No office rate
27556 describes open treatment without ligament repair. Choose 27558 when the open dislocation treatment includes cruciate ligament repair.
On this page
CMS RVU26D · Effective 2026-10-01
27558 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1051.02
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 27558: Open knee dislocation repair with cruciate ligament repair
Reports open treatment of a tibiofemoral knee dislocation when the operation includes repair of one or more cruciate ligaments.
An orthopedic surgeon typically reports this service for operative treatment of a tibiofemoral knee dislocation when the procedure includes repair of a cruciate ligament. These injuries may involve substantial disruption of the knee’s stabilizing ligaments and are generally managed in an operating room. The operative work may include reducing the dislocated joint, stabilizing it, and repairing associated ligaments; the code also accommodates meniscal repair performed with the dislocation treatment.
Choose this code when the documented open treatment includes cruciate ligament repair, rather than open treatment without ligament repair or ligament repair that does not include a cruciate ligament. The operative report should establish the dislocation, the open approach, and the ligament structures repaired. 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 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 made, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 27558
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.93 · 56%
- Practice expense (office) RVU10.20 · 32%
- Malpractice RVU3.83 · 12%
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.
27558 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
27557 covers open treatment with ligament repair when cruciate repair is not included. The inclusion of cruciate ligament repair distinguishes 27558.
No office rate
27552 is closed treatment requiring anesthesia. It is not the open operative treatment with cruciate ligament repair reported with 27558.
$484.12
27560 concerns closed treatment of a dislocated patella. Code 27558 concerns open treatment of a tibiofemoral knee dislocation with cruciate ligament repair.
The same code, a different location
How does Redding compare?
27558 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 27558
Office
Unavailable
Facility
$1051.02
No comparable office rate is available.
Merced
California · 27558
Office
Unavailable
Facility
$1051.02
No comparable office rate is available.
Modesto
California · 27558
Office
Unavailable
Facility
$1051.02
No comparable office rate is available.
Napa
California · 27558
Office
Unavailable
Facility
$1150.62
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27558
Office
Unavailable
Facility
$1098.04
No comparable office rate is available.
Rest Of California
California · 27558
Office
Unavailable
Facility
$1051.02
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27558
Office
Unavailable
Facility
$1092.17
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27558
Office
Unavailable
Facility
$1085.23
No comparable office rate is available.
Salinas
California · 27558
Office
Unavailable
Facility
$1080.87
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27558
Office
Unavailable
Facility
$1093.64
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27558
Office
Unavailable
Facility
$1194.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27558
Office
Unavailable
Facility
$1190.51
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27558
Office
Unavailable
Facility
$1224.60
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27558
Office
Unavailable
Facility
$1206.81
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27558
Office
Unavailable
Facility
$1065.67
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27558
Office
Unavailable
Facility
$1093.96
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27558
Office
Unavailable
Facility
$1081.46
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27558
Office
Unavailable
Facility
$1103.78
No comparable office rate is available.
Stockton
California · 27558
Office
Unavailable
Facility
$1051.02
No comparable office rate is available.
Vallejo
California · 27558
Office
Unavailable
Facility
$1144.35
No comparable office rate is available.
Visalia
California · 27558
Office
Unavailable
Facility
$1051.02
No comparable office rate is available.
Yuba City
California · 27558
Office
Unavailable
Facility
$1051.02
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 27558
Office
Unavailable
Facility
$1174.93
No comparable office rate is available.
Miami
Florida · 27558
Office
Unavailable
Facility
$1277.06
No comparable office rate is available.
Chicago
Illinois · 27558
Office
Unavailable
Facility
$1239.05
No comparable office rate is available.
Manhattan
New York · 27558
Office
Unavailable
Facility
$1235.98
No comparable office rate is available.
Alaska*
Alaska · 27558
Office
Unavailable
Facility
$1331.64
No comparable office rate is available.
Alabama
Alabama · 27558
Office
Unavailable
Facility
$969.39
No comparable office rate is available.
Arkansas
Arkansas · 27558
Office
Unavailable
Facility
$957.41
No comparable office rate is available.
Arizona
Arizona · 27558
Office
Unavailable
Facility
$1038.51
No comparable office rate is available.
Colorado
Colorado · 27558
Office
Unavailable
Facility
$1068.47
No comparable office rate is available.
Connecticut
Connecticut · 27558
Office
Unavailable
Facility
$1132.57
No comparable office rate is available.
Delaware
Delaware · 27558
Office
Unavailable
Facility
$1053.48
No comparable office rate is available.
Fort Lauderdale
Florida · 27558
Office
Unavailable
Facility
$1175.29
No comparable office rate is available.
Rest Of Florida
Florida · 27558
Office
Unavailable
Facility
$1116.85
No comparable office rate is available.
