No office rate
Both concern ankle arthrotomy services. Choose based on the procedure actually documented and the complete CPT descriptor, rather than the shared ankle-joint context.
On this page
CMS RVU26D · Effective 2026-10-01
27612 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$550.78
Base rate per service
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.
Orthopedic surgery
About 27612: Open ankle joint exploration
Reports open surgical exploration of the ankle joint when the operative service is inspection of the joint rather than a separately defined procedure.
Ankle joint exploration uses an open surgical approach to expose and inspect the joint. Orthopedic surgeons, including foot and ankle specialists, may perform it in an operating room when examination or imaging has not established the source of an intra-articular problem, or when direct inspection is needed during surgery. The operative report should identify the ankle joint explored, the reason for exploration, the approach, and the findings or actions taken.
Select this code when the documented service supports ankle joint exploration, rather than a more specific procedure such as removal of joint lining or biopsy of a lower-leg soft-tissue mass. Medicare assigns a 90-day global period, which includes 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% multiple-procedure reduction. For bilateral reporting with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27612
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.95 · 49%
- Practice expense (office) RVU7.01 · 43%
- Malpractice RVU1.25 · 8%
463
Medicare services in 2024 · #3628 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.
27612 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
This is another ankle joint exploration or treatment code. The operative details and the complete descriptor determine which code fits.
No office rate
Use the synovectomy code when the surgeon removes ankle joint lining; exploration alone is distinct from that tissue-removal work.
$270.05
This code concerns biopsy of lower-leg soft tissue. It is not the ankle joint exploration code when the target is intra-articular.
The same code, a different location
How does Austin compare?
27612 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 27612
Office
Unavailable
Facility
$525.44
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 27612
Office
Unavailable
Facility
$581.13
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 27612
Office
Unavailable
Facility
$602.16
No comparable office rate is available.
Miami
Florida · 27612
Office
Unavailable
Facility
$614.87
No comparable office rate is available.
Chicago
Illinois · 27612
Office
Unavailable
Facility
$598.53
No comparable office rate is available.
Manhattan
New York · 27612
Office
Unavailable
Facility
$620.82
No comparable office rate is available.
Alaska*
Alaska · 27612
Office
Unavailable
Facility
$670.67
No comparable office rate is available.
Alabama
Alabama · 27612
Office
Unavailable
Facility
$494.04
No comparable office rate is available.
Arkansas
Arkansas · 27612
Office
Unavailable
Facility
$488.17
No comparable office rate is available.
Arizona
Arizona · 27612
Office
Unavailable
Facility
$528.16
No comparable office rate is available.
Bakersfield
California · 27612
Office
Unavailable
Facility
$552.63
No comparable office rate is available.
Chico
California · 27612
Office
Unavailable
Facility
$549.05
No comparable office rate is available.
El Centro
California · 27612
Office
Unavailable
Facility
$549.26
No comparable office rate is available.
Fresno
California · 27612
Office
Unavailable
Facility
$549.05
No comparable office rate is available.
Hanford-Corcoran
California · 27612
Office
Unavailable
Facility
$549.05
No comparable office rate is available.
Madera
California · 27612
Office
Unavailable
Facility
$549.05
No comparable office rate is available.
Merced
California · 27612
Office
Unavailable
Facility
$549.05
No comparable office rate is available.
Modesto
California · 27612
Office
Unavailable
Facility
$549.05
No comparable office rate is available.
Napa
California · 27612
Office
Unavailable
Facility
$612.07
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27612
Office
Unavailable
Facility
$575.74
No comparable office rate is available.
Redding
California · 27612
Office
Unavailable
Facility
$549.05
No comparable office rate is available.
Rest Of California
California · 27612
Office
Unavailable
Facility
$549.05
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27612
Office
Unavailable
Facility
$562.55
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27612
Office
Unavailable
Facility
$569.78
No comparable office rate is available.
Salinas
California · 27612
Office
Unavailable
Facility
$567.52
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27612
Office
Unavailable
Facility
$576.16
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27612
Office
Unavailable
Facility
$640.06
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27612
Office
Unavailable
Facility
$638.65
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27612
Office
Unavailable
Facility
$654.76
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27612
Office
Unavailable
Facility
$648.95
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27612
Office
Unavailable
Facility
$559.12
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27612
Office
Unavailable
Facility
$577.97
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27612
Office
Unavailable
Facility
$568.36
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27612
Office
Unavailable
Facility
$583.41
No comparable office rate is available.
Stockton
California · 27612
Office
Unavailable
Facility
$549.05
No comparable office rate is available.
Vallejo
California · 27612
Office
Unavailable
Facility
$610.03
No comparable office rate is available.
Visalia
California · 27612
Office
Unavailable
Facility
$549.05
No comparable office rate is available.
