CPT code 27596: Amputation revision, thigh-level re-amputation2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $726.15 for 27596 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27596 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 27596 covers

This code describes repeat surgery on a previous amputation through the thigh, such as re-amputating the femoral stump or addressing the site with secondary closure or scar revision. It may be performed when a prior stump needs further operative treatment, including for nonhealing tissue or a wound problem. Orthopedic or vascular surgeons typically perform the procedure in a hospital operating room or another surgical facility.

Select this code for the documented thigh-level reoperation, not for the original amputation. The operative report should establish the prior amputation, the level and extent of the new work, and whether the procedure involved re-amputation, secondary closure, or scar revision. Medicare assigns a 90-day major-surgery global period; the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons are paid only with 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 Washington, DC area compares for 27596

Across 109 of 109 payment localities, the facility rate for 27596 runs from $588.46 in Arkansas to $817.55 in Alaska. Washington, DC area pays $726.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27596 rates by state

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

See 27596 in every payment locality

How the 27596 rate is calculated

Each of 27596’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 27596

27596 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 27596

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

How 27596 has changed in Washington, DC area

Price 27596 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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