Billing code 27695: Ankle ligament repairMedicare rate & RVUs in Washington
Reports operative primary repair of a disrupted ankle collateral ligament, typically when the surgeon directly repairs the injured ligament rather than performing a secondary reconstruction.
CMS doesn’t publish an office rate for 27695 in Washington.
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 27695 covers
An orthopedic surgeon or podiatric surgeon uses this code for primary operative repair of one disrupted collateral ligament of the ankle. The procedure addresses ligament injury causing ankle instability, with the surgeon repairing the native injured ligament. It is generally performed in an operating room when clinical findings and the injury warrant surgical treatment rather than nonoperative care.
Select this code when the operative report supports a primary repair of one collateral ligament; documentation should identify the injured ligament, the disruption, and the repair performed. Use the code for both sides with modifier 50 when the procedure is bilateral. It has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment is restricted; 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 27695 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $471.13 |
| Seattle (King Cnty) | Unavailable | $518.04 |
How the 27695 rate is calculated
Each of 27695’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 · 27695
RVUs × geographic indexes × conversion factor
Work6.53
6.53 RVUs× 1.000 GPCI
Practice expense6.34
6.34 RVUs× 1.000 GPCI
Malpractice1.07
1.07 RVUs× 1.000 GPCI
Adjusted RVUs
13.9400
Conversion factor
$33.4009
Medicare rate
$465.61
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27695
27695 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27695
Ankle ligament repair
| 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) | 1 | Not paid (statutory restriction). |
| 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 · 27695
Ankle ligament repair
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
27695 without 50 · national facility
$465.61
Ankle ligament repair
27695-50 · Bilateral: 150%
$698.42
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).
27695 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27696Ankle ligament repair
- Use 27695 for primary repair of one collateral ligament; 27696 is for primary repair of both collateral ligaments.
- 27698Ankle ligament repair
- 27695 represents primary repair. 27698 is for secondary repair of a disrupted ankle collateral ligament.
- 27650Achilles repair
- 27650 repairs the Achilles tendon, not an ankle collateral ligament. Select based on the structure actually repaired.
- 27652Achilles repair
- 27652 concerns Achilles tendon repair with graft; it is not a code for primary repair of an ankle collateral ligament.
27695 billing questions
How is this different from 27696?
27695 is for primary repair of one ankle collateral ligament. Use 27696 when the operative service repairs both collateral ligaments.
When is 27698 a better choice?
27698 describes secondary repair of a disrupted ankle collateral ligament. Choose based on the repair performed and documented, rather than the diagnosis of ankle instability alone.
What documentation supports 27695?
The operative report should identify the disrupted collateral ligament and describe the primary repair of the injured native ligament. Include the treated side.
How is bilateral repair reported?
Report bilateral performance with modifier 50. CMS pays the bilateral procedure at 150%.
Does the code include routine postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is restricted for this code. Co-surgeon payment requires 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 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
Fee sheets
Put 27695 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →