CPT code 27487: Knee revision, both femoral and tibial components2026 Medicare rate & RVUs in Mississippi
Reports revision of a total knee replacement involving replacement of both femoral and tibial components, whether or not the patellar component is revised.
In Mississippi, Medicare pays $1,455.55 for 27487 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27487 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 27487 covers
An orthopedic surgeon performs this operation to revise a failed total knee replacement, replacing both the femoral and tibial components. Common clinical reasons for revision include loosening, wear, instability, or infection involving the prosthesis. The patellar component may also be revised or may remain in place. The service is typically performed in an operating room, often in a hospital facility.
Report this code when the operative record supports replacement of both the femoral and entire tibial components; replacement of only one component points to the related single-component revision code. Documentation should identify the existing knee prosthesis, the reason for revision, and the components removed and replaced. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 Mississippi compares for 27487
Across 109 of 109 payment localities, the facility rate for 27487 runs from $1,412.64 in Arkansas to $1,964.73 in Alaska. Mississippi pays $1,455.55. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$1,455.55
- Los Angeles, CA · California$1,640.22+$184.67
- Washington, DC area · District of Columbia$1,733.16+$277.61
- Miami, FL · Florida$1,881.20+$425.65
- Chicago, IL · Illinois$1,825.44+$369.89
- Manhattan, NY · New York$1,822.38+$366.83
- Alaska · Alaska$1,964.73+$509.18
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,430.25 |
| ArkansasArkansas | — | $1,412.64 |
| ArizonaArizona | — | $1,531.94 |
| Bakersfield, CACalifornia | — | $1,566.61 |
| Chico, CACalifornia | — | $1,551.19 |
| El Centro, CACalifornia | — | $1,552.12 |
| Fresno, CACalifornia | — | $1,551.19 |
| Hanford, CACalifornia | — | $1,551.19 |
| Madera, CACalifornia | — | $1,551.19 |
| Merced, CACalifornia | — | $1,551.19 |
| Modesto, CACalifornia | — | $1,551.19 |
| Napa, CACalifornia | — | $1,698.60 |
| Oxnard, CACalifornia | — | $1,620.57 |
| Redding, CACalifornia | — | $1,551.19 |
| Rest of CaliforniaCalifornia | — | $1,551.19 |
| Riverside, CACalifornia | — | $1,611.36 |
| Sacramento, CACalifornia | — | $1,601.77 |
| Salinas, CACalifornia | — | $1,595.34 |
| San Diego, CACalifornia | — | $1,614.25 |
| Marin County, CACalifornia | — | $1,764.11 |
| San Francisco, CACalifornia | — | $1,757.75 |
| San Benito County, CACalifornia | — | $1,807.91 |
| Santa Clara County, CACalifornia | — | $1,781.91 |
| San Luis Obispo, CACalifornia | — | $1,572.89 |
| Santa Cruz, CACalifornia | — | $1,614.78 |
| Santa Maria, CACalifornia | — | $1,596.23 |
| Santa Rosa, CACalifornia | — | $1,629.28 |
| Stockton, CACalifornia | — | $1,551.19 |
| Vallejo, CACalifornia | — | $1,689.43 |
| Visalia, CACalifornia | — | $1,551.19 |
| Yuba City, CACalifornia | — | $1,551.19 |
| ColoradoColorado | — | $1,576.45 |
| ConnecticutConnecticut | — | $1,670.31 |
| DelawareDelaware | — | $1,553.98 |
| Fort Lauderdale, FLFlorida | — | $1,732.21 |
| Rest of FloridaFlorida | — | $1,646.40 |
| Atlanta, GAGeorgia | — | $1,622.84 |
| Rest of GeorgiaGeorgia | — | $1,555.92 |
| Hawaii, Guam, HIHawaii | — | $1,564.91 |
| IowaIowa | — | $1,418.83 |
| IdahoIdaho | — | $1,435.57 |
| East St. Louis, ILIllinois | — | $1,723.81 |
| Rest of IllinoisIllinois | — | $1,635.92 |
| Suburban Chicago, ILIllinois | — | $1,738.72 |
| IndianaIndiana | — | $1,441.54 |
| KansasKansas | — | $1,433.29 |
| KentuckyKentucky | — | $1,502.60 |
| New Orleans, LALouisiana | — | $1,570.18 |
| Rest of LouisianaLouisiana | — | $1,508.62 |
| Metropolitan Boston, MAMassachusetts | — | $1,688.05 |
| Rest of MassachusettsMassachusetts | — | $1,577.42 |
| Baltimore area, MDMaryland | — | $1,669.81 |
| Rest of MarylandMaryland | — | $1,574.06 |
| Rest of MaineMaine | — | $1,463.44 |
| Southern Maine, MEMaine | — | $1,500.96 |
| Detroit, MIMichigan | — | $1,685.17 |
| Rest of MichiganMichigan | — | $1,554.74 |
| MinnesotaMinnesota | — | $1,457.47 |
| Metropolitan Kansas City, MOMissouri | — | $1,539.43 |
| Metropolitan St. Louis, MOMissouri | — | $1,550.67 |
| Rest of MissouriMissouri | — | $1,500.01 |
| MontanaMontana | — | $1,574.14 |
| North CarolinaNorth Carolina | — | $1,473.18 |
| North DakotaNorth Dakota | — | $1,463.41 |
| NebraskaNebraska | — | $1,419.32 |
| New HampshireNew Hampshire | — | $1,571.83 |
| Northern New JerseyNew Jersey | — | $1,723.60 |
| Rest of New JerseyNew Jersey | — | $1,674.40 |
| New MexicoNew Mexico | — | $1,570.23 |
| NevadaNevada | — | $1,543.79 |
| NYC suburbs and Long Island, NYNew York | — | $1,886.70 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,701.47 |
| Queens, NYNew York | — | $1,805.54 |
| Rest of New YorkNew York | — | $1,493.73 |
| OhioOhio | — | $1,532.11 |
| OklahomaOklahoma | — | $1,478.81 |
| Portland, OROregon | — | $1,596.78 |
| Rest of OregonOregon | — | $1,516.95 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,647.20 |
| Rest of PennsylvaniaPennsylvania | — | $1,522.85 |
| Puerto RicoPuerto Rico | — | $1,577.26 |
| Rhode IslandRhode Island | — | $1,587.75 |
| South CarolinaSouth Carolina | — | $1,508.11 |
| South DakotaSouth Dakota | — | $1,450.32 |
| TennesseeTennessee | — | $1,441.99 |
| Austin, TXTexas | — | $1,584.23 |
| Beaumont, TXTexas | — | $1,515.82 |
| Brazoria, TXTexas | — | $1,535.89 |
| Dallas, TXTexas | — | $1,553.88 |
| Fort Worth, TXTexas | — | $1,551.27 |
| Galveston, TXTexas | — | $1,545.88 |
| Houston, TXTexas | — | $1,648.38 |
| Rest of TexasTexas | — | $1,530.64 |
| UtahUtah | — | $1,525.16 |
| VirginiaVirginia | — | $1,510.95 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,577.26 |
| VermontVermont | — | $1,477.07 |
| Rest of WashingtonWashington | — | $1,568.04 |
| King County, WAWashington | — | $1,698.99 |
| WisconsinWisconsin | — | $1,423.89 |
| West VirginiaWest Virginia | — | $1,589.02 |
| WyomingWyoming | — | $1,525.89 |
27487 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 27487 rate is calculated
