No office rate
Use 27695 for primary repair of one collateral ligament; 27696 is for primary repair of both collateral ligaments.
On this page
CMS RVU26D · Effective 2026-10-01
27695 Ankle ligament repair Medicare reimbursement rates in Michigan
Reports operative primary repair of a disrupted ankle collateral ligament, typically when the surgeon directly repairs the injured ligament rather than performing a secondary reconstruction. Compare 27695 office and facility rates across CMS payment localities in Michigan.
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 27695 in Michigan?
Michigan 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
$451.80–$482.71
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 27695: Primary ankle collateral ligament repair
Reports operative primary repair of a disrupted ankle collateral ligament, typically when the surgeon directly repairs the injured ligament rather than performing a secondary reconstruction.
An orthopedic surgeon or podiatric surgeon uses this code for primary operative repair of one disrupted collateral ligament of the ankle. The procedure addresses ligament injury causing ankle instability, with the surgeon repairing the native injured ligament. It is generally performed in an operating room when clinical findings and the injury warrant surgical treatment rather than nonoperative care.
Select this code when the operative report supports a primary repair of one collateral ligament; documentation should identify the injured ligament, the disruption, and the repair performed. Use the code for both sides with modifier 50 when the procedure is bilateral. It has a 90-day global period, which 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 multiple procedure reduction. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27695
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.53 · 47%
- Practice expense (office) RVU6.34 · 45%
- Malpractice RVU1.07 · 8%
2K
Medicare services in 2024 · #2463 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.
27695 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
27695 represents primary repair. 27698 is for secondary repair of a disrupted ankle collateral ligament.
No office rate
27650 repairs the Achilles tendon, not an ankle collateral ligament. Select based on the structure actually repaired.
No office rate
27652 concerns Achilles tendon repair with graft; it is not a code for primary repair of an ankle collateral ligament.
Compare 27695 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
Detroit →
Office / nonfacility
Unavailable
Facility
$482.71
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$451.80
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27695 billing questions
How is this different from 27696?
27695 is for primary repair of one ankle collateral ligament. Use 27696 when the operative service repairs both collateral ligaments.
When is 27698 a better choice?
27698 describes secondary repair of a disrupted ankle collateral ligament. Choose based on the repair performed and documented, rather than the diagnosis of ankle instability alone.
What documentation supports 27695?
The operative report should identify the disrupted collateral ligament and describe the primary repair of the injured native ligament. Include the treated side.
How is bilateral repair reported?
Report bilateral performance with modifier 50. CMS pays the bilateral procedure at 150%.
Does the code include routine postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is restricted for this code. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
3,00827690,,Revise lower leg tendon,A,,8.94,7.91,NA,7.91,,1.36,18.21,18.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00927691,,Revise lower leg tendon,A,,10.23,9.04,NA,9.04,,1.76,21.03,21.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01027692,,Revise additional leg tendon,A,,1.82,0.51,NA,0.51,,0.35,2.68,2.68,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01127695,,Repair of ankle ligament,A,,6.53,6.34,NA,6.34,,1.07,13.94,13.94,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01227696,,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