No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
27409 Knee ligament repair Medicare reimbursement rates in Vermont
Report this code for primary surgical repair of both collateral and cruciate ligament injuries in the same knee, rather than reconstruction. Compare 27409 office and facility rates across CMS payment localities in Vermont.
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 27409 in Vermont?
Vermont 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
$845.58
1 of 1 localities have a supported rate.
Payment area: Vermont
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 27409: Primary repair of collateral and cruciate knee ligaments
Report this code for primary surgical repair of both collateral and cruciate ligament injuries in the same knee, rather than reconstruction.
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.
CMS billing rules for 27409
- 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 RVU13.37 · 50%
- Practice expense (office) RVU10.61 · 40%
- Malpractice RVU2.85 · 11%
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 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Use 27407 for primary repair of the cruciate ligament group alone. Use 27409 when the collateral ligament group is also primarily repaired.
No office rate
27429 describes combined intra-articular and extra-articular ligament reconstruction. This code describes primary repair of torn collateral and cruciate ligament groups.
Compare 27409 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
Vermont →
Office / nonfacility
Unavailable
Facility
$845.58
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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 27409 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,878
- Code
- 27409
- Physician work
- 13.37
- Practice expense
- 10.61
- Malpractice
- 2.85
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.37 | × 1.000 | 13.3700 |
| Practice expense | 10.61 | × 0.990 | 10.5039 |
| Malpractice | 2.85 | × 0.506 | 1.4421 |
| Total RVUs | 25.3160 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$845.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.37 | 1 |
| Practice expense | 10.61 | 0.99 |
| Malpractice | 2.85 | 0.506 |
(13.37 × 1 + 10.61 × 0.99 + 2.85 × 0.506) × $33.4009 = $845.58
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.
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 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.
2,87527403,,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
2,88027415,,Osteochondral knee allograft,A,,19.50,14.03,NA,14.03,,4.15,37.68,37.68,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,88127416,,Osteochondral knee autograft,A,,13.81,10.27,NA,10.27,,2.94,27.02,27.02,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817