CPT code 27884: Stump revision2026 Medicare rate & RVUs in Florida
Reports operative revision of an existing lower-leg amputation stump when bone or soft tissue is surgically reshaped to address a clinical problem.
CMS doesn’t publish an office rate for 27884 in Florida.
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 9 sections
What 27884 covers
This service involves surgically revising an established amputation stump through the tibia and fibula. The surgeon may reshape bone or revise soft tissue to address problems such as poor wound healing, painful prominence, or inadequate coverage. Orthopedic and vascular surgeons commonly perform the procedure in a hospital or other operative setting. It is distinct from the initial operation that removes the lower leg.
Report the code when the operative record supports revision of an existing stump at this level; document the indication and the bone and soft-tissue work performed. The service has a 90-day global period, including 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 other procedures are subject to the standard multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are 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 27884 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $605.62 |
| Miami | Unavailable | $660.42 |
| Rest Of Florida | Unavailable | $573.68 |
How the 27884 rate is calculated
Each of 27884’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 · 27884
RVUs × geographic indexes × conversion factor
Work8.54
8.54 RVUs× 1.000 GPCI
Practice expense5.81
5.81 RVUs× 1.000 GPCI
Malpractice2.05
2.05 RVUs× 1.000 GPCI
Adjusted RVUs
16.4000
Conversion factor
$33.4009
Medicare rate
$547.77
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27884
27884 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27884
Stump revision
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 27884
Stump revision
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
27884 without 50 · national facility
$547.77
Stump revision
27884-50 · Bilateral: 150%
$821.66
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).
27884 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27880Leg amputation
- Use 27880 for an initial lower-leg amputation. Use 27884 when the patient already has an amputation at this level and the surgeon revises the stump.
- 27881Below-knee amputation
- This is an initial lower-leg amputation code, not a revision of an established stump. Select 27884 for qualifying stump-revision surgery.
- 27882Lower-leg amputation
- This belongs to the initial lower-leg amputation code group. It does not describe revision surgery on a pre-existing stump.
- 27886Amputation revision
- Both codes concern amputation follow-up surgery. Compare the complete code descriptors and operative details to determine which specific revision service was performed.
27884 billing questions
How is this different from an initial lower-leg amputation?
This code is for operative work on an existing amputation stump. Use an initial amputation code when the operation removes the lower-leg segment rather than revising a prior amputation.
What documentation supports reporting this service?
Document the existing amputation level, the problem prompting revision, and the bone or soft-tissue work performed. The record should make clear that this is stump revision, not the initial amputation.
Are related postoperative visits separately included?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
Can modifier 50 be reported for bilateral revision?
CMS treats this as a bilateral procedure; when performed bilaterally and reported with modifier 50, payment is at 150%.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How does the multiple-procedure rule affect same-session services?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction.
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
Fee sheets
Put 27884 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →