No office rate
Use 27524 for open patellar fracture treatment; patellectomy performed as part of that treatment is included in the fracture service. Use 27350 for standalone patella removal.
On this page
CMS RVU26D · Effective 2026-10-01
27350 Patella removal Medicare reimbursement rates in Kansas
Reports surgical removal of part or all of the patella when the kneecap is removed as a standalone procedure rather than during fracture treatment. Compare 27350 office and facility rates across CMS payment localities in Kansas.
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 27350 in Kansas?
Kansas 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
No supported rate
Facility setting
$564.26
1 of 1 localities have a supported rate.
Payment area: Kansas
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 surgery
About 27350: Patella removal surgery
Reports surgical removal of part or all of the patella when the kneecap is removed as a standalone procedure rather than during fracture treatment.
An orthopedic surgeon removes part or all of the patella through an operative approach when the kneecap cannot be preserved or is being removed as a separate procedure. The service is generally performed in an operating room. The operative report should identify the extent of removal and the reason for removing the patella, and distinguish standalone patellectomy from removal performed as part of treatment for a patellar fracture.
Report 27350 for the standalone patella removal; when patellectomy is included in open treatment of a patellar fracture, the fracture-treatment code may capture that work instead. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures 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 27350
- 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 RVU8.44 · 45%
- Practice expense (office) RVU8.37 · 45%
- Malpractice RVU1.76 · 9%
903
Medicare services in 2024 · #3038 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.
27350 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
27340 removes the prepatellar bursa, the fluid-filled tissue over the kneecap. It does not represent removal of the patella itself.
No office rate
27331 describes knee-joint exploration or treatment, not removal of the kneecap. Select based on the documented operative target and work.
Compare 27350 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
Kansas →
Office / nonfacility
Unavailable
Facility
$564.26
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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 27350 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,852
- Code
- 27350
- Physician work
- 8.44
- Practice expense
- 8.37
- Malpractice
- 1.76
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.44 | × 1.000 | 8.4400 |
| Practice expense | 8.37 | × 0.904 | 7.5665 |
| Malpractice | 1.76 | × 0.504 | 0.8870 |
| Total RVUs | 16.8935 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$564.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.44 | 1 |
| Practice expense | 8.37 | 0.904 |
| Malpractice | 1.76 | 0.504 |
(8.44 × 1 + 8.37 × 0.904 + 1.76 × 0.504) × $33.4009 = $564.26
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.
27350 billing questions
When should 27350 be reported instead of 27524?
Use 27350 for standalone patella removal. Code 27524 describes open treatment of a patellar fracture and includes patellectomy when performed as part of that fracture treatment.
Does 27350 include related postoperative care?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral patella removal reported?
Report modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.
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.
What documentation supports 27350?
Document why the patella was removed, whether removal was partial or complete, the operative work, and whether the service was standalone or part of patellar fracture treatment.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard 50% multiple-procedure reduction to other procedures performed in the same session.
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.
2,84927340,,Removal of kneecap bursa,A,,4.21,5.98,NA,5.98,,0.88,11.07,11.07,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85027345,,Removal of knee cyst,A,,5.94,6.82,NA,6.82,,1.26,14.02,14.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85127347,,Remove knee cyst,A,,6.56,7.31,NA,7.31,,1.34,15.21,15.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85227350,,Removal of kneecap,A,,8.44,8.37,NA,8.37,,1.76,18.57,18.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85327355,,Remove femur lesion,A,,7.80,7.85,NA,7.85,,1.64,17.29,17.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85427356,,Remove femur lesion/graft,A,,9.84,8.93,NA,8.93,,2.09,20.86,20.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,85527357,,Remove femur lesion/graft,A,,10.88,9.76,NA,9.76,,2.31,22.95,22.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958