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CPT code 27702: Ankle replacement, total, with implant2026 Medicare rate & RVUs

Reports total ankle arthroplasty with an implanted prosthesis, commonly performed by an orthopedic foot and ankle surgeon for painful end-stage ankle arthritis.

CMS RVU26DEffective Oct 1, 2026109 payment localities5.7K Medicare services in 2024

Medicare pays $885.12 for 27702 nationally in a facility.

Medicare rate · 27702

Ankle replacement, total, with implant

Office or facility?

Work RVUs
14.06
Total RVUs
26.50
Global days
090

National rate · 2026

$885.12

Facility setting, before claim adjustments.

See every locality for 27702 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 27702 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 27702 covers

This service is a total ankle replacement: the surgeon prepares the ankle joint surfaces and places an implant to restore joint function. It is commonly performed by an orthopedic foot and ankle surgeon in an operating room for severe ankle arthritis, including post-traumatic arthritis, when joint replacement is selected. The operative report should establish that an ankle prosthesis was implanted and identify the side treated.

Report this code for the primary total ankle replacement, not for revision surgery or removal of an existing implant alone. The 90-day global period includes 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 50% multiple-procedure reduction. Bilateral reporting with 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.

Where 27702 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27702 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$805.94
AlaskaUnavailable$1,101.62
ArizonaUnavailable$862.28
ArkansasUnavailable$796.20
Atlanta, GAUnavailable$909.49
Austin, TXUnavailable$895.00
Bakersfield, CAUnavailable$890.99
Baltimore area, MDUnavailable$937.43
Beaumont, TXUnavailable$849.40
Brazoria, TXUnavailable$866.54

27702 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
27702 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

How the 27702 rate is calculated

Each of 27702’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 · 27702

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.06

14.06 RVUs× 1.000 GPCI

Practice expense9.80

9.80 RVUs× 1.000 GPCI

Malpractice2.64

2.64 RVUs× 1.000 GPCI

Adjusted RVUs

26.5000

Conversion factor

$33.4009

Medicare rate

$885.12

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

Payment rules and modifiers for 27702

27702 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27702

Ankle replacement, total, with implant

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 27702

Ankle replacement, total, with implant

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

27702 without 50 · national facility

$885.12

Ankle replacement, total, with implant

27702-50 · Bilateral: 150%

$1,327.68

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

27702 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 27702

    Ankle replacement, total, with implant14.06 wRVU

    Not priced

  • 27700

    Ankle revision, joint revision9.42 wRVU

    Not priced

  • 27703

    Ankle revision, revision of ankle replacement16.52 wRVU

    Not priced

  • 27704

    Ankle implant removal, ankle joint implant7.61 wRVU

    Not priced

How to choose

27700Ankle revisionJoint revision
Choose 27702 when a total ankle prosthesis is implanted. Code 27700 represents ankle arthroplasty without the total ankle implant service.
27703Ankle revisionRevision of ankle replacement
27702 describes primary total ankle replacement. 27703 is for revision of a total ankle replacement, including implant removal.
27704Ankle implant removalAnkle joint implant
27704 reports removal of an ankle implant alone; it is not the primary total ankle replacement reported with 27702.

Codes related to 27702

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

Codes related to 27702
CodeHow it relatesNational office range
Same family
27700Ankle revision, joint revisionAnkle arthroplasty code in the same family, distinguished from replacement with a total ankle implant.No office rate
27703Ankle revision, revision of ankle replacementRevision code for a total ankle replacement, rather than primary implant placement.No office rate
Used instead
27870Ankle fusion, open approachAnkle fusion is a different surgical approach for selected patients with painful ankle arthritis.No office rate

27702 billing questions

How is this different from 27703?

This code is for a primary total ankle replacement with an implant. Use 27703 for revision of a total ankle replacement, including removal of the implant.

Does this code include the ankle implant?

Yes. The service reported is a total ankle replacement in which an implant is placed. The operative report should support implant placement.

What global care is included?

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

How is bilateral total ankle replacement reported?

When the procedure is performed bilaterally, modifier 50 is paid 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; team surgery is not permitted.

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

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.

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 27702PPRRVU2026_Oct_nonQPP.csv, line 3,015 (RVU26D)

Open CMS sourceHow we calculate rates

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