Billing code 27552: Knee reductionMedicare rate & RVUs in Oklahoma

Report this service for closed reduction of a dislocated tibiofemoral knee when anesthesia is required, rather than reduction without anesthesia or open treatment.

CMS RVU26DEffective Oct 1, 20261 payment locality187 Medicare services in 2024

CMS doesn’t publish an office rate for 27552 in Oklahoma.

—Office (non-facility)
$563.37Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27552 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Oklahoma
  2. What 27552 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 27552 covers

This service covers closed reduction of a tibiofemoral knee dislocation when anesthesia is required. The clinician restores the joint alignment without surgically opening the knee; an orthopedic surgeon commonly performs the reduction in an operating room or another setting equipped to provide anesthesia. A traumatic knee dislocation is distinct from a dislocated patella, which involves the kneecap rather than the tibiofemoral joint.

Choose this code when the record supports a knee dislocation, a closed reduction, and the need for anesthesia. Document the injury, reduction performed, and anesthesia context; use the code for reduction without anesthesia when that is the service instead. This is a major procedure with 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 requires documented medical necessity; co-surgeons and team surgery are 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.

27552 in Oklahoma

27552 office and facility rates by payment locality
Payment localityOfficeFacility
OklahomaUnavailable$563.37

How the 27552 rate is calculated

Each of 27552’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 · 27552

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.98Practice expense 8.49Malpractice 1.68

18.1500 adjusted RVUs×$33.4009 conversion factor=$606.23

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27552

27552 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27552

Knee reduction

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27552

Knee reduction

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27552 without 50 · national facility

$606.23

Knee reduction

27552-50 · Bilateral: 150%

$909.35

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).

When to use modifier 50

27552 compared with similar codes

Compare codes

27552 vs 27550 vs 27556 vs 27557 vs 27562: national Medicare rates

Swap in your local Medicare rate.

  • 27552
    Knee reduction · 7.98 wRVU
    —
  • 27550
    Knee dislocation · 5.83 wRVU
    $618.25
  • 27556
    Knee dislocation · 12.68 wRVU
    —
  • 27557
    Knee dislocation · 15.5 wRVU
    —
  • 27562
    Patellar reduction · 5.83 wRVU
    —

How to choose

27550Knee dislocation
Both concern closed treatment of tibiofemoral knee dislocation. Choose 27550 when treatment is without anesthesia; choose 27552 when anesthesia is required.
27556Knee dislocation
27556 represents open treatment of knee dislocation. This code is for closed reduction under anesthesia, without surgically opening the knee.
27557Knee dislocation
Use 27557 for open treatment involving repair of ligamentous or capsular structures. This code covers closed reduction under anesthesia.
27562Patellar reduction
27562 concerns patellar dislocation treatment requiring anesthesia. This code is for tibiofemoral knee dislocation.

27552 billing questions

How does this differ from 27550?

Use 27552 when closed reduction of the tibiofemoral knee dislocation requires anesthesia. Code 27550 is for closed treatment without anesthesia.

Can the reduction be coded with open treatment?

This code describes closed reduction. If the knee is surgically opened for treatment, consider the applicable open-treatment code, such as 27556 or 27557, based on the procedure performed.

Is a dislocated kneecap reported with this code?

No. This code concerns tibiofemoral knee dislocation; patellar dislocation treatment is represented by codes such as 27560 or 27562, depending on the circumstances.

What documentation supports reporting 27552?

Document the tibiofemoral knee dislocation, the closed reduction, and that anesthesia was required. The record should make clear that the service was not an open reduction.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

When is an assistant at surgery payable?

CMS payment for an assistant at surgery is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.

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
RVUs for 27552PPRRVU2026_Oct_nonQPP.csv, line 2,946 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

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