CPT code 27700: Ankle revision2026 Medicare rate & RVUs in Virginia
Report this service for an operative revision of the ankle joint, rather than a primary ankle reconstruction or isolated implant removal.
CMS doesn’t publish an office rate for 27700 in Virginia.
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 27700 covers
This code describes an operation to revise the ankle joint. It is generally performed by an orthopedic surgeon, often a foot-and-ankle specialist, in an operating room when the operative plan is to revise a prior ankle-joint procedure. The record should make clear what prior procedure or joint condition is being addressed and what revision work the surgeon performed; an isolated implant removal or a primary reconstruction represents a different service.
Select the code based on the procedure actually performed, not simply a diagnosis of ankle pain or a history of surgery. The operative report should identify the ankle joint, the reason for revision, and the specific revision work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued is paid in full and other eligible procedures at 50%. Modifier 50 pays bilateral procedures at 150%. Assistant-at-surgery services may be paid; 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.
Where 27700 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | Unavailable | $745.14 |
| Virginia | Unavailable | $644.82 |
How the 27700 rate is calculated
Each of 27700’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 · 27700
RVUs × geographic indexes × conversion factor
Work9.42
9.42 RVUs× 1.000 GPCI
Practice expense8.62
8.62 RVUs× 1.000 GPCI
Malpractice2.00
2.00 RVUs× 1.000 GPCI
Adjusted RVUs
20.0400
Conversion factor
$33.4009
Medicare rate
$669.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27700
27700 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27700
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) | 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 · 27700
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
27700 without 50 · national facility
$669.35
Ankle revision
27700-50 · Bilateral: 150%
$1,004.03
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).
27700 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27702Ankle replacement
- Choose 27700 for revision of the ankle joint. Code 27702 describes a reconstructive ankle-joint procedure, so the operative work determines the choice.
- 27703Ankle revision
- This is another ankle-joint procedure in the same nearby code group. Compare the documented procedure with the service represented by 27700 rather than relying on the shared joint site.
- 27704Ankle implant removal
- Code 27704 is for removal of an ankle implant. Use 27700 when the operation revises the ankle joint rather than performing implant removal alone.
27700 billing questions
How do I distinguish this from an ankle reconstruction code?
Use this code when the documented operation revises the ankle joint. The reconstruction codes describe a different operative service; base selection on the procedure performed, not the diagnosis alone.
Is isolated ankle implant removal reported with this code?
No. Code 27704 describes removal of an ankle implant. The operative report should support whether the service was revision of the joint or removal alone.
What documentation supports reporting this code?
Document the ankle joint involved, the reason for revision, relevant prior ankle-joint surgery, and the revision work performed.
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.
How are bilateral procedures and multiple procedures paid?
A bilateral procedure reported with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only when supporting documentation is provided; 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 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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