Billing code 27409: Knee ligament repairMedicare rate & RVUs in Ohio
Report this code for primary surgical repair of both collateral and cruciate ligament injuries in the same knee, rather than reconstruction.
CMS doesn’t publish an office rate for 27409 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27409 covers
This code describes primary repair of torn collateral and cruciate ligaments in one knee during the same operation. An orthopedic surgeon typically performs the procedure for a multiligament knee injury when the injured structures can be repaired primarily, such as by repairing or reattaching torn ligament tissue. The service is generally performed in a hospital operating room or ambulatory surgery center.
Report the code when the operative documentation supports primary repair of both ligament groups; it does not describe reconstruction in place of primary repair. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery reported with modifier 50, CMS pays 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
27409 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $866.08 |
How the 27409 rate is calculated
Each of 27409’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27409
RVUs × geographic indexes × conversion factor
Work13.37
13.37 RVUs× 1.000 GPCI
Practice expense10.61
10.61 RVUs× 1.000 GPCI
Malpractice2.85
2.85 RVUs× 1.000 GPCI
Adjusted RVUs
26.8300
Conversion factor
$33.4009
Medicare rate
$896.15
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27409
27409 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27409
Knee ligament repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27409
Knee ligament repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27409 without 50 · national facility
$896.15
Knee ligament repair
27409-50 · Bilateral: 150%
$1,344.23
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27409 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27405Knee ligament repair
- Use 27405 for primary repair of the collateral ligament group alone. Use 27409 when the primary repair includes both collateral and cruciate ligament groups in the same knee.
- 27407Cruciate ligament repair
- Use 27407 for primary repair of the cruciate ligament group alone. Use 27409 when the collateral ligament group is also primarily repaired.
- 27429Knee reconstruction
- 27429 describes combined intra-articular and extra-articular ligament reconstruction. This code describes primary repair of torn collateral and cruciate ligament groups.
27409 billing questions
When should I report this instead of 27405 or 27407?
Report this code when the surgeon primarily repairs both collateral and cruciate ligament injuries in the same knee. Codes 27405 and 27407 describe primary repair of the collateral or cruciate ligament group, respectively.
Can I report 27405 and 27407 with this code for the same repairs?
This code represents primary repair of both ligament groups in the same knee. Do not separately report the single-group repair codes for the same work.
How does this differ from knee ligament reconstruction?
This code is for primary repair of injured ligament tissue. When the surgeon performs ligament reconstruction instead, select the reconstruction code that matches the operative work.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
How are bilateral and multiple procedures handled?
Bilateral surgery reported with modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
May an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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