No office rate
Both describe a below-knee amputation, but 27881 includes immediate prosthetic fitting and the first cast. Choose 27880 when that immediate fitting is not performed.
On this page
CMS RVU26D · Effective 2026-10-01
27881 Below-knee amputation Medicare reimbursement rates in Georgia
Reports a below-knee amputation with immediate prosthetic fitting and initial cast application during the operative episode. Compare 27881 office and facility rates across CMS payment localities in Georgia.
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 27881 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$756.14–$784.96
2 of 2 localities have a 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.
Amputation surgery
About 27881: Below-knee amputation with immediate fitting
Reports a below-knee amputation with immediate prosthetic fitting and initial cast application during the operative episode.
This service combines removal of the lower leg below the knee with immediate prosthetic fitting and application of the first cast. It is generally performed in an operating room by an orthopedic, vascular, or trauma surgeon when the lower leg is nonviable or unsalvageable, such as with critical ischemia, severe infection, or major injury. The defining feature is immediate fitting at the operative episode, not simply the amputation level.
Report 27881 when the operative record supports both the amputation and immediate prosthetic fitting with the first cast; without immediate fitting, 27880 is the closer code. The 90-day global includes the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27881
- 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 RVU13.13 · 58%
- Practice expense (office) RVU6.41 · 28%
- Malpractice RVU3.18 · 14%
130
Medicare services in 2024 · #4668 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.
27881 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
This is a related below-knee amputation code with a different operative approach. Select based on the procedure documented, not simply the amputation level.
No office rate
This code is for amputation at the ankle, a more distal level than the below-knee amputation reported with 27881.
No office rate
This code describes ankle disarticulation; 27881 is for a below-knee amputation with immediate prosthetic fitting.
Compare 27881 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$784.96
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$756.14
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
27881 billing questions
When should 27881 be chosen instead of 27880?
Use 27881 when immediate prosthetic fitting and application of the first cast accompany the below-knee amputation. Without that immediate fitting, 27880 is the closer code.
Is the first cast separately reported?
The first cast application is included in 27881. The operative documentation should support the immediate fitting and cast application.
How is bilateral surgery reported?
Report modifier 50 for a bilateral procedure. CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
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.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under 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 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.
3,07427870,,Fusion of ankle joint open,A,,15.02,10.07,NA,10.07,,2.69,27.78,27.78,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07527871,,Fusion of tibiofibular joint,A,,9.30,8.22,NA,8.22,,1.85,19.37,19.37,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07627880,,Amputation of lower leg,A,,14.99,5.97,NA,5.97,,3.67,24.63,24.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07727881,,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