CPT code 27880: Leg amputation, through tibia and fibula2026 Medicare rate & RVUs in Connecticut

Reports removal of the lower leg through the tibia and fibula, commonly for nonviable tissue from severe ischemia, infection, or trauma.

CMS RVU26DEffective Oct 1, 2026One payment locality10.2K Medicare services in 2024

In Connecticut, Medicare pays $873.77 for 27880 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$873.77Hospital or facility

Check a contract rate as a % of Medicare · 27880 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 27880 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 27880 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 27880 covers

This code represents a below-knee amputation through the tibia and fibula, leaving a residual limb below the knee. Orthopedic or vascular surgeons commonly perform it in a hospital or other surgical facility when severe peripheral arterial disease, infection, or traumatic injury makes the lower leg unsalvageable. The surgeon determines the transection level based on viable tissue and the clinical plan for the residual limb. Use the appropriate sibling code when the documented procedure meets that code’s distinct operative criteria, such as immediate fitting technique.

The operative report should identify the amputation level, laterality, indication, and technique. This major surgery includes 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 other procedures are subject to a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires 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 Connecticut compares for 27880

Across 109 of 109 payment localities, the facility rate for 27880 runs from $729.46 in Wisconsin to $1,030.93 in Alaska. Connecticut pays $873.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

27880 in Connecticut vs other payment areas
  1. Connecticut · this page$873.77
  2. Los Angeles, CA · California$838.50−$35.27
  3. Washington, DC area · District of Columbia$899.05+$25.28
  4. Miami, FL · Florida$1,018.27+$144.50
  5. Chicago, IL · Illinois$985.91+$112.14
  6. Manhattan, NY · New York$958.84+$85.07
  7. Alaska · Alaska$1,030.93+$157.16

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

Every other payment area

27880 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$744.54
ArkansasArkansas—$735.10
ArizonaArizona—$798.83
Bakersfield, CACalifornia—$803.39
Chico, CACalifornia—$793.44
El Centro, CACalifornia—$794.05
Fresno, CACalifornia—$793.44
Hanford, CACalifornia—$793.44

27880 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
27880 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 27880 in every payment locality

How the 27880 rate is calculated

Each of 27880’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 · 27880

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.99

14.99 RVUs× 1.000 GPCI

Practice expense5.97

5.97 RVUs× 1.000 GPCI

Malpractice3.67

3.67 RVUs× 1.000 GPCI

Adjusted RVUs

24.6300

Conversion factor

$33.4009

Medicare rate

$822.66

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,076

Code
27880
Physician work
14.99
Practice expense
5.97
Malpractice
3.67

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 27880 in Connecticut
ComponentRVULocality factorAdjusted
Physician work14.99× 1.02015.2898
Practice expense5.97× 1.0776.4297
Malpractice3.67× 1.2104.4407
Total RVUs26.1602
Conversion factor× 33.4009

Facility rate, Connecticut$873.77

Facility: (14.99 × 1.02 + 5.97 × 1.077 + 3.67 × 1.21) × $33.4009 = $873.77

Open 27880 in the RVU calculator

Payment rules and modifiers for 27880

27880 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27880

Leg amputation, through tibia and fibula

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 · 27880

Leg amputation, through tibia and fibula

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

27880 without 50 · national facility

$822.66

Leg amputation, through tibia and fibula

27880-50 · Bilateral: 150%

$1,233.99

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 27880 has changed in Connecticut

27880 · 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$873.77RVU26D
2026-07-01Not available in this setting$873.77RVU26C
2026-04-01Not available in this setting$873.77RVU26B
2026-01-01Not available in this setting$873.77RVU26A
2025-10-01Not available in this setting$928.58RVU25D
2025-07-01Not available in this setting$928.58RVU25C
2025-04-01Not available in this setting$928.58RVU25B
2025-01-01Not available in this setting$928.58RVU25A
2024-10-01Not available in this setting$953.57RVU24D
2024-07-01Not available in this setting$953.57RVU24C
2024-04-01Not available in this setting$953.57RVU24B
2024-03-09Not available in this setting$953.57RVU24AR
2024-01-01Not available in this setting$938.01RVU24A
2023-10-01Not available in this setting$957.57RVU23D
2023-07-01Not available in this setting$957.57RVU23C
2023-04-01Not available in this setting$957.57RVU23B
2023-01-01Not available in this setting$957.57RVU23A
2022-10-01Not available in this setting$966.34RVU22D
2022-07-01Not available in this setting$966.34RVU22C
2022-04-01Not available in this setting$966.34RVU22B
2022-01-01Not available in this setting$966.34RVU22A
2021-10-01Not available in this setting$968.56RVU21D
2021-07-01Not available in this setting$968.56RVU21C
2021-04-01Not available in this setting$968.56RVU21B
2021-01-01Not available in this setting$968.56RVU21A
2020-10-01Not available in this setting$1,009.43RVU20D
2020-07-01Not available in this setting$1,009.43RVU20C
2020-04-01Not available in this setting$1,009.43RVU20B
2020-01-01Not available in this setting$1,009.43RVU20A
2019-10-01Not available in this setting$1,021.20RVU19D
2019-07-01Not available in this setting$1,021.20RVU19C
2019-04-01Not available in this setting$1,021.20RVU19B
2019-01-01Not available in this setting$1,021.20RVU19A
2018-10-01Not available in this setting$1,025.88RVU18D
2018-07-01Not available in this setting$1,025.88RVU18C
2018-04-01Not available in this setting$1,025.88RVU18B
2018-01-01Not available in this setting$1,025.88RVU18AR1
2017-10-01Not available in this setting$1,029.98RVU17D
2017-07-01Not available in this setting$1,029.98RVU17C
2017-04-01Not available in this setting$1,029.98RVU17B
2017-01-01Not available in this setting$1,029.98RVU17A
2016-10-01Not available in this setting$1,035.55RVU16D
2016-07-01Not available in this setting$1,035.55RVU16C
2016-04-01Not available in this setting$1,035.55RVU16B
2016-01-01Not available in this setting$1,035.55RVU16A
2015-10-01Not available in this setting$1,040.54RVU15D
2015-07-01Not available in this setting$1,040.54RVU15C
2015-04-01Not available in this setting$1,035.36RVU15B
2015-01-01Not available in this setting$1,035.36RVU15A
2014-10-01Not available in this setting$1,026.17RVU14D
2014-07-01Not available in this setting$1,026.17RVU14C
2014-04-01Not available in this setting$1,026.17RVU14B
2014-01-01Not available in this setting$1,026.17RVU14A
2013-10-01Not available in this setting$1,011.48RVU13D
2013-07-01Not available in this setting$1,011.48RVU13C
2013-04-01Not available in this setting$1,011.48RVU13B
2013-01-01Not available in this setting$1,011.48RVU13AR

Price 27880 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

27880 billing questions

When should 27881 be considered instead?

Use 27881 when the operative service includes the immediate fitting technique and first cast specified for that sibling code. The operative documentation should support that technique.

How does this differ from an ankle-level amputation?

27880 removes the leg through the tibia and fibula. An ankle-level procedure is coded according to the specific level and technique documented for codes such as 27888 or 27889.

Are routine postoperative visits separately reported during the global period?

Related postoperative care for 90 days is included, along with the day-before preoperative visit. The global period begins with the surgery.

How is 27880 handled when other procedures are performed in the same session?

CMS pays the highest-valued procedure in full and reduces other procedures by 50%. For bilateral reporting, modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

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 27880PPRRVU2026_Oct_nonQPP.csv, line 3,076 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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