Atlanta
Georgia · 27558
Office
Unavailable
Facility
$1100.45
No comparable office rate is available.
Rest Of Georgia
Georgia · 27558
Office
Unavailable
Facility
$1055.26
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27558
Office
Unavailable
Facility
$1060.31
No comparable office rate is available.
Iowa
Iowa · 27558
Office
Unavailable
Facility
$961.40
No comparable office rate is available.
Idaho
Idaho · 27558
Office
Unavailable
Facility
$972.82
No comparable office rate is available.
East St. Louis
Illinois · 27558
Office
Unavailable
Facility
$1169.95
No comparable office rate is available.
Rest Of Illinois
Illinois · 27558
Office
Unavailable
Facility
$1109.87
No comparable office rate is available.
Suburban Chicago
Illinois · 27558
Office
Unavailable
Facility
$1179.64
No comparable office rate is available.
Indiana
Indiana · 27558
Office
Unavailable
Facility
$976.87
No comparable office rate is available.
Kansas
Kansas · 27558
Office
Unavailable
Facility
$971.34
No comparable office rate is available.
Kentucky
Kentucky · 27558
Office
Unavailable
Facility
$1018.80
No comparable office rate is available.
New Orleans
Louisiana · 27558
Office
Unavailable
Facility
$1064.79
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27558
Office
Unavailable
Facility
$1022.94
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27558
Office
Unavailable
Facility
$1144.07
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27558
Office
Unavailable
Facility
$1069.16
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27558
Office
Unavailable
Facility
$1132.26
No comparable office rate is available.
Rest Of Maryland
Maryland · 27558
Office
Unavailable
Facility
$1067.08
No comparable office rate is available.
Rest Of Maine
Maine · 27558
Office
Unavailable
Facility
$991.88
No comparable office rate is available.
Southern Maine
Maine · 27558
Office
Unavailable
Facility
$1017.22
No comparable office rate is available.
Detroit
Michigan · 27558
Office
Unavailable
Facility
$1143.33
No comparable office rate is available.
Rest Of Michigan
Michigan · 27558
Office
Unavailable
Facility
$1054.36
No comparable office rate is available.
Minnesota
Minnesota · 27558
Office
Unavailable
Facility
$987.31
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27558
Office
Unavailable
Facility
$1043.77
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27558
Office
Unavailable
Facility
$1051.40
No comparable office rate is available.
Rest Of Missouri
Missouri · 27558
Office
Unavailable
Facility
$1017.15
No comparable office rate is available.
Mississippi
Mississippi · 27558
Office
Unavailable
Facility
$986.75
No comparable office rate is available.
Montana**
Montana · 27558
Office
Unavailable
Facility
$1067.24
No comparable office rate is available.
North Carolina
North Carolina · 27558
Office
Unavailable
Facility
$998.49
No comparable office rate is available.
North Dakota**
North Dakota · 27558
Office
Unavailable
Facility
$991.51
No comparable office rate is available.
Nebraska
Nebraska · 27558
Office
Unavailable
Facility
$961.69
No comparable office rate is available.
New Hampshire
New Hampshire · 27558
Office
Unavailable
Facility
$1065.47
No comparable office rate is available.
Northern Nj
New Jersey · 27558
Office
Unavailable
Facility
$1168.43
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27558
Office
Unavailable
Facility
$1135.20
No comparable office rate is available.
New Mexico
New Mexico · 27558
Office
Unavailable
Facility
$1064.93
No comparable office rate is available.
Nevada**
Nevada · 27558
Office
Unavailable
Facility
$1046.47
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27558
Office
Unavailable
Facility
$1279.84
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27558
Office
Unavailable
Facility
$1153.67
No comparable office rate is available.
Queens
New York · 27558
Office
Unavailable
Facility
$1224.37
No comparable office rate is available.
Rest Of New York
New York · 27558
Office
Unavailable
Facility
$1012.46
No comparable office rate is available.
Ohio
Ohio · 27558
Office
Unavailable
Facility
$1038.88
No comparable office rate is available.
Oklahoma
Oklahoma · 27558
Office
Unavailable
Facility
$1002.51
No comparable office rate is available.
Portland
Oregon · 27558
Office
Unavailable
Facility
$1082.14
No comparable office rate is available.
Rest Of Oregon
Oregon · 27558
Office
Unavailable
Facility
$1028.14
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27558
Office
Unavailable
Facility
$1116.93
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27558
Office
Unavailable
Facility
$1032.52
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27558
Office
Unavailable
Facility
$1069.32
No comparable office rate is available.
Rhode Island
Rhode Island · 27558
Office
Unavailable
Facility
$1076.30
No comparable office rate is available.
South Carolina
South Carolina · 27558
Office
Unavailable
Facility
$1022.41
No comparable office rate is available.
