CPT code 27592: Thigh amputation, immediate prosthesis fitting2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $619.05 for 27592 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27592 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 27592 covers

This service is a transfemoral amputation, removing the lower limb through the femur, with immediate fitting of a prosthesis as part of the operative episode. Orthopedic or vascular surgeons may perform it in a hospital operating room for conditions such as nonviable tissue from severe trauma, advanced infection, or critical limb ischemia. The operative record should identify the amputation level and document the immediate prosthesis fitting.

Select this code when that immediate fitting accompanies the thigh amputation; codes 27590 and 27591 describe other thigh-amputation circumstances. 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 others at 50%. Modifier 50 indicates a bilateral procedure 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 27592

Across 109 of 109 payment localities, the facility rate for 27592 runs from $559.93 in Nebraska to $779.91 in Alaska. Delaware pays $619.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27592 rates by state

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

See 27592 in every payment locality

How the 27592 rate is calculated

Each of 27592’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 27592

27592 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 27592

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

How 27592 has changed in Delaware

Price 27592 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

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