No office rate
Both describe thigh-level amputation, but 27592 is distinguished by immediate prosthesis fitting. Use 27590 for the other circumstance described by that code.
On this page
CMS RVU26D · Effective 2026-10-01
27592 Thigh amputation Medicare reimbursement rates in Wyoming
Reports a transfemoral amputation performed with immediate prosthesis fitting, distinguishing it from thigh amputations without that fitting circumstance. Compare 27592 office and facility rates across CMS payment localities in Wyoming.
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 27592 in Wyoming?
Wyoming 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
$605.61
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 27592: Thigh amputation with immediate prosthesis fitting
Reports a transfemoral amputation performed with immediate prosthesis fitting, distinguishing it from thigh amputations without that fitting circumstance.
This service is a transfemoral amputation, removing the lower limb through the femur, with immediate fitting of a prosthesis as part of the operative episode. Orthopedic or vascular surgeons may perform it in a hospital operating room for conditions such as nonviable tissue from severe trauma, advanced infection, or critical limb ischemia. The operative record should identify the amputation level and document the immediate prosthesis fitting.
Select this code when that immediate fitting accompanies the thigh amputation; codes 27590 and 27591 describe other thigh-amputation circumstances. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%. Modifier 50 indicates a bilateral procedure paid 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 27592
- 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 RVU10.71 · 57%
- Practice expense (office) RVU5.49 · 29%
- Malpractice RVU2.61 · 14%
402
Medicare services in 2024 · #3735 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.
27592 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
This is another thigh-amputation code, distinguished by primary closure. Choose 27592 when immediate prosthesis fitting is the documented circumstance.
No office rate
27598 describes amputation through the lower leg at the knee level; 27592 is for an amputation through the femur with immediate prosthesis fitting.
Compare 27592 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$605.61
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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 27592 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,957
- Code
- 27592
- Physician work
- 10.71
- Practice expense
- 5.49
- Malpractice
- 2.61
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.71 | × 1.000 | 10.7100 |
| Practice expense | 5.49 | × 1.000 | 5.4900 |
| Malpractice | 2.61 | × 0.740 | 1.9314 |
| Total RVUs | 18.1314 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$605.61
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.71 | 1 |
| Practice expense | 5.49 | 1 |
| Malpractice | 2.61 | 0.74 |
(10.71 × 1 + 5.49 × 1 + 2.61 × 0.74) × $33.4009 = $605.61
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.
27592 billing questions
How does this differ from 27590 or 27591?
Use 27592 when the thigh amputation includes immediate prosthesis fitting. Codes 27590 and 27591 represent other thigh-amputation circumstances; check the operative record for the defining closure or fitting detail.
Does a prosthesis fitted later in rehabilitation support 27592?
No. The distinguishing circumstance is immediate fitting with the amputation, not a prosthesis fitted during a later rehabilitation episode.
What documentation supports this code?
Document the transfemoral amputation level and the immediate prosthesis fitting in the operative record. The record should make clear that fitting occurred as part of the operative episode.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those services are part of the surgical global package.
Can modifier 50 be used for bilateral thigh amputations?
CMS lists this as a bilateral procedure; modifier 50 is paid at 150%. The operative documentation should support bilateral procedures.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted for this code.
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.
2,95427580,,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
2,95927596,,Amputation follow-up surgery,A,,11.01,6.11,NA,6.11,,2.64,19.76,19.76,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96027598,,Amputate lower leg at knee,A,,10.94,5.71,NA,5.71,,2.67,19.32,19.32,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,