South Dakota**
South Dakota · 27558
Office
Unavailable
Facility
$982.55
No comparable office rate is available.
Tennessee
Tennessee · 27558
Office
Unavailable
Facility
$977.26
No comparable office rate is available.
Austin
Texas · 27558
Office
Unavailable
Facility
$1073.87
No comparable office rate is available.
Beaumont
Texas · 27558
Office
Unavailable
Facility
$1027.75
No comparable office rate is available.
Brazoria
Texas · 27558
Office
Unavailable
Facility
$1041.07
No comparable office rate is available.
Dallas
Texas · 27558
Office
Unavailable
Facility
$1053.35
No comparable office rate is available.
Fort Worth
Texas · 27558
Office
Unavailable
Facility
$1051.61
No comparable office rate is available.
Galveston
Texas · 27558
Office
Unavailable
Facility
$1047.90
No comparable office rate is available.
Houston
Texas · 27558
Office
Unavailable
Facility
$1118.00
No comparable office rate is available.
Rest Of Texas
Texas · 27558
Office
Unavailable
Facility
$1037.71
No comparable office rate is available.
Utah
Utah · 27558
Office
Unavailable
Facility
$1034.00
No comparable office rate is available.
Virginia
Virginia · 27558
Office
Unavailable
Facility
$1024.09
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27558
Office
Unavailable
Facility
$1069.32
No comparable office rate is available.
Vermont
Vermont · 27558
Office
Unavailable
Facility
$1000.89
No comparable office rate is available.
Rest Of Washington
Washington · 27558
Office
Unavailable
Facility
$1062.76
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27558
Office
Unavailable
Facility
$1151.36
No comparable office rate is available.
Wisconsin
Wisconsin · 27558
Office
Unavailable
Facility
$964.66
No comparable office rate is available.
West Virginia
West Virginia · 27558
Office
Unavailable
Facility
$1078.00
No comparable office rate is available.
Wyoming**
Wyoming · 27558
Office
Unavailable
Facility
$1034.23
No comparable office rate is available.
See how rates vary across the country
27558 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 27558 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1156.12
$1051.02 × 110% = $1156.12
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 27558 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,949
- Code
- 27558
- Physician work
- 17.93
- Practice expense
- 10.20
- Malpractice
- 3.83
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.93 | × 1.017 | 18.2348 |
| Practice expense | 10.20 | × 1.096 | 11.1792 |
| Malpractice | 3.83 | × 0.536 | 2.0529 |
| Total RVUs | 31.4669 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1051.02
Open 27558 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.93 | 1.017 |
| Practice expense | 10.2 | 1.096 |
| Malpractice | 3.83 | 0.536 |
(17.93 × 1.017 + 10.2 × 1.096 + 3.83 × 0.536) × $33.4009 = $1051.02
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
27558 · 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 | $1051.02 | RVU26D |
| 2026-07-01 | Not available in this setting | $1051.02 | RVU26C |
| 2026-04-01 | Not available in this setting | $1051.02 | RVU26B |
| 2026-01-01 | Not available in this setting | $1051.02 | RVU26A |
| 2025-10-01 | Not available in this setting | $1159.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $1159.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $1159.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $1159.54 | RVU25A |
27558 billing questions
How does this differ from 27557?
Use 27558 when the open knee-dislocation treatment includes repair of a cruciate ligament. Code 27557 is for the corresponding ligament-repair treatment when cruciate repair is not included.
When would 27556 be a better fit?
Use 27556 for open treatment of a knee dislocation when the procedure does not include ligament repair. The operative note should support the services actually performed.
Is meniscal repair included in this code?
The code accommodates meniscal repair performed with the open knee-dislocation treatment and ligament repair. Do not treat that associated repair as a separate service solely because it is documented.
Does the code have a 90-day global period?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure; reporting modifier 50 is paid at 150%. Document the treatment performed on each side.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. CMS does not permit team-surgery billing for this code.
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.
2,94627552,,Treat knee dislocation,A,,7.98,8.49,NA,8.49,,1.68,18.15,18.15,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94727556,,Treat knee dislocation,A,,12.68,8.53,NA,8.53,,2.70,23.91,23.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94827557,,Treat knee dislocation,A,,15.50,9.43,NA,9.43,,3.31,28.24,28.24,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94927558,,Treat knee dislocation,A,,17.93,10.20,NA,10.20,,3.83,31.96,31.96,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95027560,,Treat kneecap dislocation,A,,3.89,9.17,,7.12,,0.91,13.97,11.92,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95127562,,Treat kneecap dislocation,A,,5.83,7.18,NA,7.18,,1.25,14.26,14.26,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95227566,,Treat kneecap dislocation,A,,12.39,9.73,NA,9.73,,2.63,24.75,24.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536