CPT code 27598: Leg amputation, through knee joint2026 Medicare rate & RVUs in New Mexico
Removal of the lower leg through the knee joint is reported for a knee-disarticulation amputation, rather than an amputation through the femur.
In New Mexico, Medicare pays $647.40 for 27598 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27598 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 27598 covers
At knee-disarticulation surgery, the surgeon separates the lower leg through the knee joint, leaving the femur intact. Orthopedic, vascular, or trauma surgeons may perform this operation for nonviable tissue from severe limb ischemia or infection, or for devastating injury, generally in an operating room. The operative report should establish the amputation level; a cut through the tibia below the knee or through the femur above the knee is a different level.
Report the service for the through-knee procedure and document the indication, operative level, and side. 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 the others at 50%. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require 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 New Mexico compares for 27598
Across 109 of 109 payment localities, the facility rate for 27598 runs from $575.15 in Nebraska to $800.36 in Alaska. New Mexico pays $647.40. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$647.40
- Los Angeles, CA · California$665.22+$17.82
- Washington, DC area · District of Columbia$709.06+$61.66
- Miami, FL · Florida$789.48+$142.08
- Chicago, IL · Illinois$764.31+$116.91
- Manhattan, NY · New York$751.85+$104.45
- Alaska · Alaska$800.36+$152.96
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $582.76 |
| ArkansasArkansas | — | $575.16 |
| ArizonaArizona | — | $626.55 |
| Bakersfield, CACalifornia | — | $635.69 |
| Chico, CACalifornia | — | $628.45 |
| El Centro, CACalifornia | — | $628.89 |
| Fresno, CACalifornia | — | $628.45 |
| Hanford, CACalifornia | — | $628.45 |
| Madera, CACalifornia | — | $628.45 |
| Merced, CACalifornia | — | $628.45 |
| Modesto, CACalifornia | — | $628.45 |
| Napa, CACalifornia | — | $685.10 |
| Oxnard, CACalifornia | — | $656.63 |
| Redding, CACalifornia | — | $628.45 |
| Rest of CaliforniaCalifornia | — | $628.45 |
| Riverside, CACalifornia | — | $657.08 |
| Sacramento, CACalifornia | — | $648.17 |
| Salinas, CACalifornia | — | $645.58 |
| San Diego, CACalifornia | — | $652.80 |
| Marin County, CACalifornia | — | $709.97 |
| San Francisco, CACalifornia | — | $706.94 |
| San Benito County, CACalifornia | — | $728.42 |
| Santa Clara County, CACalifornia | — | $716.02 |
| San Luis Obispo, CACalifornia | — | $636.65 |
| Santa Cruz, CACalifornia | — | $652.60 |
| Santa Maria, CACalifornia | — | $645.82 |
| Santa Rosa, CACalifornia | — | $658.37 |
| Stockton, CACalifornia | — | $628.45 |
| Vallejo, CACalifornia | — | $680.73 |
| Visalia, CACalifornia | — | $628.45 |
| Yuba City, CACalifornia | — | $628.45 |
| ColoradoColorado | — | $642.37 |
| ConnecticutConnecticut | — | $686.03 |
| DelawareDelaware | — | $635.84 |
| Fort Lauderdale, FLFlorida | — | $719.84 |
| Rest of FloridaFlorida | — | $681.77 |
| Atlanta, GAGeorgia | — | $667.38 |
| Rest of GeorgiaGeorgia | — | $641.83 |
| Hawaii, Guam, HIHawaii | — | $633.89 |
| IowaIowa | — | $575.32 |
| IdahoIdaho | — | $583.05 |
| East St. Louis, ILIllinois | — | $720.48 |
| Rest of IllinoisIllinois | — | $678.92 |
| Suburban Chicago, ILIllinois | — | $721.86 |
| IndianaIndiana | — | $585.54 |
| KansasKansas | — | $582.76 |
| KentuckyKentucky | — | $616.56 |
| New Orleans, LALouisiana | — | $646.18 |
