CPT code 27594: Amputation revision, thigh-level stump2026 Medicare rate & RVUs in Ohio

Revision surgery for an existing thigh-level amputation stump, reported when the surgeon modifies the residual limb rather than performing an initial amputation.

CMS RVU26DEffective Oct 1, 2026One payment locality201 Medicare services in 2024

In Ohio, Medicare pays $462.34 for 27594 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$462.34Hospital or facility

Check a contract rate as a % of Medicare · 27594 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 27594 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 27594 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 27594 covers

This service revises an existing amputation stump at the thigh or femur level. The surgeon may remove problematic tissue or bone and reshape the residual limb to address issues such as a painful bony prominence, tissue breakdown, or difficulty fitting a prosthesis. Orthopedic and vascular surgeons commonly perform this operation in a hospital or other surgical setting.

Report the code for revision of an established thigh-level stump, not for the original amputation. The operative note should identify the existing amputation level, the problem prompting revision, and the work performed on the residual limb. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple 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. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are 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 Ohio compares for 27594

Across 109 of 109 payment localities, the facility rate for 27594 runs from $424.87 in Arkansas to $583.67 in Alaska. Ohio pays $462.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

27594 in Ohio vs other payment areas
  1. Ohio · this page$462.34
  2. Los Angeles, CA · California$502.76+$40.42
  3. Washington, DC area · District of Columbia$529.97+$67.63
  4. Miami, FL · Florida$570.83+$108.49
  5. Chicago, IL · Illinois$552.79+$90.45
  6. Manhattan, NY · New York$555.77+$93.43
  7. Alaska · Alaska$583.67+$121.33

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

Every other payment area

27594 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$430.67
ArkansasArkansas—$424.87
ArizonaArizona—$464.21
Bakersfield, CACalifornia—$478.40
Chico, CACalifornia—$473.85
El Centro, CACalifornia—$474.13
Fresno, CACalifornia—$473.85
Hanford, CACalifornia—$473.85

27594 rates by state

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

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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
27594 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 27594 in every payment locality

How the 27594 rate is calculated

Each of 27594’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 · 27594

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.11

7.11 RVUs× 1.000 GPCI

Practice expense5.53

5.53 RVUs× 1.000 GPCI

Malpractice1.67

1.67 RVUs× 1.000 GPCI

Adjusted RVUs

14.3100

Conversion factor

$33.4009

Medicare rate

$477.97

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Ohio inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,958

Code
27594
Physician work
7.11
Practice expense
5.53
Malpractice
1.67

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Facility calculation for 27594 in Ohio
ComponentRVULocality factorAdjusted
Physician work7.11× 1.0007.1100
Practice expense5.53× 0.9135.0489
Malpractice1.67× 1.0081.6834
Total RVUs13.8422
Conversion factor× 33.4009

Facility rate, Ohio$462.34

Facility: (7.11 × 1 + 5.53 × 0.913 + 1.67 × 1.008) × $33.4009 = $462.34

Open 27594 in the RVU calculator

Payment rules and modifiers for 27594

27594 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27594

Amputation revision, thigh-level stump

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 27594

Amputation revision, thigh-level stump

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

27594 without 50 · national facility

$477.97

Amputation revision, thigh-level stump

27594-50 · Bilateral: 150%

$716.96

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 27594 has changed in Ohio

27594 · 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$462.34RVU26D
2026-07-01Not available in this setting$462.34RVU26C
2026-04-01Not available in this setting$462.34RVU26B
2026-01-01Not available in this setting$462.34RVU26A
2025-10-01Not available in this setting$479.24RVU25D
2025-07-01Not available in this setting$479.24RVU25C
2025-04-01Not available in this setting$479.24RVU25B
2025-01-01Not available in this setting$479.24RVU25A
2024-10-01Not available in this setting$490.01RVU24D
2024-07-01Not available in this setting$490.01RVU24C
2024-04-01Not available in this setting$490.01RVU24B
2024-03-09Not available in this setting$490.01RVU24AR
2024-01-01Not available in this setting$482.01RVU24A
2023-10-01Not available in this setting$495.41RVU23D
2023-07-01Not available in this setting$495.41RVU23C
2023-04-01Not available in this setting$495.41RVU23B
2023-01-01Not available in this setting$495.41RVU23A
2022-10-01Not available in this setting$509.88RVU22D
2022-07-01Not available in this setting$509.88RVU22C
2022-04-01Not available in this setting$509.88RVU22B
2022-01-01Not available in this setting$509.88RVU22A
2021-10-01Not available in this setting$509.27RVU21D
2021-07-01Not available in this setting$509.27RVU21C
2021-04-01Not available in this setting$509.27RVU21B
2021-01-01Not available in this setting$509.27RVU21A
2020-10-01Not available in this setting$518.54RVU20D
2020-07-01Not available in this setting$518.54RVU20C
2020-04-01Not available in this setting$518.54RVU20B
2020-01-01Not available in this setting$518.54RVU20A
2019-10-01Not available in this setting$510.07RVU19D
2019-07-01Not available in this setting$510.07RVU19C
2019-04-01Not available in this setting$510.07RVU19B
2019-01-01Not available in this setting$510.07RVU19A
2018-10-01Not available in this setting$506.87RVU18D
2018-07-01Not available in this setting$506.87RVU18C
2018-04-01Not available in this setting$506.87RVU18B
2018-01-01Not available in this setting$506.87RVU18AR1
2017-10-01Not available in this setting$506.51RVU17D
2017-07-01Not available in this setting$506.51RVU17C
2017-04-01Not available in this setting$506.51RVU17B
2017-01-01Not available in this setting$506.51RVU17A
2016-10-01Not available in this setting$509.58RVU16D
2016-07-01Not available in this setting$509.58RVU16C
2016-04-01Not available in this setting$509.58RVU16B
2016-01-01Not available in this setting$509.58RVU16A
2015-10-01Not available in this setting$509.49RVU15D
2015-07-01Not available in this setting$509.49RVU15C
2015-04-01Not available in this setting$506.95RVU15B
2015-01-01Not available in this setting$506.95RVU15A
2014-10-01Not available in this setting$515.45RVU14D
2014-07-01Not available in this setting$515.45RVU14C
2014-04-01Not available in this setting$515.45RVU14B
2014-01-01Not available in this setting$515.45RVU14A
2013-10-01Not available in this setting$515.90RVU13D
2013-07-01Not available in this setting$515.90RVU13C
2013-04-01Not available in this setting$515.90RVU13B
2013-01-01Not available in this setting$515.90RVU13AR

Price 27594 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

27594 billing questions

How is this different from 27590?

27590 describes an initial thigh-level amputation. Report 27594 when the patient already has a thigh-level amputation and the surgeon revises that stump.

When would 27592 be considered instead?

27592 describes re-amputation at the thigh level, while 27594 describes revision of an existing stump. Use the operative documentation to determine whether the service is a re-amputation or a stump revision.

Are related postoperative visits separately reported?

The 90-day global period includes related postoperative care for 90 days and the day-before preoperative visit.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

How does Medicare handle bilateral reporting?

When the procedure is performed bilaterally and reported with modifier 50, Medicare pays at 150%.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.

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 27594PPRRVU2026_Oct_nonQPP.csv, line 2,958 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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