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

In Vermont, Medicare pays $448.56 for 27594 in a facility. There’s no office rate.

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.

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 Vermont 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. Vermont pays $448.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27594 rates by state

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

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.

Payment rules and modifiers for 27594

27594 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 27594

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

How 27594 has changed in Vermont

Price 27594 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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