CPT code 27881: Below-knee amputation, immediate prosthetic fitting2026 Medicare rate & RVUs in New Mexico

Reports a below-knee amputation with immediate prosthetic fitting and initial cast application during the operative episode.

CMS RVU26DEffective Oct 1, 2026One payment locality130 Medicare services in 2024

In New Mexico, Medicare pays $762.45 for 27881 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$762.45Hospital or facility

Check a contract rate as a % of Medicare · 27881 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 27881 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 27881 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 27881 covers

This service combines removal of the lower leg below the knee with immediate prosthetic fitting and application of the first cast. It is generally performed in an operating room by an orthopedic, vascular, or trauma surgeon when the lower leg is nonviable or unsalvageable, such as with critical ischemia, severe infection, or major injury. The defining feature is immediate fitting at the operative episode, not simply the amputation level.

Report 27881 when the operative record supports both the amputation and immediate prosthetic fitting with the first cast; without immediate fitting, 27880 is the closer code. The 90-day global includes the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery 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 New Mexico compares for 27881

Across 109 of 109 payment localities, the facility rate for 27881 runs from $676.32 in Nebraska to $944.37 in Alaska. New Mexico pays $762.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

27881 in New Mexico vs other payment areas
  1. New Mexico · this page$762.45
  2. Los Angeles, CA · California$780.34+$17.89
  3. Washington, DC area · District of Columbia$832.66+$70.21
  4. Miami, FL · Florida$930.05+$167.60
  5. Chicago, IL · Illinois$900.56+$138.11
  6. Manhattan, NY · New York$883.86+$121.41
  7. Alaska · Alaska$944.37+$181.92

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

Every other payment area

27881 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$686.01
ArkansasArkansas—$677.17
ArizonaArizona—$736.94
Bakersfield, CACalifornia—$746.22
Chico, CACalifornia—$737.59
El Centro, CACalifornia—$738.12
Fresno, CACalifornia—$737.59
Hanford, CACalifornia—$737.59

27881 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
27881 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 27881 in every payment locality

How the 27881 rate is calculated

Each of 27881’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 · 27881

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.13

13.13 RVUs× 1.000 GPCI

Practice expense6.41

6.41 RVUs× 1.000 GPCI

Malpractice3.18

3.18 RVUs× 1.000 GPCI

Adjusted RVUs

22.7200

Conversion factor

$33.4009

Medicare rate

$758.87

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

3,077

Code
27881
Physician work
13.13
Practice expense
6.41
Malpractice
3.18

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 27881 in New Mexico
ComponentRVULocality factorAdjusted
Physician work13.13× 1.00013.1300
Practice expense6.41× 0.9175.8780
Malpractice3.18× 1.2013.8192
Total RVUs22.8271
Conversion factor× 33.4009

Facility rate, New Mexico$762.45

Facility: (13.13 × 1 + 6.41 × 0.917 + 3.18 × 1.201) × $33.4009 = $762.45

Open 27881 in the RVU calculator

Payment rules and modifiers for 27881

27881 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27881

Below-knee amputation, immediate prosthetic fitting

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 · 27881

Below-knee amputation, immediate prosthetic fitting

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

27881 without 50 · national facility

$758.87

Below-knee amputation, immediate prosthetic fitting

27881-50 · Bilateral: 150%

$1,138.31

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 27881 has changed in New Mexico

27881 · 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$762.45RVU26D
2026-07-01Not available in this setting$762.45RVU26C
2026-04-01Not available in this setting$762.45RVU26B
2026-01-01Not available in this setting$762.45RVU26A
2025-10-01Not available in this setting$797.46RVU25D
2025-07-01Not available in this setting$797.46RVU25C
2025-04-01Not available in this setting$797.46RVU25B
2025-01-01Not available in this setting$797.46RVU25A
2024-10-01Not available in this setting$830.56RVU24D
2024-07-01Not available in this setting$830.56RVU24C
2024-04-01Not available in this setting$830.56RVU24B
2024-03-09Not available in this setting$830.56RVU24AR
2024-01-01Not available in this setting$817.00RVU24A
2023-10-01Not available in this setting$849.14RVU23D
2023-07-01Not available in this setting$849.14RVU23C
2023-04-01Not available in this setting$849.14RVU23B
2023-01-01Not available in this setting$849.14RVU23A
2022-10-01Not available in this setting$864.00RVU22D
2022-07-01Not available in this setting$864.00RVU22C
2022-04-01Not available in this setting$864.00RVU22B
2022-01-01Not available in this setting$864.00RVU22A
2021-10-01Not available in this setting$862.69RVU21D
2021-07-01Not available in this setting$862.69RVU21C
2021-04-01Not available in this setting$862.69RVU21B
2021-01-01Not available in this setting$862.69RVU21A
2020-10-01Not available in this setting$890.33RVU20D
2020-07-01Not available in this setting$890.33RVU20C
2020-04-01Not available in this setting$890.33RVU20B
2020-01-01Not available in this setting$890.33RVU20A
2019-10-01Not available in this setting$899.02RVU19D
2019-07-01Not available in this setting$899.02RVU19C
2019-04-01Not available in this setting$899.02RVU19B
2019-01-01Not available in this setting$899.02RVU19A
2018-10-01Not available in this setting$899.87RVU18D
2018-07-01Not available in this setting$899.87RVU18C
2018-04-01Not available in this setting$899.87RVU18B
2018-01-01Not available in this setting$899.87RVU18AR1
2017-10-01Not available in this setting$896.44RVU17D
2017-07-01Not available in this setting$896.44RVU17C
2017-04-01Not available in this setting$896.44RVU17B
2017-01-01Not available in this setting$896.44RVU17A
2016-10-01Not available in this setting$897.48RVU16D
2016-07-01Not available in this setting$897.48RVU16C
2016-04-01Not available in this setting$897.48RVU16B
2016-01-01Not available in this setting$897.48RVU16A
2015-10-01Not available in this setting$895.37RVU15D
2015-07-01Not available in this setting$895.37RVU15C
2015-04-01Not available in this setting$890.91RVU15B
2015-01-01Not available in this setting$890.91RVU15A
2014-10-01Not available in this setting$888.67RVU14D
2014-07-01Not available in this setting$888.67RVU14C
2014-04-01Not available in this setting$888.67RVU14B
2014-01-01Not available in this setting$888.67RVU14A
2013-10-01Not available in this setting$873.96RVU13D
2013-07-01Not available in this setting$873.96RVU13C
2013-04-01Not available in this setting$873.96RVU13B
2013-01-01Not available in this setting$873.96RVU13AR

Price 27881 for an earlier date of service

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

Browse all communities in New Mexico

27881 billing questions

When should 27881 be chosen instead of 27880?

Use 27881 when immediate prosthetic fitting and application of the first cast accompany the below-knee amputation. Without that immediate fitting, 27880 is the closer code.

Is the first cast separately reported?

The first cast application is included in 27881. The operative documentation should support the immediate fitting and cast application.

How is bilateral surgery reported?

Report modifier 50 for a bilateral procedure. CMS pays the bilateral procedure at 150%.

What postoperative care is included?

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

Can an assistant or co-surgeon be paid?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other procedures in the same session paid?

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

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 27881PPRRVU2026_Oct_nonQPP.csv, line 3,077 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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