CPT code 27407: Cruciate ligament repair2026 Medicare rate & RVUs in Oklahoma
Reports primary surgical repair of a torn knee cruciate ligament when the surgeon repairs the native ligament rather than performing a graft reconstruction.
CMS doesn’t publish an office rate for 27407 in Oklahoma.
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 27407 covers
This code represents primary surgical repair of a torn cruciate ligament in the knee, with augmentation or reinforcement included when performed. An orthopedic surgeon typically performs the operation in a hospital or ambulatory surgery center for a cruciate injury considered suitable for repair. The service is distinct from reconstruction that replaces or rebuilds ligament function with a graft, and from repair of a collateral ligament.
Select the code from the operative work, not the diagnosis alone. The report should identify the repaired cruciate ligament and describe the primary repair and any augmentation or reinforcement. Medicare assigns a 90-day global period: the day-before preoperative visit and related postoperative care during the following 90 days are included. 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.
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.
27407 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $697.22 |
How the 27407 rate is calculated
Each of 27407’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 · 27407
RVUs × geographic indexes × conversion factor
Work10.58
10.58 RVUs× 1.000 GPCI
Practice expense9.57
9.57 RVUs× 1.000 GPCI
Malpractice2.25
2.25 RVUs× 1.000 GPCI
Adjusted RVUs
22.4000
Conversion factor
$33.4009
Medicare rate
$748.18
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27407
27407 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27407
Cruciate 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 · 27407
Cruciate 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
27407 without 50 · national facility
$748.18
Cruciate ligament repair
27407-50 · Bilateral: 150%
$1,122.27
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).
27407 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27405Knee ligament repair
- 27405 is for primary repair of a knee collateral ligament. Use 27407 for primary repair of a cruciate ligament.
- 27409Knee ligament repair
- 27409 describes collateral ligament and/or capsule repair with local tissue. It is not the primary cruciate ligament repair represented by 27407.
- 27428Knee reconstruction
- 27428 represents intra-articular knee ligament reconstruction. Choose 27407 when the operative service is primary repair of the native torn cruciate ligament.
- 29888ACL surgery
- 29888 is the arthroscopically aided ACL repair or reconstruction code. Distinguish it from 27407 by the documented operative approach and whether the service is primary repair.
27407 billing questions
How is 27407 different from a knee ligament reconstruction code?
Use 27407 for primary repair of the native torn cruciate ligament, including any augmentation or reinforcement. A reconstruction code represents a reconstruction rather than this primary repair.
Can 27407 be reported for a collateral ligament repair?
No. This code is for a cruciate ligament; 27405 describes primary collateral ligament repair, while 27409 addresses collateral ligament and/or capsule repair with local tissue.
Is 27407 appropriate when the cruciate procedure is arthroscopically aided?
Compare the operative approach and work with the arthroscopically aided cruciate procedure codes. For example, 29888 covers arthroscopically aided ACL repair or reconstruction; 27407 represents primary repair rather than graft reconstruction.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How does Medicare handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction, with payment at 50%.
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.
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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