No office rate
Choose 27886 for revision at the ankle. Choose 27884 when the revision is through the tibia and fibula.
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CMS RVU26D · Effective 2026-10-01
27886 Amputation revision Medicare reimbursement rates
Operative revision of an existing ankle-level amputation stump when the residual limb requires surgical correction of its bone or soft-tissue contour. Compare 27886 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27886?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 27886 pays more and less
Orthopedic surgery
About 27886: Ankle-Level Amputation Revision
Operative revision of an existing ankle-level amputation stump when the residual limb requires surgical correction of its bone or soft-tissue contour.
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.
CMS billing rules for 27886
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.77 · 54%
- Practice expense (office) RVU5.89 · 33%
- Malpractice RVU2.36 · 13%
1.6K
Medicare services in 2024 · #2611 by national volume
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.
27886 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
27889 describes a new ankle disarticulation. 27886 is for operative revision of an amputation already performed at the ankle.
No office rate
27880 describes creating a lower-leg amputation through the tibia and fibula; 27886 revises an existing amputation at the ankle.
See how rates vary across the country
27886 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 27886 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $543.08 |
| Alaska* | Office Unavailable | Facility $742.44 |
| Arizona | Office Unavailable | Facility $584.43 |
| Arkansas | Office Unavailable | Facility $535.91 |
| Atlanta | Office Unavailable | Facility $621.85 |
| Austin | Office Unavailable | Facility $604.96 |
| Bakersfield | Office Unavailable | Facility $596.15 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $640.15 |
| Beaumont | Office Unavailable | Facility $578.58 |
| Brazoria | Office Unavailable | Facility $585.38 |
| Chicago | Office Unavailable | Facility $707.23 |
| Chico | Office Unavailable | Facility $589.74 |
| Colorado | Office Unavailable | Facility $601.13 |
| Connecticut | Office Unavailable | Facility $640.11 |
| Dallas | Office Unavailable | Facility $592.84 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $663.43 |
| Delaware | Office Unavailable | Facility $593.19 |
| Detroit | Office Unavailable | Facility $649.07 |
| East St. Louis | Office Unavailable | Facility $666.08 |
| El Centro | Office Unavailable | Facility $590.14 |
| Fort Lauderdale | Office Unavailable | Facility $668.13 |
| Fort Worth | Office Unavailable | Facility $591.90 |
| Fresno | Office Unavailable | Facility $589.74 |
| Galveston | Office Unavailable | Facility $589.56 |
| Hanford-Corcoran | Office Unavailable | Facility $589.74 |
| Hawaii, Guam | Office Unavailable | Facility $595.65 |
| Houston | Office Unavailable | Facility $632.76 |
| Idaho | Office Unavailable | Facility $544.60 |
| Indiana | Office Unavailable | Facility $547.01 |
| Iowa | Office Unavailable | Facility $537.63 |
| Kansas | Office Unavailable | Facility $543.90 |
| Kentucky | Office Unavailable | Facility $573.35 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $624.78 |
| Madera | Office Unavailable | Facility $589.74 |
| Manhattan | Office Unavailable | Facility $700.83 |
| Merced | Office Unavailable | Facility $589.74 |
| Metropolitan Boston | Office Unavailable | Facility $644.76 |
| Metropolitan Kansas City | Office Unavailable | Facility $588.07 |
| Metropolitan Philadelphia | Office Unavailable | Facility $631.04 |
| Metropolitan St. Louis | Office Unavailable | Facility $592.60 |
| Miami | Office Unavailable | Facility $730.48 |
| Minnesota | Office Unavailable | Facility $552.10 |
| Mississippi | Office Unavailable | Facility $553.96 |
| Modesto | Office Unavailable | Facility $589.74 |
| Montana** | Office Unavailable | Facility $601.73 |
| Napa | Office Unavailable | Facility $646.22 |
| Nebraska | Office Unavailable | Facility $537.71 |
| Nevada** | Office Unavailable | Facility $588.92 |
| New Hampshire | Office Unavailable | Facility $600.10 |
| New Mexico | Office Unavailable | Facility $601.40 |
| New Orleans | Office Unavailable | Facility $601.00 |
