CPT code 27882: Lower-leg amputation, open circular technique2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $552.95 for 27882 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27882 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 27882 covers

This code describes a guillotine-style amputation through the tibia and fibula, with the surgical site left open rather than closed with definitive flaps. Surgeons may use this staged approach when severe infection, gangrene, or other tissue damage makes immediate closure unsuitable. The procedure is typically performed in an operating room by an orthopedic, vascular, or general surgeon.

Report the code when the operative documentation supports an open circular technique at the lower-leg level; distinguish it from a closed below-knee amputation and one performed with immediate fitting and a rigid dressing. The major-surgery 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 is paid in full and other procedures are reduced to 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery and co-surgeon payment require their respective supporting documentation; 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 Puerto Rico compares for 27882

Across 109 of 109 payment localities, the facility rate for 27882 runs from $490.97 in Wisconsin to $686.26 in Alaska. Puerto Rico pays $552.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27882 rates by state

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

See 27882 in every payment locality

How the 27882 rate is calculated

Each of 27882’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 27882

27882 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 27882

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

How 27882 has changed in Puerto Rico

Price 27882 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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