No office rate
27888 is selected for removal of the foot at the ankle; 27889 describes an amputation through the malleoli. Follow the operative report's documented level.
On this page
CMS RVU26D · Effective 2026-10-01
27888 Foot amputation Medicare reimbursement rates in Nevada
Reports surgical removal of the foot at the ankle, such as for a nonviable foot from severe infection, gangrene, or trauma. Compare 27888 office and facility rates across CMS payment localities in Nevada.
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 27888 in Nevada?
Nevada 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
$518.80
1 of 1 localities have a supported rate.
Payment area: Nevada**
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.
Lower-extremity surgery
About 27888: Foot amputation at ankle level
Reports surgical removal of the foot at the ankle, such as for a nonviable foot from severe infection, gangrene, or trauma.
A surgeon removes the foot at the ankle when the foot is not viable or cannot be salvaged. Common circumstances include extensive infection, gangrene associated with poor blood flow, and severe traumatic injury. The operative level determines whether this code fits; a lower-leg amputation or an amputation through the malleoli is a different service. These procedures are generally performed in a hospital operating room or another surgical facility.
Report 27888 for the documented foot-at-ankle level, supported by the operative report and the side treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 identifies a bilateral procedure, paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27888
- 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 RVU10.11 · 63%
- Practice expense (office) RVU3.27 · 20%
- Malpractice RVU2.58 · 16%
46
Medicare services in 2024 · #5400 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.
27888 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
27880 is for amputation at the lower-leg level. It is not the choice when the procedure is limited to the foot at the ankle.
No office rate
27884 is an amputation follow-up surgery code, not the code for the initial foot amputation at ankle level.
Compare 27888 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$518.80
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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 27888 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
3,081
- Code
- 27888
- Physician work
- 10.11
- Practice expense
- 3.27
- Malpractice
- 2.58
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.11 | × 1.000 | 10.1100 |
| Practice expense | 3.27 | × 1.001 | 3.2733 |
| Malpractice | 2.58 | × 0.833 | 2.1491 |
| Total RVUs | 15.5324 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$518.80
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.11 | 1 |
| Practice expense | 3.27 | 1.001 |
| Malpractice | 2.58 | 0.833 |
(10.11 × 1 + 3.27 × 1.001 + 2.58 × 0.833) × $33.4009 = $518.80
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.
27888 billing questions
How do I distinguish 27888 from 27889?
Choose 27888 when the documented procedure removes the foot at the ankle. Code 27889 describes an amputation through the malleoli, so use the operative level to distinguish them.
When is 27880 a better choice?
27880 describes an amputation at the lower-leg level. Use 27888 when the operative level is the foot at the ankle, rather than the lower leg.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
Can modifier 50 be used for bilateral procedures?
Yes. CMS identifies 27888 as a bilateral procedure; when modifier 50 is reported, payment is at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How are other procedures in the same session paid?
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.
3,07827882,,Amputation of lower leg,A,,9.55,4.61,NA,4.61,,2.38,16.54,16.54,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07927884,,Amputation follow-up surgery,A,,8.54,5.81,NA,5.81,,2.05,16.40,16.40,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08027886,,Amputation follow-up surgery,A,,9.77,5.89,NA,5.89,,2.36,18.02,18.02,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08127888,,Amputation of foot at ankle,A,,10.11,3.27,NA,3.27,,2.58,15.96,15.96,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08227889,,Ankle disarticulation,A,,10.59,5.00,NA,5.00,,2.30,17.89,17.89,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08327892,,Decompression of leg,A,,7.74,6.14,NA,6.14,,1.63,15.51,15.51,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08427893,,Decompression of leg,A,,7.70,8.25,NA,8.25,,1.64,17.59,17.59,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097