Common surgery & pain management

27447 - RVUs & Medicare payment (2026)

Total knee arthroplasty (knee replacement).

Component	Non-facility	Facility
Work RVU	19.11	19.11
Practice expense RVU	11.58	11.58
Malpractice RVU	4.02	4.02
Total RVUs	34.71	34.71
National payment (CF $33.4009)	$1,159.35	$1,159.35
Qualifying APM payment (CF $33.5675)	$1,165.13	$1,165.13

How 27447 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 27447 ranges from $1,039.69 in Arkansas (AR) to $1,443.34 in Alaska (AK); calculate 27447 for your locality.

Alaska (AK) $1,443.34 NYC Suburbs/Long Island (NY) $1,388.37 Miami (FL) $1,380.50 Manhattan (NY) $1,341.54 Chicago (IL) $1,339.63 San Jose-Sunnyvale-Santa Clara (CA) $1,338.21 Queens (NY) $1,329.94 San Jose-Sunnyvale-Santa Clara (CA) $1,319.55 National average $1,159.35 … 97 more localities between … Wisconsin (WI) $1,050.18 Nebraska (NE) $1,046.05 Iowa (IA) $1,045.50 Arkansas (AR) $1,039.69

Non-facility payment for 27447 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: 090

90-day global period: routine pre- and post-operative care within 90 days is included in the payment.

Related codes - common surgery & pain management

29881 · knee arthroscopy with meniscectomy
27130 · total hip arthroplasty (hip replacement)
47562 · laparoscopic cholecystectomy (gallbladder removal)
49505 · open repair of inguinal hernia, initial
19120 · excision of breast lesion
63030 · lumbar discectomy, single level
62323 · lumbar/caudal epidural injection with imaging guidance
64483 · transforaminal epidural injection, lumbar/sacral, first level
64493 · facet joint injection, lumbar/sacral, first level
59400 · vaginal delivery with antepartum and postpartum care

Frequently asked questions

How much does Medicare pay for 27447 in 2026?

The national non-facility payment is $1,159.35 and the facility payment is $1,159.35, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 27447?

The 2026 work RVU for 27447 is 19.11. Total RVUs are 34.71 in the non-facility setting and 34.71 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.