No office rate
Both address closed treatment of patellar dislocation. The distinguishing factor is whether anesthesia is required: 27560 is without anesthesia; 27562 is with anesthesia.
On this page
CMS RVU26D · Effective 2026-10-01
27560 Patellar dislocation Medicare reimbursement rates in Delaware
Reports closed treatment of a dislocated kneecap when the treatment is performed without anesthesia, rather than under anesthesia or through open surgery. Compare 27560 office and facility rates across CMS payment localities in Delaware.
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.
What does Medicare pay for 27560 in Delaware?
Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$460.51
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$392.86
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic treatment
About 27560: Closed patellar dislocation treatment without anesthesia
Reports closed treatment of a dislocated kneecap when the treatment is performed without anesthesia, rather than under anesthesia or through open surgery.
This service treats a patella that has displaced from its normal position while the skin and tissues remain closed. An orthopedic surgeon or other qualified physician may reduce and stabilize the kneecap in an emergency department, office, or hospital setting. The key distinction is that treatment is performed without anesthesia; a tibiofemoral knee dislocation or a patellar fracture is a different injury and calls for a different code selection.
Document the patellar dislocation, the closed treatment performed, and that anesthesia was not used. Choose the anesthesia-requiring sibling when treatment is performed under anesthesia, and the open-treatment code when the surgeon treats the dislocation through an open approach. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 27560
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.89 · 28%
- Practice expense (office) RVU9.17 · 66%
- Malpractice RVU0.91 · 7%
300
Medicare services in 2024 · #3993 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.
27560 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Use 27566 for open treatment of a patellar dislocation. This code is for closed treatment performed without anesthesia.
$610.19
27550 addresses a dislocation of the tibiofemoral knee joint. This code is for a dislocated patella.
$365.18
27520 is for closed treatment of a patellar fracture, not a patellar dislocation. Base code selection on the documented injury.
Compare 27560 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Delaware →
Office / nonfacility
$460.51
Facility
$392.86
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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 27560 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,950
- Code
- 27560
- Physician work
- 3.89
- Practice expense
- 9.17
- Malpractice
- 0.91
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.89 | × 1.005 | 3.9094 |
| Practice expense | 9.17 | × 0.988 | 9.0600 |
| Malpractice | 0.91 | × 0.899 | 0.8181 |
| Total RVUs | 13.7875 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$460.51
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.89 | 1.005 |
| Practice expense | 9.17 | 0.988 |
| Malpractice | 0.91 | 0.899 |
(3.89 × 1.005 + 9.17 × 0.988 + 0.91 × 0.899) × $33.4009 = $460.51
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.89 | 1.005 |
| Practice expense | 7.12 | 0.988 |
| Malpractice | 0.91 | 0.899 |
(3.89 × 1.005 + 7.12 × 0.988 + 0.91 × 0.899) × $33.4009 = $392.86
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.
27560 billing questions
How is this code distinguished from 27562?
Use 27560 when closed treatment is performed without anesthesia. Use 27562 when treatment requires anesthesia.
Can this code be used for a patellar fracture?
No. A kneecap fracture is not a patellar dislocation; select the fracture-treatment code that matches the documented fracture treatment.
Does open treatment belong under this code?
No. When the patellar dislocation is treated through an open approach, consider 27566 instead.
What documentation supports reporting 27560?
Document the patellar dislocation, the closed treatment performed, and that anesthesia was not used. The record should distinguish the injury from a patellar fracture or a dislocation of the tibiofemoral knee joint.
How does the 90-day global period affect follow-up?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are bilateral treatment and multiple procedures handled?
Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
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.
2,94727556,,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
2,95327570,,Fixation of knee joint,A,,1.75,2.37,NA,2.37,,0.37,4.49,4.49,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,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