No office rate
Choose 27695 for primary repair of one collateral ligament. Choose 27696 when both collateral ligaments in the ankle are primarily repaired.
On this page
CMS RVU26D · Effective 2026-10-01
27696 Ankle ligament repair Medicare reimbursement rates in Oregon
Primary operative repair of both collateral ligaments in one ankle is reported when the surgeon restores disrupted medial and lateral ligament support. Compare 27696 office and facility rates across CMS payment localities in Oregon.
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 27696 in Oregon?
Oregon 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
$498.48–$526.73
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 27696: Primary repair of both ankle collateral ligaments
Primary operative repair of both collateral ligaments in one ankle is reported when the surgeon restores disrupted medial and lateral ligament support.
Code 27696 represents primary operative repair of both collateral ligaments of one ankle, generally the lateral ligament complex and medial deltoid ligament when both are disrupted. The surgeon exposes the injured structures and restores continuity, typically with direct suture repair. Orthopedic foot-and-ankle surgeons perform this procedure in an operating room after significant ankle trauma. The operative report should identify the collateral ligaments treated and establish that both were primarily repaired, rather than describing reconstruction for chronic insufficiency.
Report one service for both collateral ligaments in one ankle; code 27695 is for primary repair of a single collateral ligament, while 27698 describes secondary repair. 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 others at 50%. For procedures on both ankles, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27696
- 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 RVU8.37 · 55%
- Practice expense (office) RVU5.79 · 38%
- Malpractice RVU1.12 · 7%
374
Medicare services in 2024 · #3793 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.
27696 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
27698 describes secondary repair of a disrupted collateral ligament, such as a reconstruction for chronic instability; 27696 is primary repair of both collateral ligaments.
No office rate
27829 addresses distal tibiofibular syndesmosis disruption. It is not the code for primary repair of the ankle’s medial and lateral collateral ligaments.
Compare 27696 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
Portland →
Office / nonfacility
Unavailable
Facility
$526.73
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$498.48
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27696 billing questions
Does 27696 describe repair of both ligaments in one ankle or surgery on both ankles?
It describes primary repair of both collateral ligaments in one ankle. For surgery performed on both ankles, CMS lists a bilateral payment rule using modifier 50.
When should 27695 be reported instead?
Use 27695 when the surgeon primarily repairs one disrupted collateral ligament. Use 27696 when the operative documentation supports primary repair of both collateral ligaments in the ankle.
How does 27696 differ from 27698?
27696 is a primary repair of both collateral ligaments. Code 27698 describes secondary repair of a disrupted ankle collateral ligament.
What documentation supports 27696?
The operative report should identify both collateral ligaments treated and describe their primary repair. Documentation should distinguish this from a secondary repair or reconstruction for chronic insufficiency.
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 or co-surgeon be reported?
CMS restricts assistant-at-surgery payment for this code. Co-surgeons are paid only with 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.
3,00927691,,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
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