Each of 27487’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.
How the rate is built · 27487
RVUs × geographic indexes × conversion factor
Work26.43
26.43 RVUs× 1.000 GPCI
Practice expense15.11
15.11 RVUs× 1.000 GPCI
Malpractice5.60
5.60 RVUs× 1.000 GPCI
Adjusted RVUs
47.1400
Conversion factor
$33.4009
Medicare rate
$1,574.52
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,915
- Code
- 27487
- Physician work
- 26.43
- Practice expense
- 15.11
- Malpractice
- 5.60
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.43 | × 1.000 | 26.4300 |
| Practice expense | 15.11 | × 0.861 | 13.0097 |
| Malpractice | 5.60 | × 0.739 | 4.1384 |
| Total RVUs | 43.5781 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$1455.55
Facility: (26.43 × 1 + 15.11 × 0.861 + 5.6 × 0.739) × $33.4009 = $1455.55
Payment rules and modifiers for 27487
27487 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27487
Knee revision, both femoral and tibial components
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27487
Knee revision, both femoral and tibial components
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27487 without 50 · national facility
$1,574.52
Knee revision, both femoral and tibial components
27487-50 · Bilateral: 150%
$2,361.78
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 27487 has changed in Mississippi
27487 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,455.55 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,455.55 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,455.55 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,455.55 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,575.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,575.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,575.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,575.42 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,610.03 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,610.03 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,610.03 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,610.03 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,583.75 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,618.04 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,618.04 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,618.04 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,618.04 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,626.16 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,626.16 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,626.16 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,626.16 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,635.36 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,635.36 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,635.36 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,635.36 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,648.03 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,648.03 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,648.03 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,648.03 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,622.46 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,622.46 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,622.46 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,622.46 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,622.97 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,622.97 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,622.97 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,622.97 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,636.97 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,636.97 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,636.97 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,636.97 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,653.84 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,653.84 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,653.84 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,653.84 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,660.78 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,660.78 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,652.51 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,652.51 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,663.97 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,663.97 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,663.97 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,663.97 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,641.06 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,641.06 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,641.06 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,641.06 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
27487 billing questions
When should I report this instead of 27486?
Use this code when the revision replaces both the femoral and entire tibial components. A revision limited to one component is reported with 27486.
Can the patellar component remain in place?
Yes. The femoral and tibial component replacement defines the service; the patellar component may be revised or retained.
Can removal of the old components be billed separately?
Removal performed as part of replacing both components is part of the revision service. Code 27488 is for removal of a knee prosthesis when removal, rather than replacement, is performed.
What documentation supports the component selection?
The operative report should state the reason for revision and identify the femoral and entire tibial components removed and replaced. It should also clarify whether the patellar component was revised or retained.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those related services are included in the surgical global package.
How is bilateral reporting handled?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays it at 150%. The standard same-session multiple-procedure reduction may also affect other procedures on the claim.
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
Show the CMS file lines behind this rate
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