Yuba City
California · 27612
Office
Unavailable
Facility
$549.05
No comparable office rate is available.
Colorado
Colorado · 27612
Office
Unavailable
Facility
$550.46
No comparable office rate is available.
Connecticut
Connecticut · 27612
Office
Unavailable
Facility
$573.54
No comparable office rate is available.
Delaware
Delaware · 27612
Office
Unavailable
Facility
$535.73
No comparable office rate is available.
Fort Lauderdale
Florida · 27612
Office
Unavailable
Facility
$578.21
No comparable office rate is available.
Rest Of Florida
Florida · 27612
Office
Unavailable
Facility
$552.13
No comparable office rate is available.
Atlanta
Georgia · 27612
Office
Unavailable
Facility
$554.36
No comparable office rate is available.
Rest Of Georgia
Georgia · 27612
Office
Unavailable
Facility
$524.16
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27612
Office
Unavailable
Facility
$555.93
No comparable office rate is available.
Iowa
Iowa · 27612
Office
Unavailable
Facility
$496.35
No comparable office rate is available.
Idaho
Idaho · 27612
Office
Unavailable
Facility
$500.69
No comparable office rate is available.
East St. Louis
Illinois · 27612
Office
Unavailable
Facility
$565.03
No comparable office rate is available.
Rest Of Illinois
Illinois · 27612
Office
Unavailable
Facility
$544.56
No comparable office rate is available.
Suburban Chicago
Illinois · 27612
Office
Unavailable
Facility
$581.84
No comparable office rate is available.
Indiana
Indiana · 27612
Office
Unavailable
Facility
$502.88
No comparable office rate is available.
Kansas
Kansas · 27612
Office
Unavailable
Facility
$498.24
No comparable office rate is available.
Kentucky
Kentucky · 27612
Office
Unavailable
Facility
$511.89
No comparable office rate is available.
New Orleans
Louisiana · 27612
Office
Unavailable
Facility
$533.29
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27612
Office
Unavailable
Facility
$512.75
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27612
Office
Unavailable
Facility
$593.15
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27612
Office
Unavailable
Facility
$549.61
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27612
Office
Unavailable
Facility
$572.66
No comparable office rate is available.
Rest Of Maryland
Maryland · 27612
Office
Unavailable
Facility
$543.47
No comparable office rate is available.
Rest Of Maine
Maine · 27612
Office
Unavailable
Facility
$506.92
No comparable office rate is available.
Southern Maine
Maine · 27612
Office
Unavailable
Facility
$523.92
No comparable office rate is available.
Detroit
Michigan · 27612
Office
Unavailable
Facility
$561.87
No comparable office rate is available.
Rest Of Michigan
Michigan · 27612
Office
Unavailable
Facility
$526.44
No comparable office rate is available.
Minnesota
Minnesota · 27612
Office
Unavailable
Facility
$518.83
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27612
Office
Unavailable
Facility
$526.19
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27612
Office
Unavailable
Facility
$530.27
No comparable office rate is available.
Rest Of Missouri
Missouri · 27612
Office
Unavailable
Facility
$508.03
No comparable office rate is available.
Mississippi
Mississippi · 27612
Office
Unavailable
Facility
$497.99
No comparable office rate is available.
Montana**
Montana · 27612
Office
Unavailable
Facility
$541.35
No comparable office rate is available.
North Carolina
North Carolina · 27612
Office
Unavailable
Facility
$510.67
No comparable office rate is available.
North Dakota**
North Dakota · 27612
Office
Unavailable
Facility
$516.63
No comparable office rate is available.
Nebraska
Nebraska · 27612
Office
Unavailable
Facility
$497.43
No comparable office rate is available.
New Hampshire
New Hampshire · 27612
Office
Unavailable
Facility
$545.81
No comparable office rate is available.
Northern Nj
New Jersey · 27612
Office
Unavailable
Facility
$598.46
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27612
Office
Unavailable
Facility
$577.64
No comparable office rate is available.
New Mexico
New Mexico · 27612
Office
Unavailable
Facility
$530.39
No comparable office rate is available.
Nevada**
Nevada · 27612
Office
Unavailable
Facility
$534.69
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27612
Office
Unavailable
Facility
$638.46
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27612
Office
Unavailable
Facility
$584.39
No comparable office rate is available.
Queens
New York · 27612
Office
Unavailable
Facility
$619.49
No comparable office rate is available.
Rest Of New York
New York · 27612
Office
Unavailable
Facility
$517.32
No comparable office rate is available.
Ohio
Ohio · 27612
Office
Unavailable
Facility
$521.39
No comparable office rate is available.
Oklahoma
Oklahoma · 27612
Office
Unavailable
Facility
$507.07
No comparable office rate is available.
Portland
Oregon · 27612
Office
Unavailable
Facility
$560.98
No comparable office rate is available.
