Billing code 27886: Amputation revisionMedicare rate & RVUs in Nevada
Operative revision of an existing ankle-level amputation stump when the residual limb requires surgical correction of its bone or soft-tissue contour.
CMS doesn’t publish an office rate for 27886 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27886 covers
Code 27886 describes operative revision of an existing lower-extremity amputation at the ankle. The surgeon reshapes the residual limb and revises involved bone and soft tissue when the prior stump needs surgical correction, such as for a problematic contour or tissue breakdown. Orthopedic and vascular surgeons commonly perform this work in an operating room; this code is for revising an existing amputation, not creating a new ankle-level amputation.
Report the code when the operative note establishes both a prior amputation and revision at the ankle, rather than a new amputation or revision through the tibia and fibula. The 90-day global 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
27886 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $588.92 |
How the 27886 rate is calculated
Each of 27886’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27886
RVUs × geographic indexes × conversion factor
Work9.77
9.77 RVUs× 1.000 GPCI
Practice expense5.89
5.89 RVUs× 1.000 GPCI
Malpractice2.36
2.36 RVUs× 1.000 GPCI
Adjusted RVUs
18.0200
Conversion factor
$33.4009
Medicare rate
$601.88
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27886
27886 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27886
Amputation revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27886
Amputation revision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27886 without 50 · national facility
$601.88
Amputation revision
27886-50 · Bilateral: 150%
$902.82
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27886 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27884Stump revision
- Choose 27886 for revision at the ankle. Choose 27884 when the revision is through the tibia and fibula.
- 27889Ankle amputation
- 27889 describes a new ankle disarticulation. 27886 is for operative revision of an amputation already performed at the ankle.
- 27880Leg amputation
- 27880 describes creating a lower-leg amputation through the tibia and fibula; 27886 revises an existing amputation at the ankle.
27886 billing questions
How does 27886 differ from 27884?
27886 is for revision at the ankle. 27884 is for revision through the tibia and fibula.
Is this code for a new ankle-level amputation?
No. It describes revision of an existing ankle-level amputation. A new ankle disarticulation is represented by 27889.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
How does Medicare handle bilateral reporting and multiple procedures?
Bilateral reporting with modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted by statute. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What documentation supports reporting 27886?
Document the prior amputation, the ankle-level site, the reason for revision, and the operative work performed on the residual limb.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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