No office rate
27590 is for the initial thigh-level amputation. Use 27594 when the patient already has an amputation stump that is being revised.
On this page
CMS RVU26D · Effective 2026-10-01
27594 Amputation revision Medicare reimbursement rates in Massachusetts
Revision surgery for an existing thigh-level amputation stump, reported when the surgeon modifies the residual limb rather than performing an initial amputation. Compare 27594 office and facility rates across CMS payment localities in Massachusetts.
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 27594 in Massachusetts?
Massachusetts 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
$480.23–$517.40
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 27594: Thigh amputation stump revision
Revision surgery for an existing thigh-level amputation stump, reported when the surgeon modifies the residual limb rather than performing an initial amputation.
This service revises an existing amputation stump at the thigh or femur level. The surgeon may remove problematic tissue or bone and reshape the residual limb to address issues such as a painful bony prominence, tissue breakdown, or difficulty fitting a prosthesis. Orthopedic and vascular surgeons commonly perform this operation in a hospital or other surgical setting.
Report the code for revision of an established thigh-level stump, not for the original amputation. The operative note should identify the existing amputation level, the problem prompting revision, and the work performed on the residual limb. Medicare assigns 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. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 27594
- 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 RVU7.11 · 50%
- Practice expense (office) RVU5.53 · 39%
- Malpractice RVU1.67 · 12%
201
Medicare services in 2024 · #4321 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.
27594 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
27592 describes thigh-level re-amputation; 27594 describes revision of an existing stump. The operative report should support which service was performed.
No office rate
27596 is the corresponding revision code for an amputation at the leg level. 27594 is for a thigh-level stump.
Compare 27594 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$517.40
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$480.23
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27594 billing questions
How is this different from 27590?
27590 describes an initial thigh-level amputation. Report 27594 when the patient already has a thigh-level amputation and the surgeon revises that stump.
When would 27592 be considered instead?
27592 describes re-amputation at the thigh level, while 27594 describes revision of an existing stump. Use the operative documentation to determine whether the service is a re-amputation or a stump revision.
Are related postoperative visits separately reported?
The 90-day global period includes related postoperative care for 90 days and the day-before preoperative visit.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How does Medicare handle bilateral reporting?
When the procedure is performed bilaterally and reported with modifier 50, Medicare pays at 150%.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures 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.
2,95527590,,Amputate leg at thigh,A,,13.13,5.19,NA,5.19,,3.27,21.59,21.59,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95627591,,Amputate leg at thigh,A,,13.59,10.12,NA,10.12,,2.91,26.62,26.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95727592,,Amputate leg at thigh,A,,10.71,5.49,NA,5.49,,2.61,18.81,18.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95827594,,Amputation follow-up surgery,A,,7.11,5.53,NA,5.53,,1.67,14.31,14.31,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95927596,,Amputation follow-up surgery,A,,11.01,6.11,NA,6.11,,2.64,19.76,19.76,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96027598,,Amputate lower leg at knee,A,,10.94,5.71,NA,5.71,,2.67,19.32,19.32,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96127599,,Unlisted px femur/knee,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00