No office rate
This code is for a thigh amputation with primary closure. Select it when primary closure is documented rather than reporting 27590.
On this page
CMS RVU26D · Effective 2026-10-01
27590 Thigh amputation Medicare reimbursement rates in Rhode Island
Reports surgical removal of the lower limb through the femur at any level, commonly for nonviable tissue, severe infection, trauma, or malignancy. Compare 27590 office and facility rates across CMS payment localities in Rhode Island.
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 27590 in Rhode Island?
Rhode Island 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
$723.38
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Amputation surgery
About 27590: Thigh amputation through femur
Reports surgical removal of the lower limb through the femur at any level, commonly for nonviable tissue, severe infection, trauma, or malignancy.
The surgeon removes the lower limb through the femur, with the level selected according to the extent of disease or injury and the tissue available for a residual limb. Typical cases include a limb rendered nonviable by advanced ischemia, extensive infection, major trauma, or a tumor requiring removal. These operations are generally performed in a hospital operating room by an orthopedic, vascular, or general surgeon, depending on the underlying condition.
Choose the code that matches the operative technique and closure: this code is distinct from the related thigh-amputation codes for primary closure or an open circular procedure. The operative report should identify the femoral level, indication, and closure approach. 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 bilateral procedures reported with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27590
- 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 RVU13.13 · 61%
- Practice expense (office) RVU5.19 · 24%
- Malpractice RVU3.27 · 15%
8.6K
Medicare services in 2024 · #1558 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.
27590 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
This code describes an open, circular thigh amputation. The operative technique, not just the indication for amputation, distinguishes it from 27590.
No office rate
This code is for re-amputation through the femur. Use 27590 for the initial thigh amputation, not a subsequent re-amputation.
No office rate
This code describes amputation at the knee joint through the tibia and fibula. Code 27590 is for amputation through the femur.
Compare 27590 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$723.38
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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 27590 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
2,955
- Code
- 27590
- Physician work
- 13.13
- Practice expense
- 5.19
- Malpractice
- 3.27
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.13 | × 1.019 | 13.3795 |
| Practice expense | 5.19 | × 1.033 | 5.3613 |
| Malpractice | 3.27 | × 0.892 | 2.9168 |
| Total RVUs | 21.6576 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$723.38
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.13 | 1.019 |
| Practice expense | 5.19 | 1.033 |
| Malpractice | 3.27 | 0.892 |
(13.13 × 1.019 + 5.19 × 1.033 + 3.27 × 0.892) × $33.4009 = $723.38
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.
27590 billing questions
How is this code distinguished from 27591?
Use the code that matches the documented closure approach. Code 27591 identifies thigh amputation with primary closure; this code does not describe that primary-closure variation.
When is 27592 a better fit?
Code 27592 describes an open, circular thigh amputation. Use this code when the operative report supports the standard thigh-amputation service rather than that open circular technique.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and CMS does not permit team surgery for this service.
How does CMS handle bilateral procedures and other procedures in the same session?
For a bilateral procedure reported with modifier 50, CMS pays at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others 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.
2,95227566,,Treat kneecap dislocation,A,,12.39,9.73,NA,9.73,,2.63,24.75,24.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95327570,,Fixation of knee joint,A,,1.75,2.37,NA,2.37,,0.37,4.49,4.49,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95427580,,Fusion of knee,A,,20.57,15.63,NA,15.63,,4.36,40.56,40.56,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95527590,,Amputate leg at thigh,A,,13.13,5.19,NA,5.19,,3.27,21.59,21.59,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95627591,,Amputate leg at thigh,A,,13.59,10.12,NA,10.12,,2.91,26.62,26.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95727592,,Amputate leg at thigh,A,,10.71,5.49,NA,5.49,,2.61,18.81,18.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,95827594,,Amputation follow-up surgery,A,,7.11,5.53,NA,5.53,,1.67,14.31,14.31,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537