{
    "code": "27447",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/27447/2018/A",
    "release_specific_url": "https://localishealth.com/cpt/27447/2018/C",
    "description": "Removal of the worn joint surfaces of the knee, in both the inner and outer compartments, and replacement with an artificial implant. It is the definitive surgical treatment for advanced knee arthritis.",
    "answer": {
        "question": "How much did Medicare pay for CPT 27447 in Q3 2018?",
        "text": "Medicare paid $1,408.30 for CPT 27447 in the office (non-facility) setting and $1,408.30 in a facility under the Q3 2018 Physician Fee Schedule, effective July 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 0.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2018,
        "quarter": "C",
        "label": "Q3 2018",
        "effective": "July 1 – September 30, 2018",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1408.3,
        "facility": 1408.3,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 20.72,
        "practice_expense_non_facility": 14.41,
        "practice_expense_facility": 14.41,
        "malpractice": 3.99
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9996,
    "source": {
        "label": "Physician relative value file (Q3 2018)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18c1.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2018/C",
        "file": "PPRRVU18_JUL.csv",
        "row": 6864,
        "sha256": "514e3c115f8e62a35eb5f78fef7ed12ed7b60b22a5fe3f3f1bb5aadf119663c5"
    },
    "modified_at": "2026-08-04T03:08:27+00:00"
}