CPT code 27590: Thigh amputation, through femur, any level2026 Medicare rate & RVUs in Oklahoma

In Oklahoma, Medicare pays $678.22 for 27590 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27590 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 27590 covers

The surgeon removes the lower limb through the femur, with the level selected according to the extent of disease or injury and the tissue available for a residual limb. Typical cases include a limb rendered nonviable by advanced ischemia, extensive infection, major trauma, or a tumor requiring removal. These operations are generally performed in a hospital operating room by an orthopedic, vascular, or general surgeon, depending on the underlying condition.

Choose the code that matches the operative technique and closure: this code is distinct from the related thigh-amputation codes for primary closure or an open circular procedure. The operative report should identify the femoral level, indication, and closure approach. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral procedures reported with modifier 50, CMS pays 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 Oklahoma compares for 27590

Across 109 of 109 payment localities, the facility rate for 27590 runs from $638.26 in Wisconsin to $902.63 in Alaska. Oklahoma pays $678.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27590 rates by state

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

See 27590 in every payment locality

How the 27590 rate is calculated

Each of 27590’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 27590

27590 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 27590

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

How 27590 has changed in Oklahoma

Price 27590 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

• Lahoma
• Achille
• Ada
• Adair
• Adams
• Adamson
• Addington
• Afton

Browse all communities in Oklahoma

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