| North Carolina | Office Unavailable | Facility $560.25 |
| North Dakota** | Office Unavailable | Facility $555.06 |
| Northern Nj | Office Unavailable | Facility $659.28 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $727.51 |
| Ohio | Office Unavailable | Facility $585.40 |
| Oklahoma | Office Unavailable | Facility $563.26 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $617.11 |
| Portland | Office Unavailable | Facility $608.76 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $651.81 |
| Puerto Rico | Office Unavailable | Facility $602.87 |
| Queens | Office Unavailable | Facility $693.42 |
| Redding | Office Unavailable | Facility $589.74 |
| Rest Of California | Office Unavailable | Facility $589.74 |
| Rest Of Florida | Office Unavailable | Facility $632.88 |
| Rest Of Georgia | Office Unavailable | Facility $595.77 |
| Rest Of Illinois | Office Unavailable | Facility $629.15 |
| Rest Of Louisiana | Office Unavailable | Facility $575.95 |
| Rest Of Maine | Office Unavailable | Facility $556.35 |
| Rest Of Maryland | Office Unavailable | Facility $601.04 |
| Rest Of Massachusetts | Office Unavailable | Facility $601.53 |
| Rest Of Michigan | Office Unavailable | Facility $594.94 |
| Rest Of Missouri | Office Unavailable | Facility $572.69 |
| Rest Of New Jersey | Office Unavailable | Facility $640.68 |
| Rest Of New York | Office Unavailable | Facility $568.64 |
| Rest Of Oregon | Office Unavailable | Facility $577.69 |
| Rest Of Pennsylvania | Office Unavailable | Facility $581.42 |
| Rest Of Texas | Office Unavailable | Facility $584.20 |
| Rest Of Washington | Office Unavailable | Facility $597.71 |
| Rhode Island | Office Unavailable | Facility $606.06 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $615.06 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $609.12 |
| Salinas | Office Unavailable | Facility $606.71 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $614.13 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $670.90 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $668.22 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $688.16 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $677.20 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $598.20 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $614.46 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $607.10 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $619.95 |
| Seattle (King Cnty) | Office Unavailable | Facility $648.43 |
| South Carolina | Office Unavailable | Facility $575.11 |
| South Dakota** | Office Unavailable | Facility $549.54 |
| Southern Maine | Office Unavailable | Facility $571.03 |
| Stockton | Office Unavailable | Facility $589.74 |
| Suburban Chicago | Office Unavailable | Facility $670.33 |
| Tennessee | Office Unavailable | Facility $547.49 |
| Utah | Office Unavailable | Facility $582.04 |
| Vallejo | Office Unavailable | Facility $642.36 |
| Vermont | Office Unavailable | Facility $560.98 |
| Virgin Islands | Office Unavailable | Facility $602.87 |
| Virginia | Office Unavailable | Facility $575.36 |
| Visalia | Office Unavailable | Facility $589.74 |
| West Virginia | Office Unavailable | Facility $610.09 |
| Wisconsin | Office Unavailable | Facility $539.07 |
| Wyoming** | Office Unavailable | Facility $581.39 |
| Yuba City | Office Unavailable | Facility $589.74 |
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,07727881,,Amputation of lower leg,A,,13.13,6.41,NA,6.41,,3.18,22.72,22.72,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07827882,,Amputation of lower leg,A,,9.55,4.61,NA,4.61,,2.38,16.54,16.54,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07927884,,Amputation follow-up surgery,A,,8.54,5.81,NA,5.81,,2.05,16.40,16.40,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08027886,,Amputation follow-up surgery,A,,9.77,5.89,NA,5.89,,2.36,18.02,18.02,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08127888,,Amputation of foot at ankle,A,,10.11,3.27,NA,3.27,,2.58,15.96,15.96,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08227889,,Ankle disarticulation,A,,10.59,5.00,NA,5.00,,2.30,17.89,17.89,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08327892,,Decompression of leg,A,,7.74,6.14,NA,6.14,,1.63,15.51,15.51,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00