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CPT code 27884: Stump revision, through tibia and fibula2026 Medicare rate & RVUs

Reports operative revision of an existing lower-leg amputation stump when bone or soft tissue is surgically reshaped to address a clinical problem.

CMS RVU26DEffective Oct 1, 2026109 payment localities464 Medicare services in 2024

Medicare pays $547.77 for 27884 nationally in a facility.

Medicare rate · 27884

Stump revision, through tibia and fibula

Office or facility?

Work RVUs
8.54
Total RVUs
16.40
Global days
090

National rate · 2026

$547.77

Facility setting, before claim adjustments.

See every locality for 27884 →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 27884 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 27884 covers

This service involves surgically revising an established amputation stump through the tibia and fibula. The surgeon may reshape bone or revise soft tissue to address problems such as poor wound healing, painful prominence, or inadequate coverage. Orthopedic and vascular surgeons commonly perform the procedure in a hospital or other operative setting. It is distinct from the initial operation that removes the lower leg.

Report the code when the operative record supports revision of an existing stump at this level; document the indication and the bone and soft-tissue work performed. The service has a 90-day global period, including 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 multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are 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 27884 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

27884 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$493.80
AlaskaUnavailable$672.27
ArizonaUnavailable$531.90
ArkansasUnavailable$487.20
Atlanta, GAUnavailable$565.50
Austin, TXUnavailable$551.79
Bakersfield, CAUnavailable$545.05
Baltimore area, MDUnavailable$582.73
Beaumont, TXUnavailable$525.45
Brazoria, TXUnavailable$533.25

27884 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
27884 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 27884 rate is calculated

Each of 27884’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 · 27884

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.54

8.54 RVUs× 1.000 GPCI

Practice expense5.81

5.81 RVUs× 1.000 GPCI

Malpractice2.05

2.05 RVUs× 1.000 GPCI

Adjusted RVUs

16.4000

Conversion factor

$33.4009

Medicare rate

$547.77

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

Payment rules and modifiers for 27884

27884 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27884

Stump revision, 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 27884

Stump revision, 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

27884 without 50 · national facility

$547.77

Stump revision, through tibia and fibula

27884-50 · Bilateral: 150%

$821.66

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

27884 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 27884

    Stump revision, through tibia and fibula8.54 wRVU

    Not priced

  • 27880

    Leg amputation, through tibia and fibula14.99 wRVU

    Not priced

  • 27881

    Below-knee amputation, immediate prosthetic fitting13.13 wRVU

    Not priced

  • 27882

    Lower-leg amputation, open circular technique9.55 wRVU

    Not priced

  • 27886

    Amputation revision, at ankle9.77 wRVU

    Not priced

How to choose

27880Leg amputationThrough tibia and fibula
Use 27880 for an initial lower-leg amputation. Use 27884 when the patient already has an amputation at this level and the surgeon revises the stump.
27881Below-knee amputationImmediate prosthetic fitting
This is an initial lower-leg amputation code, not a revision of an established stump. Select 27884 for qualifying stump-revision surgery.
27882Lower-leg amputationOpen circular technique
This belongs to the initial lower-leg amputation code group. It does not describe revision surgery on a pre-existing stump.
27886Amputation revisionAt ankle
Both codes concern amputation follow-up surgery. Compare the complete code descriptors and operative details to determine which specific revision service was performed.

Codes related to 27884

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

Codes related to 27884
CodeHow it relatesNational office range
Same family
27880Leg amputation, through tibia and fibulaInitial lower-leg amputation code; revision of an existing stump is a different service.No office rate
27881Below-knee amputation, immediate prosthetic fittingInitial lower-leg amputation code in the same anatomic code family.No office rate
27882Lower-leg amputation, open circular techniqueInitial lower-leg amputation code in the same anatomic code family.No office rate
27886Amputation revision, at ankleRelated amputation follow-up surgery code; distinguish by the service documented and code descriptor.No office rate

27884 billing questions

How is this different from an initial lower-leg amputation?

This code is for operative work on an existing amputation stump. Use an initial amputation code when the operation removes the lower-leg segment rather than revising a prior amputation.

What documentation supports reporting this service?

Document the existing amputation level, the problem prompting revision, and the bone or soft-tissue work performed. The record should make clear that this is stump revision, not the initial amputation.

Are related postoperative visits separately included?

Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.

Can modifier 50 be reported for bilateral revision?

CMS treats this as a bilateral procedure; when performed bilaterally and reported with modifier 50, payment is at 150%.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

How does the multiple-procedure rule affect same-session services?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to 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 27884PPRRVU2026_Oct_nonQPP.csv, line 3,079 (RVU26D)

Open CMS sourceHow we calculate rates

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