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CPT code 27886: Amputation revision, at ankle2026 Medicare rate & RVUs

Operative revision of an existing ankle-level amputation stump when the residual limb requires surgical correction of its bone or soft-tissue contour.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.6K Medicare services in 2024

Medicare pays $601.88 for 27886 nationally in a facility.

Medicare rate · 27886

Amputation revision, at ankle

Office or facility?

Work RVUs
9.77
Total RVUs
18.02
Global days
090

National rate · 2026

$601.88

Facility setting, before claim adjustments.

See every locality for 27886 →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 27886 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 27886 covers

Code 27886 describes operative revision of an existing lower-extremity amputation at the ankle. The surgeon reshapes the residual limb and revises involved bone and soft tissue when the prior stump needs surgical correction, such as for a problematic contour or tissue breakdown. Orthopedic and vascular surgeons commonly perform this work in an operating room; this code is for revising an existing amputation, not creating a new ankle-level amputation.

Report the code when the operative note establishes both a prior amputation and revision at the ankle, rather than a new amputation or revision through the tibia and fibula. The 90-day global 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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.

Where 27886 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

27886 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$543.08
AlaskaUnavailable$742.44
ArizonaUnavailable$584.43
ArkansasUnavailable$535.91
Atlanta, GAUnavailable$621.85
Austin, TXUnavailable$604.96
Bakersfield, CAUnavailable$596.15
Baltimore area, MDUnavailable$640.15
Beaumont, TXUnavailable$578.58
Brazoria, TXUnavailable$585.38

27886 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
27886 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 27886 rate is calculated

Each of 27886’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 · 27886

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.77

9.77 RVUs× 1.000 GPCI

Practice expense5.89

5.89 RVUs× 1.000 GPCI

Malpractice2.36

2.36 RVUs× 1.000 GPCI

Adjusted RVUs

18.0200

Conversion factor

$33.4009

Medicare rate

$601.88

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

Payment rules and modifiers for 27886

27886 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27886

Amputation revision, at ankle

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)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 · 27886

Amputation revision, at ankle

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

27886 without 50 · national facility

$601.88

Amputation revision, at ankle

27886-50 · Bilateral: 150%

$902.82

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

27886 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 27886

    Amputation revision, at ankle9.77 wRVU

    Not priced

  • 27884

    Stump revision, through tibia and fibula8.54 wRVU

    Not priced

  • 27889

    Ankle amputation, through the ankle joint10.59 wRVU

    Not priced

  • 27880

    Leg amputation, through tibia and fibula14.99 wRVU

    Not priced

How to choose

27884Stump revisionThrough tibia and fibula
Choose 27886 for revision at the ankle. Choose 27884 when the revision is through the tibia and fibula.
27889Ankle amputationThrough the ankle joint
27889 describes a new ankle disarticulation. 27886 is for operative revision of an amputation already performed at the ankle.
27880Leg amputationThrough tibia and fibula
27880 describes creating a lower-leg amputation through the tibia and fibula; 27886 revises an existing amputation at the ankle.

Codes related to 27886

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

Codes related to 27886
CodeHow it relatesNational office range
Same family
27884Stump revision, through tibia and fibulaRevision of a lower-extremity amputation through the tibia and fibula rather than at the ankle.No office rate
Used instead
27889Ankle amputation, through the ankle jointRepresents a new ankle disarticulation rather than revision of an existing amputation.No office rate
27880Leg amputation, through tibia and fibulaRepresents a new lower-leg amputation through the tibia and fibula, not ankle-level stump revision.No office rate

27886 billing questions

How does 27886 differ from 27884?

27886 is for revision at the ankle. 27884 is for revision through the tibia and fibula.

Is this code for a new ankle-level amputation?

No. It describes revision of an existing ankle-level amputation. A new ankle disarticulation is represented by 27889.

Are routine postoperative visits separately reported?

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

How does Medicare handle bilateral reporting and multiple procedures?

Bilateral reporting with modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is restricted by statute. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

What documentation supports reporting 27886?

Document the prior amputation, the ankle-level site, the reason for revision, and the operative work performed on the residual limb.

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 27886PPRRVU2026_Oct_nonQPP.csv, line 3,080 (RVU26D)

Open CMS sourceHow we calculate rates

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