CPT code 27888: Foot amputation, at ankle level2026 Medicare rate & RVUs in New Mexico
Reports surgical removal of the foot at the ankle, such as for a nonviable foot from severe infection, gangrene, or trauma.
In New Mexico, Medicare pays $541.33 for 27888 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27888 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 27888 covers
A surgeon removes the foot at the ankle when the foot is not viable or cannot be salvaged. Common circumstances include extensive infection, gangrene associated with poor blood flow, and severe traumatic injury. The operative level determines whether this code fits; a lower-leg amputation or an amputation through the malleoli is a different service. These procedures are generally performed in a hospital operating room or another surgical facility.
Report 27888 for the documented foot-at-ankle level, supported by the operative report and the side treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 identifies a bilateral procedure, paid at 150%. Assistant-at-surgery payment may be available; 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 27888
Across 109 of 109 payment localities, the facility rate for 27888 runs from $468.86 in Wisconsin to $670.33 in Alaska. New Mexico pays $541.33. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$541.33
- Los Angeles, CA · California$537.96−$3.37
- Washington, DC area · District of Columbia$580.49+$39.16
- Miami, FL · Florida$669.32+$127.99
- Chicago, IL · Illinois$647.58+$106.25
- Manhattan, NY · New York$622.88+$81.55
- Alaska · Alaska$670.33+$129.00
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $482.03 |
| ArkansasArkansas | — | $475.88 |
| ArizonaArizona | — | $517.28 |
| Bakersfield, CACalifornia | — | $516.29 |
| Chico, CACalifornia | — | $509.32 |
| El Centro, CACalifornia | — | $509.75 |
| Fresno, CACalifornia | — | $509.32 |
| Hanford, CACalifornia | — | $509.32 |
| Madera, CACalifornia | — | $509.32 |
| Merced, CACalifornia | — | $509.32 |
| Modesto, CACalifornia | — | $509.32 |
| Napa, CACalifornia | — | $546.69 |
| Oxnard, CACalifornia | — | $529.92 |
| Redding, CACalifornia | — | $509.32 |
| Rest of CaliforniaCalifornia | — | $509.32 |
| Riverside, CACalifornia | — | $536.97 |
| Sacramento, CACalifornia | — | $523.05 |
| Salinas, CACalifornia | — | $520.93 |
| San Diego, CACalifornia | — | $525.15 |
| Marin County, CACalifornia | — | $563.32 |
| San Francisco, CACalifornia | — | $560.39 |
| San Benito County, CACalifornia | — | $578.51 |
| Santa Clara County, CACalifornia | — | $566.54 |
| San Luis Obispo, CACalifornia | — | $514.02 |
| Santa Cruz, CACalifornia | — | $523.67 |
| Santa Maria, CACalifornia | — | $520.68 |
| Santa Rosa, CACalifornia | — | $528.13 |
| Stockton, CACalifornia | — | $509.32 |
| Vallejo, CACalifornia | — | $542.46 |
| Visalia, CACalifornia | — | $509.32 |
| Yuba City, CACalifornia | — | $509.32 |
| ColoradoColorado | — | $525.25 |
| ConnecticutConnecticut | — | $566.34 |
| DelawareDelaware | — | $524.75 |
| Fort Lauderdale, FLFlorida | — | $604.13 |
| Rest of FloridaFlorida | — | $571.62 |
| Atlanta, GAGeorgia | — | $553.16 |
| Rest of GeorgiaGeorgia | — | $537.83 |
| Hawaii, Guam, HIHawaii | — | $511.76 |
| IowaIowa | — | $471.83 |
| IdahoIdaho | — | $478.93 |
| East St. Louis, ILIllinois | — | $611.72 |
| Rest of IllinoisIllinois | — | $572.09 |
| Suburban Chicago, ILIllinois | — | $604.92 |
| IndianaIndiana | — | $480.81 |
| KansasKansas | — | $479.85 |
| KentuckyKentucky | — | $513.63 |
| New Orleans, LALouisiana | — | $538.35 |
