Billing code 27702: Ankle replacementMedicare rate & RVUs in Georgia
Reports total ankle arthroplasty with an implanted prosthesis, commonly performed by an orthopedic foot and ankle surgeon for painful end-stage ankle arthritis.
CMS doesn’t publish an office rate for 27702 in Georgia.
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 27702 covers
This service is a total ankle replacement: the surgeon prepares the ankle joint surfaces and places an implant to restore joint function. It is commonly performed by an orthopedic foot and ankle surgeon in an operating room for severe ankle arthritis, including post-traumatic arthritis, when joint replacement is selected. The operative report should establish that an ankle prosthesis was implanted and identify the side treated.
Report this code for the primary total ankle replacement, not for revision surgery or removal of an existing implant alone. The 90-day global period 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 other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require 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.
Where 27702 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $909.49 |
| Rest Of Georgia | Unavailable | $866.70 |
How the 27702 rate is calculated
Each of 27702’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 · 27702
RVUs × geographic indexes × conversion factor
Work14.06
14.06 RVUs× 1.000 GPCI
Practice expense9.80
9.80 RVUs× 1.000 GPCI
Malpractice2.64
2.64 RVUs× 1.000 GPCI
Adjusted RVUs
26.5000
Conversion factor
$33.4009
Medicare rate
$885.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27702
27702 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27702
Ankle replacement
| 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 · 27702
Ankle replacement
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
27702 without 50 · national facility
$885.12
Ankle replacement
27702-50 · Bilateral: 150%
$1,327.68
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).
27702 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27700Ankle revision
- Choose 27702 when a total ankle prosthesis is implanted. Code 27700 represents ankle arthroplasty without the total ankle implant service.
- 27703Ankle revision
- 27702 describes primary total ankle replacement. 27703 is for revision of a total ankle replacement, including implant removal.
- 27704Ankle implant removal
- 27704 reports removal of an ankle implant alone; it is not the primary total ankle replacement reported with 27702.
27702 billing questions
How is this different from 27703?
This code is for a primary total ankle replacement with an implant. Use 27703 for revision of a total ankle replacement, including removal of the implant.
Does this code include the ankle implant?
Yes. The service reported is a total ankle replacement in which an implant is placed. The operative report should support implant placement.
What global care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral total ankle replacement reported?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule supplied for this code.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What happens when another procedure is done in the same session?
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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