27407 represents primary repair rather than graft reconstruction.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How does Medicare handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction, with payment 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 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.
2,87427400,,Revise thigh muscles/tendons,A,,9.10,8.69,NA,8.69,,1.94,19.73,19.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87527403,,Repair of knee cartilage,A,,8.40,8.12,NA,8.12,,1.76,18.28,18.28,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87627405,,Repair of knee ligament,A,,8.85,8.43,NA,8.43,,1.80,19.08,19.08,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87727407,,Repair of knee ligament,A,,10.58,9.57,NA,9.57,,2.25,22.40,22.40,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87827409,,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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536