| Rest of LouisianaLouisiana | — | $516.90 |
| Metropolitan Boston, MAMassachusetts | — | $558.63 |
| Rest of MassachusettsMassachusetts | — | $526.78 |
| Baltimore area, MDMaryland | — | $566.88 |
| Rest of MarylandMaryland | — | $530.70 |
| Rest of MaineMaine | — | $491.77 |
| Southern Maine, MEMaine | — | $500.30 |
| Detroit, MIMichigan | — | $588.37 |
| Rest of MichiganMichigan | — | $534.69 |
| MinnesotaMinnesota | — | $475.58 |
| Metropolitan Kansas City, MOMissouri | — | $524.43 |
| Metropolitan St. Louis, MOMissouri | — | $528.01 |
| Rest of MissouriMissouri | — | $515.77 |
| MississippiMississippi | — | $495.41 |
| MontanaMontana | — | $532.91 |
| North CarolinaNorth Carolina | — | $494.65 |
| North DakotaNorth Dakota | — | $481.89 |
| NebraskaNebraska | — | $471.07 |
| New HampshireNew Hampshire | — | $526.78 |
| Northern New JerseyNew Jersey | — | $577.69 |
| Rest of New JerseyNew Jersey | — | $564.99 |
| NevadaNevada | — | $518.80 |
| NYC suburbs and Long Island, NYNew York | — | $649.18 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $576.75 |
| Queens, NYNew York | — | $612.66 |
| Rest of New YorkNew York | — | $502.02 |
| OhioOhio | — | $524.27 |
| OklahomaOklahoma | — | $502.17 |
| Portland, OROregon | — | $528.54 |
| Rest of OregonOregon | — | $507.05 |
| Metropolitan Philadelphia, PAPennsylvania | — | $560.27 |
| Rest of PennsylvaniaPennsylvania | — | $519.38 |
| Puerto RicoPuerto Rico | — | $532.99 |
| Rhode IslandRhode Island | — | $533.79 |
| South CarolinaSouth Carolina | — | $511.85 |
| South DakotaSouth Dakota | — | $475.86 |
| TennesseeTennessee | — | $483.24 |
| Austin, TXTexas | — | $530.26 |
| Beaumont, TXTexas | — | $517.13 |
| Brazoria, TXTexas | — | $515.84 |
| Dallas, TXTexas | — | $523.44 |
| Fort Worth, TXTexas | — | $523.47 |
| Galveston, TXTexas | — | $520.19 |
| Houston, TXTexas | — | $567.42 |
| Rest of TexasTexas | — | $519.15 |
| UtahUtah | — | $517.74 |
| VirginiaVirginia | — | $505.89 |
| Virgin Islands, VIUnited States Virgin Islands | — | $532.99 |
| VermontVermont | — | $489.42 |
| Rest of WashingtonWashington | — | $522.66 |
| King County, WAWashington | — | $558.99 |
| WisconsinWisconsin | — | $468.86 |
| West VirginiaWest Virginia | — | $555.91 |
| WyomingWyoming | — | $510.67 |
27888 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 27888 rate is calculated
Each of 27888’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 · 27888
RVUs × geographic indexes × conversion factor
Work10.11
10.11 RVUs× 1.000 GPCI
Practice expense3.27
3.27 RVUs× 1.000 GPCI
Malpractice2.58
2.58 RVUs× 1.000 GPCI
Adjusted RVUs
15.9600
Conversion factor
$33.4009
Medicare rate
$533.08
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
3,081
- Code
- 27888
- Physician work
- 10.11
- Practice expense
- 3.27
- Malpractice
- 2.58
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.11 | × 1.000 | 10.1100 |
| Practice expense | 3.27 | × 0.917 | 2.9986 |
| Malpractice | 2.58 | × 1.201 | 3.0986 |
| Total RVUs | 16.2072 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$541.33
Facility: (10.11 × 1 + 3.27 × 0.917 + 2.58 × 1.201) × $33.4009 = $541.33
Payment rules and modifiers for 27888
27888 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27888
Foot amputation, at ankle level
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27888
Foot amputation, at ankle level
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27888 without 50 · national facility
$533.08
Foot amputation, at ankle level
27888-50 · Bilateral: 150%
$799.62
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).