| Rest of LouisianaLouisiana | — | $619.63 |
| Metropolitan Boston, MAMassachusetts | — | $687.48 |
| Rest of MassachusettsMassachusetts | — | $643.16 |
| Baltimore area, MDMaryland | — | $686.21 |
| Rest of MarylandMaryland | — | $643.94 |
| Rest of MaineMaine | — | $596.34 |
| Southern Maine, MEMaine | — | $610.68 |
| Detroit, MIMichigan | — | $699.81 |
| Rest of MichiganMichigan | — | $640.22 |
| MinnesotaMinnesota | — | $588.05 |
| Metropolitan Kansas City, MOMissouri | — | $631.62 |
| Metropolitan St. Louis, MOMissouri | — | $636.33 |
| Rest of MissouriMissouri | — | $616.67 |
| MississippiMississippi | — | $595.52 |
| MontanaMontana | — | $645.13 |
| North CarolinaNorth Carolina | — | $600.33 |
| North DakotaNorth Dakota | — | $592.33 |
| NebraskaNebraska | — | $575.15 |
| New HampshireNew Hampshire | — | $641.98 |
| Northern New JerseyNew Jersey | — | $704.91 |
| Rest of New JerseyNew Jersey | — | $686.12 |
| NevadaNevada | — | $630.60 |
| NYC suburbs and Long Island, NYNew York | — | $781.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $698.59 |
| Queens, NYNew York | — | $742.82 |
| Rest of New YorkNew York | — | $609.28 |
| OhioOhio | — | $629.43 |
| OklahomaOklahoma | — | $605.01 |
| Portland, OROregon | — | $649.49 |
| Rest of OregonOregon | — | $618.06 |
| Metropolitan Philadelphia, PAPennsylvania | — | $676.91 |
| Rest of PennsylvaniaPennsylvania | — | $624.76 |
| Puerto RicoPuerto Rico | — | $646.07 |
| Rhode IslandRhode Island | — | $648.91 |
| South CarolinaSouth Carolina | — | $617.43 |
| South DakotaSouth Dakota | — | $586.09 |
| TennesseeTennessee | — | $586.66 |
| Austin, TXTexas | — | $646.93 |
| Beaumont, TXTexas | — | $621.81 |
| Brazoria, TXTexas | — | $626.89 |
| Dallas, TXTexas | — | $635.17 |
| Fort Worth, TXTexas | — | $634.42 |
| Galveston, TXTexas | — | $631.55 |
| Houston, TXTexas | — | $680.43 |
| Rest of TexasTexas | — | $626.93 |
| UtahUtah | — | $624.77 |
| VirginiaVirginia | — | $615.84 |
| Virgin Islands, VIUnited States Virgin Islands | — | $646.07 |
| VermontVermont | — | $599.34 |
| Rest of WashingtonWashington | — | $638.85 |
| King County, WAWashington | — | $690.55 |
| WisconsinWisconsin | — | $575.58 |
| West VirginiaWest Virginia | — | $658.76 |
| WyomingWyoming | — | $622.12 |
27598 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 27598 rate is calculated
Each of 27598’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 · 27598
RVUs × geographic indexes × conversion factor
Work10.94
10.94 RVUs× 1.000 GPCI
Practice expense5.71
5.71 RVUs× 1.000 GPCI
Malpractice2.67
2.67 RVUs× 1.000 GPCI
Adjusted RVUs
19.3200
Conversion factor
$33.4009
Medicare rate
$645.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,960
- Code
- 27598
- Physician work
- 10.94
- Practice expense
- 5.71
- Malpractice
- 2.67
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.94 | × 1.000 | 10.9400 |
| Practice expense | 5.71 | × 0.917 | 5.2361 |
| Malpractice | 2.67 | × 1.201 | 3.2067 |
| Total RVUs | 19.3827 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$647.40
Facility: (10.94 × 1 + 5.71 × 0.917 + 2.67 × 1.201) × $33.4009 = $647.40
Payment rules and modifiers for 27598
27598 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27598
Leg amputation, through knee joint
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27598
Leg amputation, through knee joint
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27598 without 50 · national facility
$645.31
Leg amputation, through knee joint
27598-50 · Bilateral: 150%
$967.96
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).
