CPT code 27488: Knee prosthesis removal, spacer may be inserted2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $1,057.35 for 27488 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27488 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 27488 covers

An orthopedic surgeon removes implanted knee prosthetic components and associated cement when the treatment plan calls for explantation rather than definitive revision at that operation. A typical situation is the first stage of treating an infected knee replacement, when components are removed and a temporary spacer may be placed. The service is generally performed in an operating room, often in a hospital facility.

Select this code when the operative work is removal of the knee prosthesis, with or without spacer placement; a definitive revision replacing one or both components is represented by a different service. The operative report should identify the indication, components removed, and whether a spacer was inserted. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and others at 50%. 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 Virginia compares for 27488

Across 109 of 109 payment localities, the facility rate for 27488 runs from $983.91 in Arkansas to $1,358.39 in Alaska. Virginia pays $1,057.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27488 rates by state

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

See 27488 in every payment locality

How the 27488 rate is calculated

Each of 27488’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 27488

27488 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 27488

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

How 27488 has changed in Virginia

Price 27488 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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