How 27888 has changed in New Mexico
27888 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $541.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $541.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $541.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $541.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $557.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $557.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $557.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $557.60 | RVU25A |
| 2024-10-01 | Not available in this setting | $571.88 | RVU24D |
| 2024-07-01 | Not available in this setting | $571.88 | RVU24C |
| 2024-04-01 | Not available in this setting | $571.88 | RVU24B |
| 2024-03-09 | Not available in this setting | $571.88 | RVU24AR |
| 2024-01-01 | Not available in this setting | $562.55 | RVU24A |
| 2023-10-01 | Not available in this setting | $637.55 | RVU23D |
| 2023-07-01 | Not available in this setting | $637.55 | RVU23C |
| 2023-04-01 | Not available in this setting | $637.55 | RVU23B |
| 2023-01-01 | Not available in this setting | $637.55 | RVU23A |
| 2022-10-01 | Not available in this setting | $652.65 | RVU22D |
| 2022-07-01 | Not available in this setting | $652.65 | RVU22C |
| 2022-04-01 | Not available in this setting | $652.65 | RVU22B |
| 2022-01-01 | Not available in this setting | $652.65 | RVU22A |
| 2021-10-01 | Not available in this setting | $657.15 | RVU21D |
| 2021-07-01 | Not available in this setting | $657.15 | RVU21C |
| 2021-04-01 | Not available in this setting | $657.15 | RVU21B |
| 2021-01-01 | Not available in this setting | $657.15 | RVU21A |
| 2020-10-01 | Not available in this setting | $676.78 | RVU20D |
| 2020-07-01 | Not available in this setting | $676.78 | RVU20C |
| 2020-04-01 | Not available in this setting | $676.78 | RVU20B |
| 2020-01-01 | Not available in this setting | $676.78 | RVU20A |
| 2019-10-01 | Not available in this setting | $685.31 | RVU19D |
| 2019-07-01 | Not available in this setting | $685.31 | RVU19C |
| 2019-04-01 | Not available in this setting | $685.31 | RVU19B |
| 2019-01-01 | Not available in this setting | $685.31 | RVU19A |
| 2018-10-01 | Not available in this setting | $699.05 | RVU18D |
| 2018-07-01 | Not available in this setting | $699.05 | RVU18C |
| 2018-04-01 | Not available in this setting | $699.05 | RVU18B |
| 2018-01-01 | Not available in this setting | $699.05 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $706.32 | RVU17D |
| 2017-07-01 | Not available in this setting | $706.32 | RVU17C |
| 2017-04-01 | Not available in this setting | $706.32 | RVU17B |
| 2017-01-01 | Not available in this setting | $706.32 | RVU17A |
| 2016-10-01 | Not available in this setting | $699.25 | RVU16D |
| 2016-07-01 | Not available in this setting | $699.25 | RVU16C |
| 2016-04-01 | Not available in this setting | $699.25 | RVU16B |
| 2016-01-01 | Not available in this setting | $699.25 | RVU16A |
| 2015-10-01 | Not available in this setting | $705.65 | RVU15D |
| 2015-07-01 | Not available in this setting | $705.65 | RVU15C |
| 2015-04-01 | Not available in this setting | $702.14 | RVU15B |
| 2015-01-01 | Not available in this setting | $702.14 | RVU15A |
| 2014-10-01 | Not available in this setting | $678.45 | RVU14D |
| 2014-07-01 | Not available in this setting | $678.45 | RVU14C |
| 2014-04-01 | Not available in this setting | $678.45 | RVU14B |
| 2014-01-01 | Not available in this setting | $678.45 | RVU14A |
| 2013-10-01 | Not available in this setting | $666.98 | RVU13D |
| 2013-07-01 | Not available in this setting | $666.98 | RVU13C |
| 2013-04-01 | Not available in this setting | $666.98 | RVU13B |
| 2013-01-01 | Not available in this setting | $666.98 | RVU13AR |
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
27888 billing questions
How do I distinguish 27888 from 27889?
Choose 27888 when the documented procedure removes the foot at the ankle. Code 27889 describes an amputation through the malleoli, so use the operative level to distinguish them.
When is 27880 a better choice?
27880 describes an amputation at the lower-leg level. Use 27888 when the operative level is the foot at the ankle, rather than the lower leg.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
Can modifier 50 be used for bilateral procedures?
Yes. CMS identifies 27888 as a bilateral procedure; when modifier 50 is reported, payment is at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and 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 subject to the standard multiple-procedure reduction, with payment at 50%.
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
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