How 27598 has changed in New Mexico
27598 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $647.40 | RVU26D |
| 2026-07-01 | Not available in this setting | $647.40 | RVU26C |
| 2026-04-01 | Not available in this setting | $647.40 | RVU26B |
| 2026-01-01 | Not available in this setting | $647.40 | RVU26A |
| 2025-10-01 | Not available in this setting | $671.87 | RVU25D |
| 2025-07-01 | Not available in this setting | $671.87 | RVU25C |
| 2025-04-01 | Not available in this setting | $671.87 | RVU25B |
| 2025-01-01 | Not available in this setting | $671.87 | RVU25A |
| 2024-10-01 | Not available in this setting | $686.03 | RVU24D |
| 2024-07-01 | Not available in this setting | $686.03 | RVU24C |
| 2024-04-01 | Not available in this setting | $686.03 | RVU24B |
| 2024-03-09 | Not available in this setting | $686.03 | RVU24AR |
| 2024-01-01 | Not available in this setting | $674.83 | RVU24A |
| 2023-10-01 | Not available in this setting | $694.67 | RVU23D |
| 2023-07-01 | Not available in this setting | $694.67 | RVU23C |
| 2023-04-01 | Not available in this setting | $694.67 | RVU23B |
| 2023-01-01 | Not available in this setting | $694.67 | RVU23A |
| 2022-10-01 | Not available in this setting | $710.43 | RVU22D |
| 2022-07-01 | Not available in this setting | $710.43 | RVU22C |
| 2022-04-01 | Not available in this setting | $710.43 | RVU22B |
| 2022-01-01 | Not available in this setting | $710.43 | RVU22A |
| 2021-10-01 | Not available in this setting | $714.72 | RVU21D |
| 2021-07-01 | Not available in this setting | $714.72 | RVU21C |
| 2021-04-01 | Not available in this setting | $714.72 | RVU21B |
| 2021-01-01 | Not available in this setting | $714.72 | RVU21A |
| 2020-10-01 | Not available in this setting | $739.49 | RVU20D |
| 2020-07-01 | Not available in this setting | $739.49 | RVU20C |
| 2020-04-01 | Not available in this setting | $739.49 | RVU20B |
| 2020-01-01 | Not available in this setting | $739.49 | RVU20A |
| 2019-10-01 | Not available in this setting | $741.50 | RVU19D |
| 2019-07-01 | Not available in this setting | $741.50 | RVU19C |
| 2019-04-01 | Not available in this setting | $741.50 | RVU19B |
| 2019-01-01 | Not available in this setting | $741.50 | RVU19A |
| 2018-10-01 | Not available in this setting | $744.97 | RVU18D |
| 2018-07-01 | Not available in this setting | $744.97 | RVU18C |
| 2018-04-01 | Not available in this setting | $744.97 | RVU18B |
| 2018-01-01 | Not available in this setting | $744.97 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $741.31 | RVU17D |
| 2017-07-01 | Not available in this setting | $741.31 | RVU17C |
| 2017-04-01 | Not available in this setting | $741.31 | RVU17B |
| 2017-01-01 | Not available in this setting | $741.31 | RVU17A |
| 2016-10-01 | Not available in this setting | $745.26 | RVU16D |
| 2016-07-01 | Not available in this setting | $745.26 | RVU16C |
| 2016-04-01 | Not available in this setting | $745.26 | RVU16B |
| 2016-01-01 | Not available in this setting | $745.26 | RVU16A |
| 2015-10-01 | Not available in this setting | $744.00 | RVU15D |
| 2015-07-01 | Not available in this setting | $744.00 | RVU15C |
| 2015-04-01 | Not available in this setting | $740.30 | RVU15B |
| 2015-01-01 | Not available in this setting | $740.30 | RVU15A |
| 2014-10-01 | Not available in this setting | $736.41 | RVU14D |
| 2014-07-01 | Not available in this setting | $736.41 | RVU14C |
| 2014-04-01 | Not available in this setting | $736.41 | RVU14B |
| 2014-01-01 | Not available in this setting | $736.41 | RVU14A |
| 2013-10-01 | Not available in this setting | $722.87 | RVU13D |
| 2013-07-01 | Not available in this setting | $722.87 | RVU13C |
| 2013-04-01 | Not available in this setting | $722.87 | RVU13B |
| 2013-01-01 | Not available in this setting | $722.87 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
27598 billing questions
How does 27598 differ from 27590?
27598 is an amputation through the knee joint. Code 27590 describes an amputation through the femur, above the knee.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is a bilateral through-knee amputation reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
What documentation supports this code?
The operative report should establish that the amputation was performed through the knee joint and identify the indication and side.
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
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