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Tier 1payment_scheduleApprovedev-us-asc-addenda-apr2026

April 2026 ASC Approved HCPCS Code and Payment Rates, Addenda AA and FF

Centers for Medicare & Medicaid Services (CMS)

Summary

CPT 27447 total knee arthroplasty, payment indicator J8, payment weight 166.776, ASC payment rate 9,393.16 dollars. The same code maps to APC 5115 with a hospital outpatient payment rate of 12,665.27 dollars, a device offset percentage of 0.4417 and a device offset amount of 5,594.25 dollars. J8 is the device-intensive rate, so the implant and any robotic consumable sit inside the facility payment rather than on top of it.

Supporting location Addendum AA row 27447; Addendum FF row 27447

Open source

Published

Applicable from

1 Apr 2026

Accessed

2 Sep 2026

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