No office rate
27405 is for primary collateral ligament or capsular repair; 27407 is for primary repair involving a cruciate ligament.
On this page
CMS RVU26D · Effective 2026-10-01
27405 Knee ligament repair Medicare reimbursement rates in Kansas
Primary repair of a torn knee collateral ligament or capsule, reported when the surgeon restores the damaged structure without performing a ligament reconstruction. Compare 27405 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 27405 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
$580.44
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 27405: Primary knee collateral ligament repair
Primary repair of a torn knee collateral ligament or capsule, reported when the surgeon restores the damaged structure without performing a ligament reconstruction.
This code describes an operation to restore a torn knee collateral ligament or capsule through primary repair, such as suturing or reattaching repairable tissue. An orthopedic surgeon typically performs the procedure in an operating room for a knee injury where the operative plan is direct repair rather than graft-based reconstruction. The operative report should identify the repaired structure and describe the repair performed.
Select this code for primary repair of collateral ligament or capsular tissue; a cruciate ligament repair or a reconstruction calls for a different code. The day before surgery and 90 days of related postoperative care are included in its 90-day global period. 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 27405
- 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 RVU8.85 · 46%
- Practice expense (office) RVU8.43 · 44%
- Malpractice RVU1.80 · 9%
722
Medicare services in 2024 · #3232 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.
27405 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Use 27409 for primary repair involving both collateral and cruciate ligaments, rather than collateral-only primary repair.
No office rate
27405 describes primary repair of collateral ligament or capsular tissue. 27427 is for knee ligament reconstruction, a different operative service.
Compare 27405 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
$580.44
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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 27405 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,876
- Code
- 27405
- Physician work
- 8.85
- Practice expense
- 8.43
- Malpractice
- 1.80
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.85 | × 1.000 | 8.8500 |
| Practice expense | 8.43 | × 0.904 | 7.6207 |
| Malpractice | 1.80 | × 0.504 | 0.9072 |
| Total RVUs | 17.3779 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$580.44
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.85 | 1 |
| Practice expense | 8.43 | 0.904 |
| Malpractice | 1.8 | 0.504 |
(8.85 × 1 + 8.43 × 0.904 + 1.8 × 0.504) × $33.4009 = $580.44
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.
27405 billing questions
When should 27405 be chosen instead of 27407?
Use 27405 for primary repair of a collateral ligament or capsule. Code 27407 is for primary repair involving a cruciate ligament.
When does 27409 apply?
Use 27409 when the operative service is primary repair of both collateral and cruciate ligaments. It distinguishes that combined repair from a collateral-only repair reported with 27405.
Is primary repair different from ligament reconstruction?
Yes. This code represents direct primary repair of collateral ligament or capsular tissue; a ligament reconstruction is a different service, such as the reconstruction represented by 27427.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral repair reported under the CMS facts?
For repair of both knees, modifier 50 is paid at 150% under the bilateral rule.
Can an assistant or co-surgeon be paid?
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.
2,87327397,,Transplants of thigh tendons,A,,12.34,10.68,NA,10.68,,2.62,25.64,25.64,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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