No office rate
Use 27702 for initial total ankle replacement. Use 27703 when surgically revising an existing ankle replacement.
On this page
CMS RVU26D · Effective 2026-10-01
27703 Ankle revision Medicare reimbursement rates in Massachusetts
Reports revision reconstruction of an ankle joint replacement, such as when an existing implant requires surgical revision for loosening or failure. Compare 27703 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 27703 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
$1024.49–$1098.96
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.
Orthopedic surgery
About 27703: Revision ankle joint reconstruction
Reports revision reconstruction of an ankle joint replacement, such as when an existing implant requires surgical revision for loosening or failure.
An orthopedic surgeon, often a foot and ankle specialist, reports this service when surgically revising an existing ankle joint replacement. The operation may address a failed or loose prosthesis and can involve removing and reconstructing around the existing implant. It is typically performed in an operating room, with the operative report identifying the prior replacement and the revision work performed.
Choose this code for revision of an existing ankle replacement, not the initial placement of a total ankle implant. Documentation should describe the implant, the reason for revision, and the components or joint structures addressed. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral services, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 27703
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.52 · 54%
- Practice expense (office) RVU10.82 · 36%
- Malpractice RVU3.13 · 10%
665
Medicare services in 2024 · #3309 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.
27703 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
27700 describes ankle arthroplasty without the revision of an existing replacement captured by 27703.
No office rate
27704 is for removal of an ankle implant without the revision reconstruction reported with 27703.
Compare 27703 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
$1098.96
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1024.49
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27703 billing questions
When should I report this instead of 27702?
Report 27703 for revision of an existing ankle replacement. Code 27702 describes the initial total ankle replacement.
Is removal of the existing implant separately reported?
Removal performed as part of the revision reconstruction is included in this service. Code 27704 is for implant removal when removal is the service performed rather than revision reconstruction.
What documentation supports the revision?
The operative report should identify the prior ankle replacement, the reason for revision, and the work performed on the implant and joint.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon be reported?
CMS allows assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
How is bilateral revision handled?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
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.
3,01327698,,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
3,01927707,,Osteotomy fibula,A,,4.66,6.20,NA,6.20,,0.89,11.75,11.75,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00