No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
27884 Stump revision Medicare reimbursement rates in Kansas
Reports operative revision of an existing lower-leg amputation stump when bone or soft tissue is surgically reshaped to address a clinical problem. Compare 27884 office and facility rates across CMS payment localities in Kansas.
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 27884 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$495.18
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
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.
Orthopedic surgery
About 27884: Lower-leg amputation stump revision
Reports operative revision of an existing lower-leg amputation stump when bone or soft tissue is surgically reshaped to address a clinical problem.
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.
CMS billing rules for 27884
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.54 · 52%
- Practice expense (office) RVU5.81 · 35%
- Malpractice RVU2.05 · 13%
464
Medicare services in 2024 · #3627 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.
27884 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
This is an initial lower-leg amputation code, not a revision of an established stump. Select 27884 for qualifying stump-revision surgery.
No office rate
This belongs to the initial lower-leg amputation code group. It does not describe revision surgery on a pre-existing stump.
No office rate
Both codes concern amputation follow-up surgery. Compare the complete code descriptors and operative details to determine which specific revision service was performed.
Compare 27884 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.
1 of 1 payment localities
Kansas →
Office / nonfacility
Unavailable
Facility
$495.18
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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 27884 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
3,079
- Code
- 27884
- Physician work
- 8.54
- Practice expense
- 5.81
- Malpractice
- 2.05
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.54 | × 1.000 | 8.5400 |
| Practice expense | 5.81 | × 0.904 | 5.2522 |
| Malpractice | 2.05 | × 0.504 | 1.0332 |
| Total RVUs | 14.8254 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$495.18
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.54 | 1 |
| Practice expense | 5.81 | 0.904 |
| Malpractice | 2.05 | 0.504 |
(8.54 × 1 + 5.81 × 0.904 + 2.05 × 0.504) × $33.4009 = $495.18
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.
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 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.
3,07627880,,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
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
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958