CPT code 27703: Ankle revision2026 Medicare rate & RVUs in Texas
Reports revision reconstruction of an ankle joint replacement, such as when an existing implant requires surgical revision for loosening or failure.
CMS doesn’t publish an office rate for 27703 in Texas.
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 27703 covers
An orthopedic surgeon, often a foot and ankle specialist, reports this service when surgically revising an existing ankle joint replacement. The operation may address a failed or loose prosthesis and can involve removing and reconstructing around the existing implant. It is typically performed in an operating room, with the operative report identifying the prior replacement and the revision work performed.
Choose this code for revision of an existing ankle replacement, not the initial placement of a total ankle implant. Documentation should describe the implant, the reason for revision, and the components or joint structures addressed. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral services, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are 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.
Where 27703 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $1,027.87 |
| Beaumont | Unavailable | $977.78 |
| Brazoria | Unavailable | $995.89 |
| Dallas | Unavailable | $1,006.40 |
| Fort Worth | Unavailable | $1,004.15 |
| Galveston | Unavailable | $1,001.63 |
| Houston | Unavailable | $1,058.92 |
| Rest Of Texas | Unavailable | $989.15 |
How the 27703 rate is calculated
Each of 27703’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 · 27703
RVUs × geographic indexes × conversion factor
Work16.52
16.52 RVUs× 1.000 GPCI
Practice expense10.82
10.82 RVUs× 1.000 GPCI
Malpractice3.13
3.13 RVUs× 1.000 GPCI
Adjusted RVUs
30.4700
Conversion factor
$33.4009
Medicare rate
$1,017.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27703
27703 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27703
Ankle 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) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 27703
Ankle 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
27703 without 50 · national facility
$1,017.73
Ankle revision
27703-50 · Bilateral: 150%
$1,526.60
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).
27703 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27702Ankle replacement
- Use 27702 for initial total ankle replacement. Use 27703 when surgically revising an existing ankle replacement.
- 27700Ankle revision
- 27700 describes ankle arthroplasty without the revision of an existing replacement captured by 27703.
- 27704Ankle implant removal
- 27704 is for removal of an ankle implant without the revision reconstruction reported with 27703.
27703 billing questions
When should I report this instead of 27702?
Report 27703 for revision of an existing ankle replacement. Code 27702 describes the initial total ankle replacement.
Is removal of the existing implant separately reported?
Removal performed as part of the revision reconstruction is included in this service. Code 27704 is for implant removal when removal is the service performed rather than revision reconstruction.
What documentation supports the revision?
The operative report should identify the prior ankle replacement, the reason for revision, and the work performed on the implant and joint.
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 surgeon be reported?
CMS allows assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
How is bilateral revision handled?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
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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