Specialty rate rollup
Orthopedics
Joint injections, arthroscopy, and major joint replacement — the common procedural mix for an orthopedic practice.
Current national rates
Q3 2025 releaseNon-facility amounts, GPCI 1.000, before sequestration. Change is versus the prior release.
| Code | Status | National amount | Change |
|---|---|---|---|
| 99213 Established Patient Office Visit, Level 3 | Active | $88.95 | — |
| 99214 Established Patient Office Visit, Level 4 | Active | $125.18 | — |
| 20610 Major Joint Injection or Aspiration | Active | $63.40 | — |
| 20550 Tendon Sheath, Ligament, or Fascia Injection | Active | $56.61 | — |
| 29881 Knee Arthroscopy with Meniscectomy | Active | $538.25 | — |
| 29826 Arthroscopic Shoulder Decompression (Add-On) | Active | $166.58 | — |
| 27447 Total Knee Replacement | Active | $1,257.63 | — |
| 27130 Total Hip Replacement | Active | $1,259.25 | — |
Need a locality-adjusted rate or a specific setting? Use the rate calculator. Every code above also has its own page with a contracted-rate (% of Medicare) table and a full RVU breakdown.
These amounts shift with where you practice — local GPCIs move most of them a few percent either way. Browse Medicare payment localities or look up yours by ZIP code.
Model Orthopedics's blended payer mix
Blended-rate modeling across a specialty's payer mix isn't built yet — it's on the roadmap, and how loudly orthopedics asks for it is part of what decides when.
Get notified when Orthopedics rates change
Medicare updates the fee schedule every quarter. We'll email you when a release moves rates, tagged to Orthopedics.
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Source & method
National amounts computed from the CMS Medicare Physician Fee Schedule Q3 2025 release, GPCI 1.000, before the ~2% sequestration cut. This code list is our own clean-room grouping by common clinical scenario, not the AMA's code-family taxonomy. A code with no amount shown is either not separately payable under the PFS or was not in this release — never a fake $0.