No office rate
Choose 27702 when a total ankle prosthesis is implanted. Code 27700 represents ankle arthroplasty without the total ankle implant service.
On this page
CMS RVU26D · Effective 2026-10-01
27702 Ankle replacement Medicare reimbursement rates in Kentucky
Reports total ankle arthroplasty with an implanted prosthesis, commonly performed by an orthopedic foot and ankle surgeon for painful end-stage ankle arthritis. Compare 27702 office and facility rates across CMS payment localities in Kentucky.
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 27702 in Kentucky?
Kentucky 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
$841.30
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 27702: Total ankle replacement with implant
Reports total ankle arthroplasty with an implanted prosthesis, commonly performed by an orthopedic foot and ankle surgeon for painful end-stage ankle arthritis.
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.
CMS billing rules for 27702
- 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 RVU14.06 · 53%
- Practice expense (office) RVU9.80 · 37%
- Malpractice RVU2.64 · 10%
5.7K
Medicare services in 2024 · #1783 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.
27702 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
27702 describes primary total ankle replacement. 27703 is for revision of a total ankle replacement, including implant removal.
No office rate
27704 reports removal of an ankle implant alone; it is not the primary total ankle replacement reported with 27702.
Compare 27702 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$841.30
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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 27702 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
3,015
- Code
- 27702
- Physician work
- 14.06
- Practice expense
- 9.80
- Malpractice
- 2.64
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.06 | × 1.000 | 14.0600 |
| Practice expense | 9.80 | × 0.889 | 8.7122 |
| Malpractice | 2.64 | × 0.915 | 2.4156 |
| Total RVUs | 25.1878 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$841.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.06 | 1 |
| Practice expense | 9.8 | 0.889 |
| Malpractice | 2.64 | 0.915 |
(14.06 × 1 + 9.8 × 0.889 + 2.64 × 0.915) × $33.4009 = $841.30
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.
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 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.
3,01227696,,Repair of ankle ligaments,A,,8.37,5.79,NA,5.79,,1.12,15.28,15.28,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01327698,,Repair of ankle ligament,A,,9.37,7.00,NA,7.00,,1.50,17.87,17.87,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01427700,,Revision of ankle joint,A,,9.42,8.62,NA,8.62,,2.00,20.04,20.04,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01527702,,Reconstruct ankle joint,A,,14.06,9.80,NA,9.80,,2.64,26.50,26.50,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01627703,,Reconstruction ankle joint,A,,16.52,10.82,NA,10.82,,3.13,30.47,30.47,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01727704,,Removal of ankle implant,A,,7.61,6.93,NA,6.93,,1.31,15.85,15.85,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01827705,,Osteotomy tibia,A,,10.59,8.19,NA,8.19,,1.96,20.74,20.74,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631