CPT code 27487: Knee revision, both femoral and tibial components2026 Medicare rate & RVUs in South Carolina

Reports revision of a total knee replacement involving replacement of both femoral and tibial components, whether or not the patellar component is revised.

CMS RVU26DEffective Oct 1, 2026One payment locality25.9K Medicare services in 2024

In South Carolina, Medicare pays $1,508.11 for 27487 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,508.11Hospital or facility

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.

We’ll open 27487 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 27487 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 South Carolina 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. South Carolina pays $1,508.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

27487 in South Carolina vs other payment areas
  1. South Carolina · this page$1,508.11
  2. Los Angeles, CA · California$1,640.22+$132.11
  3. Washington, DC area · District of Columbia$1,733.16+$225.05
  4. Miami, FL · Florida$1,881.20+$373.09
  5. Chicago, IL · Illinois$1,825.44+$317.33
  6. Manhattan, NY · New York$1,822.38+$314.27
  7. Alaska · Alaska$1,964.73+$456.62

Other areas in South Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

27487 in every other Medicare payment locality
Payment localityOfficeFacility
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

27487 rates by state

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

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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
27487 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 27487 in every payment locality

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

Office or facility?

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 South Carolina 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

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Facility calculation for 27487 in South Carolina
ComponentRVULocality factorAdjusted
Physician work26.43× 1.00026.4300
Practice expense15.11× 0.92413.9616
Malpractice5.60× 0.8504.7600
Total RVUs45.1516
Conversion factor× 33.4009

Facility rate, South Carolina$1508.11

Facility: (26.43 × 1 + 15.11 × 0.924 + 5.6 × 0.85) × $33.4009 = $1508.11

Open 27487 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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).

When to use modifier 50

How 27487 has changed in South Carolina

27487 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,508.11RVU26D
2026-07-01Not available in this setting$1,508.11RVU26C
2026-04-01Not available in this setting$1,508.11RVU26B
2026-01-01Not available in this setting$1,508.11RVU26A
2025-10-01Not available in this setting$1,624.37RVU25D
2025-07-01Not available in this setting$1,624.37RVU25C
2025-04-01Not available in this setting$1,624.37RVU25B
2025-01-01Not available in this setting$1,624.37RVU25A
2024-10-01Not available in this setting$1,659.58RVU24D
2024-07-01Not available in this setting$1,659.58RVU24C
2024-04-01Not available in this setting$1,659.58RVU24B
2024-03-09Not available in this setting$1,659.58RVU24AR
2024-01-01Not available in this setting$1,632.49RVU24A
2023-10-01Not available in this setting$1,665.49RVU23D
2023-07-01Not available in this setting$1,665.49RVU23C
2023-04-01Not available in this setting$1,665.49RVU23B
2023-01-01Not available in this setting$1,665.49RVU23A
2022-10-01Not available in this setting$1,671.26RVU22D
2022-07-01Not available in this setting$1,671.26RVU22C
2022-04-01Not available in this setting$1,671.26RVU22B
2022-01-01Not available in this setting$1,671.26RVU22A
2021-10-01Not available in this setting$1,680.68RVU21D
2021-07-01Not available in this setting$1,680.68RVU21C
2021-04-01Not available in this setting$1,680.68RVU21B
2021-01-01Not available in this setting$1,680.68RVU21A
2020-10-01Not available in this setting$1,701.82RVU20D
2020-07-01Not available in this setting$1,701.82RVU20C
2020-04-01Not available in this setting$1,701.82RVU20B
2020-01-01Not available in this setting$1,701.82RVU20A
2019-10-01Not available in this setting$1,685.04RVU19D
2019-07-01Not available in this setting$1,685.04RVU19C
2019-04-01Not available in this setting$1,685.04RVU19B
2019-01-01Not available in this setting$1,685.04RVU19A
2018-10-01Not available in this setting$1,685.35RVU18D
2018-07-01Not available in this setting$1,685.35RVU18C
2018-04-01Not available in this setting$1,685.35RVU18B
2018-01-01Not available in this setting$1,685.35RVU18AR1
2017-10-01Not available in this setting$1,693.46RVU17D
2017-07-01Not available in this setting$1,693.46RVU17C
2017-04-01Not available in this setting$1,693.46RVU17B
2017-01-01Not available in this setting$1,693.46RVU17A
2016-10-01Not available in this setting$1,704.73RVU16D
2016-07-01Not available in this setting$1,704.73RVU16C
2016-04-01Not available in this setting$1,704.73RVU16B
2016-01-01Not available in this setting$1,704.73RVU16A
2015-10-01Not available in this setting$1,711.98RVU15D
2015-07-01Not available in this setting$1,711.98RVU15C
2015-04-01Not available in this setting$1,703.46RVU15B
2015-01-01Not available in this setting$1,703.46RVU15A
2014-10-01Not available in this setting$1,681.50RVU14D
2014-07-01Not available in this setting$1,681.50RVU14C
2014-04-01Not available in this setting$1,681.50RVU14B
2014-01-01Not available in this setting$1,681.50RVU14A
2013-10-01Not available in this setting$1,626.10RVU13D
2013-07-01Not available in this setting$1,626.10RVU13C
2013-04-01Not available in this setting$1,626.10RVU13B
2013-01-01Not available in this setting$1,626.10RVU13AR

Price 27487 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

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
RVUs for 27487PPRRVU2026_Oct_nonQPP.csv, line 2,915 (RVU26D)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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