Rest Of Oregon
Oregon · 27612
Office
Unavailable
Facility
$528.09
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27612
Office
Unavailable
Facility
$563.87
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27612
Office
Unavailable
Facility
$519.93
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27612
Office
Unavailable
Facility
$543.38
No comparable office rate is available.
Rhode Island
Rhode Island · 27612
Office
Unavailable
Facility
$549.69
No comparable office rate is available.
South Carolina
South Carolina · 27612
Office
Unavailable
Facility
$517.37
No comparable office rate is available.
South Dakota**
South Dakota · 27612
Office
Unavailable
Facility
$513.71
No comparable office rate is available.
Tennessee
Tennessee · 27612
Office
Unavailable
Facility
$500.79
No comparable office rate is available.
Utah
Utah · 27612
Office
Unavailable
Facility
$523.12
No comparable office rate is available.
Virginia
Virginia · 27612
Office
Unavailable
Facility
$525.17
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27612
Office
Unavailable
Facility
$543.38
No comparable office rate is available.
Vermont
Vermont · 27612
Office
Unavailable
Facility
$518.46
No comparable office rate is available.
Rest Of Washington
Washington · 27612
Office
Unavailable
Facility
$547.31
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27612
Office
Unavailable
Facility
$600.21
No comparable office rate is available.
Wisconsin
Wisconsin · 27612
Office
Unavailable
Facility
$502.70
No comparable office rate is available.
West Virginia
West Virginia · 27612
Office
Unavailable
Facility
$528.75
No comparable office rate is available.
Wyoming**
Wyoming · 27612
Office
Unavailable
Facility
$530.57
No comparable office rate is available.
See how rates vary across the country
27612 · 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 27612 in Austin
Multiple payment areas
- 27612 in Barton Creek
- 27612 in Bee Cave
- 27612 in Briarcliff
- 27612 in Cedar Park
Multiple payment areas
- 27612 in Creedmoor
Multiple payment areas
- 27612 in Elgin
Multiple payment areas
- 27612 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 27612 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$605.86
$550.78 × 110% = $605.86
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27612 in Austin.
PPRRVU2026_Oct_nonQPP.csv
2,971
- Code
- 27612
- Physician work
- 7.95
- Practice expense
- 7.01
- Malpractice
- 1.25
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.95 | × 1.002 | 7.9659 |
| Practice expense | 7.01 | × 1.058 | 7.4166 |
| Malpractice | 1.25 | × 0.886 | 1.1075 |
| Total RVUs | 16.4900 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$550.78
Open 27612 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.95 | 1.002 |
| Practice expense | 7.01 | 1.058 |
| Malpractice | 1.25 | 0.886 |
(7.95 × 1.002 + 7.01 × 1.058 + 1.25 × 0.886) × $33.4009 = $550.78
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
27612 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $550.78 | RVU26D |
| 2026-07-01 | Not available in this setting | $550.78 | RVU26C |
| 2026-04-01 | Not available in this setting | $550.78 | RVU26B |
| 2026-01-01 | Not available in this setting | $550.78 | RVU26A |
| 2025-10-01 | Not available in this setting | $577.98 | RVU25D |
| 2025-07-01 | Not available in this setting | $577.98 | RVU25C |
| 2025-04-01 | Not available in this setting | $577.98 | RVU25B |
| 2025-01-01 | Not available in this setting | $577.98 | RVU25A |
27612 billing questions
How is this different from an ankle synovectomy?
This code describes exploration of the ankle joint. When the operative work removes joint lining, consider the ankle synovectomy code that matches the documented extent.
What should the operative report document?
Document the ankle joint explored, the clinical reason for direct inspection, the surgical approach, and the findings and work performed.
Does the code have a global period?
Yes. Medicare assigns a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral exploration reported?
For bilateral procedures, report modifier 50; CMS payment is 150%.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction to 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 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.
2,96827606,,Incision of achilles tendon,A,,4.08,2.90,NA,2.90,,0.65,7.63,7.63,0,010,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96927607,,Treat lower leg bone lesion,A,,8.40,6.93,NA,6.93,,1.65,16.98,16.98,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97027610,,Explore/treat ankle joint,A,,8.90,7.71,NA,7.71,,1.64,18.25,18.25,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97127612,,Exploration of ankle joint,A,,7.95,7.01,NA,7.01,,1.25,16.21,16.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97227613,,Biopsy lower leg soft tissue,A,,2.16,5.32,,2.03,,0.33,7.81,4.52,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97327614,,Biopsy lower leg soft tissue,A,,5.66,11.69,,5.15,,0.92,18.27,11.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97427615,,Resect leg/ankle tum < 5 cm,A,,15.33,9.61,NA,9.61,,3.29,28.23,28.23,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858