CPT code 27580: Knee fusion, arthrodesis, any technique2026 Medicare rate & RVUs in Delaware
Reports surgical fusion of the knee to create a stable, immobile joint, typically as salvage for severe pain, infection, or failed reconstruction.
In Delaware, Medicare pays $1,337.20 for 27580 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27580 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 27580 covers
Code 27580 describes an operation that fuses the knee joint, eliminating motion to provide a stable limb. Orthopedic surgeons may use it as a salvage procedure for a severely damaged or unstable knee, including some cases of infection or failed knee replacement when another reconstruction is not suitable. The procedure is generally performed in a hospital or other surgical facility.
Report the code when the surgeon performs knee arthrodesis, not for fracture fixation, manipulation of a stiff knee, or prosthesis removal alone. The operative report should support the fusion, the treated side, and the clinical reason for choosing arthrodesis. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 Delaware compares for 27580
Across 109 of 109 payment localities, the facility rate for 27580 runs from $1,210.50 in Arkansas to $1,666.82 in Alaska. Delaware pays $1,337.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$1,337.20
- Los Angeles, CA · California$1,429.52+$92.32
- Washington, DC area · District of Columbia$1,501.22+$164.02
- Miami, FL · Florida$1,598.81+$261.61
- Chicago, IL · Illinois$1,550.75+$213.55
- Manhattan, NY · New York$1,568.62+$231.42
- Alaska · Alaska$1,666.82+$329.62
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,226.28 |
| ArkansasArkansas | — | $1,210.50 |
| ArizonaArizona | — | $1,317.59 |
| Bakersfield, CACalifornia | — | $1,360.97 |
| Chico, CACalifornia | — | $1,348.97 |
| El Centro, CACalifornia | — | $1,349.69 |
| Fresno, CACalifornia | — | $1,348.97 |
| Hanford, CACalifornia | — | $1,348.97 |
| Madera, CACalifornia | — | $1,348.97 |
| Merced, CACalifornia | — | $1,348.97 |
| Modesto, CACalifornia | — | $1,348.97 |
| Napa, CACalifornia | — | $1,492.39 |
| Oxnard, CACalifornia | — | $1,414.09 |
| Redding, CACalifornia | — | $1,348.97 |
| Rest of CaliforniaCalifornia | — | $1,348.97 |
| Riverside, CACalifornia | — | $1,395.82 |
| Sacramento, CACalifornia | — | $1,397.00 |
| Salinas, CACalifornia | — | $1,391.47 |
| San Diego, CACalifornia | — | $1,410.98 |
| Marin County, CACalifornia | — | $1,555.27 |
| San Francisco, CACalifornia | — | $1,550.32 |
| San Benito County, CACalifornia | — | $1,593.49 |
| Santa Clara County, CACalifornia | — | $1,573.25 |
| San Luis Obispo, CACalifornia | — | $1,371.41 |
| Santa Cruz, CACalifornia | — | $1,413.84 |
| Santa Maria, CACalifornia | — | $1,393.07 |
| Santa Rosa, CACalifornia | — | $1,426.81 |
| Stockton, CACalifornia | — | $1,348.97 |
| Vallejo, CACalifornia | — | $1,485.25 |
| Visalia, CACalifornia | — | $1,348.97 |
| Yuba City, CACalifornia | — | $1,348.97 |
| ColoradoColorado | — | $1,364.50 |
| ConnecticutConnecticut | — | $1,439.26 |
| Fort Lauderdale, FLFlorida | — | $1,479.19 |
| Rest of FloridaFlorida | — | $1,405.02 |
| Atlanta, GAGeorgia | — | $1,394.43 |
| Rest of GeorgiaGeorgia | — | $1,326.32 |
| Hawaii, Guam, HIHawaii | — | $1,364.95 |
| IowaIowa | — | $1,222.55 |
| IdahoIdaho | — | $1,236.23 |
| East St. Louis, ILIllinois | — | $1,460.64 |
| Rest of IllinoisIllinois | — | $1,391.31 |
| Suburban Chicago, ILIllinois | — | $1,486.07 |
| IndianaIndiana | — | $1,241.78 |
| KansasKansas | — | $1,232.39 |
| KentuckyKentucky | — | $1,284.41 |
| New Orleans, LALouisiana | — | $1,343.74 |
| Rest of LouisianaLouisiana | — | $1,288.59 |
| Metropolitan Boston, MAMassachusetts | — | $1,468.17 |
| Rest of MassachusettsMassachusetts | — | $1,363.84 |
| Baltimore area, MDMaryland | — | $1,438.36 |
| Rest of MarylandMaryland | — | $1,355.93 |
| Rest of MaineMaine | — | $1,257.93 |
| Southern Maine, MEMaine | — | $1,296.31 |
| Detroit, MIMichigan | — | $1,436.37 |
| Rest of MichiganMichigan | — | $1,328.11 |
| MinnesotaMinnesota | — | $1,267.36 |
| Metropolitan Kansas City, MOMissouri | — | $1,319.55 |
| Metropolitan St. Louis, MOMissouri | — | $1,329.97 |
| Rest of MissouriMissouri | — | $1,278.91 |
| MississippiMississippi | — | $1,244.17 |
| MontanaMontana | — | $1,354.45 |
| North CarolinaNorth Carolina | — | $1,267.19 |
| North DakotaNorth Dakota | — | $1,268.24 |
| NebraskaNebraska | — | $1,223.96 |
| New HampshireNew Hampshire | — | $1,357.94 |
| Northern New JerseyNew Jersey | — | $1,491.46 |
| Rest of New JerseyNew Jersey | — | $1,444.38 |
| New MexicoNew Mexico | — | $1,340.68 |
| NevadaNevada | — | $1,330.94 |
| NYC suburbs and Long Island, NYNew York | — | $1,622.18 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,465.84 |
| Queens, NYNew York | — | $1,558.09 |
| Rest of New YorkNew York | — | $1,285.39 |
| OhioOhio | — | $1,310.49 |
| OklahomaOklahoma | — | $1,266.41 |
| Portland, OROregon | — | $1,386.40 |
| Rest of OregonOregon | — | $1,309.40 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,416.62 |
| Rest of PennsylvaniaPennsylvania | — | $1,303.92 |
| Puerto RicoPuerto Rico | — | $1,358.30 |
| Rhode IslandRhode Island | — | $1,369.29 |
| South CarolinaSouth Carolina | — | $1,293.22 |
| South DakotaSouth Dakota | — | $1,258.04 |
| TennesseeTennessee | — | $1,239.81 |
| Austin, TXTexas | — | $1,369.79 |
| Beaumont, TXTexas | — | $1,297.42 |
| Brazoria, TXTexas | — | $1,323.50 |
| Dallas, TXTexas | — | $1,338.16 |
| Fort Worth, TXTexas | — | $1,334.83 |
| Galveston, TXTexas | — | $1,331.53 |
| Houston, TXTexas | — | $1,411.34 |
| Rest of TexasTexas | — | $1,313.99 |
| UtahUtah | — | $1,308.56 |
| VirginiaVirginia | — | $1,303.05 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,358.30 |
| VermontVermont | — | $1,277.58 |
| Rest of WashingtonWashington | — | $1,356.54 |
| King County, WAWashington | — | $1,480.95 |
| WisconsinWisconsin | — | $1,232.04 |
| West VirginiaWest Virginia | — | $1,349.12 |
| WyomingWyoming | — | $1,316.88 |
27580 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 27580 rate is calculated
Each of 27580’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 · 27580
RVUs × geographic indexes × conversion factor
Work20.57
20.57 RVUs× 1.000 GPCI
Practice expense15.63
15.63 RVUs× 1.000 GPCI
Malpractice4.36
4.36 RVUs× 1.000 GPCI
Adjusted RVUs
40.5600
Conversion factor
$33.4009
Medicare rate
$1,354.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,954
- Code
- 27580
- Physician work
- 20.57
- Practice expense
- 15.63
- Malpractice
- 4.36
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.57 | × 1.005 | 20.6728 |
| Practice expense | 15.63 | × 0.988 | 15.4424 |
| Malpractice | 4.36 | × 0.899 | 3.9196 |
| Total RVUs | 40.0349 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1337.20
Facility: (20.57 × 1.005 + 15.63 × 0.988 + 4.36 × 0.899) × $33.4009 = $1337.20
Payment rules and modifiers for 27580
27580 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27580
Knee fusion, arthrodesis, any technique
| 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 · 27580
Knee fusion, arthrodesis, any technique
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
27580 without 50 · national facility
$1,354.74
Knee fusion, arthrodesis, any technique
27580-50 · Bilateral: 150%
$2,032.11
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 27580 has changed in Delaware
27580 · 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 | $1,337.20 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,337.20 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,337.20 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,337.20 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,438.97 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,438.97 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,438.97 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,438.97 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,475.14 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,475.14 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,475.14 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,475.14 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,451.07 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,497.77 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,497.77 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,497.77 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,497.77 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,524.60 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,524.60 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,524.60 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,524.60 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,518.03 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,518.03 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,518.03 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,518.03 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,543.10 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,543.10 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,543.10 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,543.10 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,532.77 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,532.77 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,532.77 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,532.77 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,525.85 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,525.85 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,525.85 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,525.85 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,522.16 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,522.16 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,522.16 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,522.16 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,521.70 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,521.70 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,521.70 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,521.70 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,527.67 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,527.67 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,520.07 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,520.07 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,485.49 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,485.49 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,485.49 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,485.49 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,441.56 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,441.56 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,441.56 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,441.56 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
27580 billing questions
When should I report 27580 instead of a knee replacement code?
Use 27580 when the surgeon fuses the knee rather than replacing or revising its joint surfaces. The operative report should document the arthrodesis and its salvage rationale.
Can prosthesis removal be reported with the fusion?
A surgeon may remove an infected or failed knee prosthesis as part of a salvage operation before fusion. Code 27488 describes knee prosthesis removal; document the work performed and consider applicable coding edits.
Does 27580 include routine postoperative visits?
Yes. Its 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How does Medicare handle an assistant or co-surgeon?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
How is bilateral knee fusion reported?
For bilateral procedures reported with modifier 50, CMS pays 150%. The documentation should establish that both knees were treated.
What happens when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
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
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