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

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, 2026One payment locality1.6K Medicare services in 2024

In Delaware, Medicare pays $593.19 for 27886 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$593.19Hospital or facility

Check a contract rate as a % of Medicare · 27886 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 27886 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 27886 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 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.

How Delaware compares for 27886

Across 109 of 109 payment localities, the facility rate for 27886 runs from $535.91 in Arkansas to $742.44 in Alaska. Delaware pays $593.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

27886 in Delaware vs other payment areas
  1. Delaware · this page$593.19
  2. Los Angeles, CA · California$624.78+$31.59
  3. Washington, DC area · District of Columbia$663.43+$70.24
  4. Miami, FL · Florida$730.48+$137.29
  5. Chicago, IL · Illinois$707.23+$114.04
  6. Manhattan, NY · New York$700.83+$107.64
  7. Alaska · Alaska$742.44+$149.25

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

Every other payment area

27886 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$543.08
ArkansasArkansas—$535.91
ArizonaArizona—$584.43
Bakersfield, CACalifornia—$596.15
Chico, CACalifornia—$589.74
El Centro, CACalifornia—$590.14
Fresno, CACalifornia—$589.74
Hanford, CACalifornia—$589.74

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

See 27886 in every payment locality

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.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,080

Code
27886
Physician work
9.77
Practice expense
5.89
Malpractice
2.36

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 27886 in Delaware
ComponentRVULocality factorAdjusted
Physician work9.77× 1.0059.8188
Practice expense5.89× 0.9885.8193
Malpractice2.36× 0.8992.1216
Total RVUs17.7598
Conversion factor× 33.4009

Facility rate, Delaware$593.19

Facility: (9.77 × 1.005 + 5.89 × 0.988 + 2.36 × 0.899) × $33.4009 = $593.19

Open 27886 in the RVU calculator

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

How 27886 has changed in Delaware

27886 · 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$593.19RVU26D
2026-07-01Not available in this setting$593.19RVU26C
2026-04-01Not available in this setting$593.19RVU26B
2026-01-01Not available in this setting$593.19RVU26A
2025-10-01Not available in this setting$629.91RVU25D
2025-07-01Not available in this setting$629.91RVU25C
2025-04-01Not available in this setting$629.91RVU25B
2025-01-01Not available in this setting$629.91RVU25A
2024-10-01Not available in this setting$645.26RVU24D
2024-07-01Not available in this setting$645.26RVU24C
2024-04-01Not available in this setting$645.26RVU24B
2024-03-09Not available in this setting$645.26RVU24AR
2024-01-01Not available in this setting$634.73RVU24A
2023-10-01Not available in this setting$654.27RVU23D
2023-07-01Not available in this setting$654.27RVU23C
2023-04-01Not available in this setting$654.27RVU23B
2023-01-01Not available in this setting$654.27RVU23A
2022-10-01Not available in this setting$669.75RVU22D
2022-07-01Not available in this setting$669.75RVU22C
2022-04-01Not available in this setting$669.75RVU22B
2022-01-01Not available in this setting$669.75RVU22A
2021-10-01Not available in this setting$671.61RVU21D
2021-07-01Not available in this setting$671.61RVU21C
2021-04-01Not available in this setting$671.61RVU21B
2021-01-01Not available in this setting$671.61RVU21A
2020-10-01Not available in this setting$693.36RVU20D
2020-07-01Not available in this setting$693.36RVU20C
2020-04-01Not available in this setting$693.36RVU20B
2020-01-01Not available in this setting$693.36RVU20A
2019-10-01Not available in this setting$697.38RVU19D
2019-07-01Not available in this setting$697.38RVU19C
2019-04-01Not available in this setting$697.38RVU19B
2019-01-01Not available in this setting$697.38RVU19A
2018-10-01Not available in this setting$699.85RVU18D
2018-07-01Not available in this setting$699.85RVU18C
2018-04-01Not available in this setting$699.85RVU18B
2018-01-01Not available in this setting$699.85RVU18AR1
2017-10-01Not available in this setting$701.04RVU17D
2017-07-01Not available in this setting$701.04RVU17C
2017-04-01Not available in this setting$701.04RVU17B
2017-01-01Not available in this setting$701.04RVU17A
2016-10-01Not available in this setting$706.09RVU16D
2016-07-01Not available in this setting$706.09RVU16C
2016-04-01Not available in this setting$706.09RVU16B
2016-01-01Not available in this setting$706.09RVU16A
2015-10-01Not available in this setting$708.69RVU15D
2015-07-01Not available in this setting$708.69RVU15C
2015-04-01Not available in this setting$705.17RVU15B
2015-01-01Not available in this setting$705.17RVU15A
2014-10-01Not available in this setting$686.53RVU14D
2014-07-01Not available in this setting$686.53RVU14C
2014-04-01Not available in this setting$686.53RVU14B
2014-01-01Not available in this setting$686.53RVU14A
2013-10-01Not available in this setting$671.70RVU13D
2013-07-01Not available in this setting$671.70RVU13C
2013-04-01Not available in this setting$671.70RVU13B
2013-01-01Not available in this setting$671.70RVU13AR

Price 27886 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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