CPT code 27486: Knee revision, one prosthetic component2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,407.12 for 27486 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27486 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 27486 covers

An orthopedic surgeon uses this code when revising one component of an existing total knee replacement, such as a femoral or tibial component. Typical reasons include component loosening, wear, or instability. The operation may include removing the old component and placing its replacement; the code also covers use of allograft. These revisions are generally performed in an operating room, usually in a hospital or ambulatory surgery setting.

Select this code when the operative report supports revision of one component, rather than revision of both components. Document the existing prosthesis, the component revised, the reason for revision, and the work performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 27486

Across 109 of 109 payment localities, the facility rate for 27486 runs from $1,142.14 in Arkansas to $1,582.26 in Alaska. Washington, DC area pays $1,407.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27486 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 27486 in every payment locality

How the 27486 rate is calculated

Each of 27486’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 27486

27486 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 27486

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 27486 has changed in Washington, DC area

Price 27486 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates