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.

CMS RVU26DEffective Oct 1, 2026One payment locality339 Medicare services in 2024

In Delaware, Medicare pays $1,337.20 for 27580 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,337.20Hospital or facility

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.

We’ll open 27580 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 27580 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 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.

27580 in Delaware vs other payment areas
  1. Delaware · this page$1,337.20
  2. Los Angeles, CA · California$1,429.52+$92.32
  3. Washington, DC area · District of Columbia$1,501.22+$164.02
  4. Miami, FL · Florida$1,598.81+$261.61
  5. Chicago, IL · Illinois$1,550.75+$213.55
  6. Manhattan, NY · New York$1,568.62+$231.42
  7. Alaska · Alaska$1,666.82+$329.62

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

Every other payment area

27580 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
27580 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 27580 in every payment locality

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

Office or facility?

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
Facility calculation for 27580 in Delaware
ComponentRVULocality factorAdjusted
Physician work20.57× 1.00520.6728
Practice expense15.63× 0.98815.4424
Malpractice4.36× 0.8993.9196
Total RVUs40.0349
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

Open 27580 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

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.

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$1,337.20RVU26D
2026-07-01Not available in this setting$1,337.20RVU26C
2026-04-01Not available in this setting$1,337.20RVU26B
2026-01-01Not available in this setting$1,337.20RVU26A
2025-10-01Not available in this setting$1,438.97RVU25D
2025-07-01Not available in this setting$1,438.97RVU25C
2025-04-01Not available in this setting$1,438.97RVU25B
2025-01-01Not available in this setting$1,438.97RVU25A
2024-10-01Not available in this setting$1,475.14RVU24D
2024-07-01Not available in this setting$1,475.14RVU24C
2024-04-01Not available in this setting$1,475.14RVU24B
2024-03-09Not available in this setting$1,475.14RVU24AR
2024-01-01Not available in this setting$1,451.07RVU24A
2023-10-01Not available in this setting$1,497.77RVU23D
2023-07-01Not available in this setting$1,497.77RVU23C
2023-04-01Not available in this setting$1,497.77RVU23B
2023-01-01Not available in this setting$1,497.77RVU23A
2022-10-01Not available in this setting$1,524.60RVU22D
2022-07-01Not available in this setting$1,524.60RVU22C
2022-04-01Not available in this setting$1,524.60RVU22B
2022-01-01Not available in this setting$1,524.60RVU22A
2021-10-01Not available in this setting$1,518.03RVU21D
2021-07-01Not available in this setting$1,518.03RVU21C
2021-04-01Not available in this setting$1,518.03RVU21B
2021-01-01Not available in this setting$1,518.03RVU21A
2020-10-01Not available in this setting$1,543.10RVU20D
2020-07-01Not available in this setting$1,543.10RVU20C
2020-04-01Not available in this setting$1,543.10RVU20B
2020-01-01Not available in this setting$1,543.10RVU20A
2019-10-01Not available in this setting$1,532.77RVU19D
2019-07-01Not available in this setting$1,532.77RVU19C
2019-04-01Not available in this setting$1,532.77RVU19B
2019-01-01Not available in this setting$1,532.77RVU19A
2018-10-01Not available in this setting$1,525.85RVU18D
2018-07-01Not available in this setting$1,525.85RVU18C
2018-04-01Not available in this setting$1,525.85RVU18B
2018-01-01Not available in this setting$1,525.85RVU18AR1
2017-10-01Not available in this setting$1,522.16RVU17D
2017-07-01Not available in this setting$1,522.16RVU17C
2017-04-01Not available in this setting$1,522.16RVU17B
2017-01-01Not available in this setting$1,522.16RVU17A
2016-10-01Not available in this setting$1,521.70RVU16D
2016-07-01Not available in this setting$1,521.70RVU16C
2016-04-01Not available in this setting$1,521.70RVU16B
2016-01-01Not available in this setting$1,521.70RVU16A
2015-10-01Not available in this setting$1,527.67RVU15D
2015-07-01Not available in this setting$1,527.67RVU15C
2015-04-01Not available in this setting$1,520.07RVU15B
2015-01-01Not available in this setting$1,520.07RVU15A
2014-10-01Not available in this setting$1,485.49RVU14D
2014-07-01Not available in this setting$1,485.49RVU14C
2014-04-01Not available in this setting$1,485.49RVU14B
2014-01-01Not available in this setting$1,485.49RVU14A
2013-10-01Not available in this setting$1,441.56RVU13D
2013-07-01Not available in this setting$1,441.56RVU13C
2013-04-01Not available in this setting$1,441.56RVU13B
2013-01-01Not available in this setting$1,441.56RVU13AR

Price 27580 for an earlier date of service

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

Browse all communities in Delaware

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

Show the CMS file lines behind this rate
RVUs for 27580PPRRVU2026_Oct_nonQPP.csv, line 2,954 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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