{
    "code": "27447",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/27447/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/27447/2021/D",
    "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 Q4 2021?",
        "text": "Medicare paid $1,320.70 for CPT 27447 in the office (non-facility) setting and $1,320.70 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it decreased 6.6%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "D",
        "label": "Q4 2021",
        "effective": "October 1 – December 31, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1320.7,
        "facility": 1320.7,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 19.6,
        "practice_expense_non_facility": 14.37,
        "practice_expense_facility": 14.37,
        "malpractice": 3.88
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q4 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/D",
        "file": "PPRRVU21_OCT.csv",
        "row": 7445,
        "sha256": "f1972bd23bdc51795ceba7d536bb413a0ba0b47fad8c2ed594e7ee7799877297"
    },
    "modified_at": "2026-08-04T03:10:59+00:00"
}