Billing code 27562: Patellar reductionMedicare rate & RVUs in Washington
Reports closed reduction of a dislocated kneecap when anesthesia is required, rather than open repair or treatment of a dislocation of the knee joint.
CMS doesn’t publish an office rate for 27562 in Washington.
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 27562 covers
An orthopedic surgeon uses closed manipulation to return a displaced patella to its normal position when anesthesia is required. The kneecap is reduced without surgically exposing the joint; the service may be performed in an operating room or another setting equipped for anesthesia. This code concerns patellar dislocation, not a dislocation of the tibiofemoral knee joint or a patellar fracture.
Report the service when documentation identifies the affected patella and supports closed reduction under anesthesia. Distinguish it from closed patellar treatment without anesthesia and from open treatment. CMS assigns a 90-day global period, including 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 are subject to the standard 50% reduction. For bilateral treatment, 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.
Where 27562 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $481.56 |
| Seattle (King Cnty) | Unavailable | $532.83 |
How the 27562 rate is calculated
Each of 27562’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 · 27562
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.83Practice expense 7.18Malpractice 1.25
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27562
27562 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27562
Patellar reduction
| 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 27562
Patellar 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27562 without 50 · national facility
$476.30
Patellar reduction
27562-50 · Bilateral: 150%
$714.45
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).
27562 compared with similar codes
Compare codes
27562 vs 27560 vs 27566 vs 27552: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27560Patellar dislocation
- Both codes concern closed treatment of patellar dislocation. Choose 27562 when anesthesia is required; choose 27560 when it is not.
- 27566Patellar dislocation
- Use 27566 when the patellar dislocation is treated with open surgical exposure; 27562 describes closed reduction under anesthesia.
- 27552Knee reduction
- 27552 concerns closed treatment under anesthesia of a knee-joint dislocation. 27562 is specific to dislocation of the patella.
27562 billing questions
When is 27562 reported instead of 27560?
Use 27562 when closed treatment of the patellar dislocation requires anesthesia. Use 27560 for closed treatment without anesthesia.
How does 27562 differ from 27566?
27562 describes closed reduction under anesthesia. 27566 is used for open treatment of the patellar dislocation.
Can this code be used for any knee dislocation?
No. It is for dislocation of the patella. A dislocation of the tibiofemoral knee joint belongs to a different code family.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment paid?
CMS pays bilateral treatment reported with modifier 50 at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are 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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