$461.84
Use 27560 for closed treatment of a patellar dislocation without manipulation; 27566 describes open operative treatment.
On this page
CMS RVU26D · Effective 2026-10-01
27566 Patellar dislocation Medicare reimbursement rates in Nevada
Reports open surgery to treat a dislocated kneecap, including operative reduction and stabilization when closed management is not the service performed. Compare 27566 office and facility rates across CMS payment localities in Nevada.
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 27566 in Nevada?
Nevada 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
$812.33
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 27566: Open patellar dislocation treatment
Reports open surgery to treat a dislocated kneecap, including operative reduction and stabilization when closed management is not the service performed.
Code 27566 represents open operative management of a dislocated patella. An orthopedic surgeon may expose the joint to reduce the patella and address associated instability or damaged structures as part of the treatment. The service is typically performed in an operating room when the documented treatment is open rather than closed. The operative report should identify the affected side, the dislocation, the open approach, and the reduction or repair performed.
Report this code for the open treatment documented, not for closed management alone. Codes 27560 and 27562 distinguish closed treatment without and with manipulation. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27566
- 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 RVU12.39 · 50%
- Practice expense (office) RVU9.73 · 39%
- Malpractice RVU2.63 · 11%
69
Medicare services in 2024 · #5152 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.
27566 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
Use 27562 for closed treatment with manipulation. An open operative approach is the key distinction for 27566.
No office rate
This code describes patellar reconstruction without extensor realignment or muscle advancement, rather than open treatment reported as 27566.
No office rate
This code describes patellar reconstruction with extensor realignment or muscle advancement; select it when that reconstruction is the procedure performed.
Compare 27566 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$812.33
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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 27566 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
2,952
- Code
- 27566
- Physician work
- 12.39
- Practice expense
- 9.73
- Malpractice
- 2.63
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.39 | × 1.000 | 12.3900 |
| Practice expense | 9.73 | × 1.001 | 9.7397 |
| Malpractice | 2.63 | × 0.833 | 2.1908 |
| Total RVUs | 24.3205 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$812.33
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.39 | 1 |
| Practice expense | 9.73 | 1.001 |
| Malpractice | 2.63 | 0.833 |
(12.39 × 1 + 9.73 × 1.001 + 2.63 × 0.833) × $33.4009 = $812.33
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.
27566 billing questions
How does 27566 differ from 27560 or 27562?
27566 is for open operative treatment. Codes 27560 and 27562 describe closed treatment, respectively without and with manipulation.
Does the 90-day global include routine follow-up?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
What documentation supports 27566?
Document the patellar dislocation, side, open approach, and operative treatment performed. The record should make clear that the service was open rather than closed management.
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.
2,94927558,,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
2,95427580,,Fusion of knee,A,,20.57,15.63,NA,15.63,,4.36,40.56,40.56,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95527590,,Amputate leg at thigh,A,,13.13,5.19,NA,5.19,,3.27,21.59,21.59,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097