No office rate
Both are open ankle synovectomies; select 27626 when the operative report supports an extensive resection rather than standard extent.
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CMS RVU26D · Effective 2026-10-01
27625 Ankle synovectomy Medicare reimbursement rates in Wyoming
Report open removal of diseased synovial tissue from the ankle joint when treatment involves a standard, rather than extensive, synovectomy. Compare 27625 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 27625 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
$536.47
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.
Orthopedic surgery
About 27625: Ankle synovectomy, standard extent
Report open removal of diseased synovial tissue from the ankle joint when treatment involves a standard, rather than extensive, synovectomy.
An orthopedic surgeon removes abnormal synovial tissue from the ankle joint through an open approach. The procedure may be performed for persistent synovitis, including synovial inflammation associated with inflammatory arthritis, when removing the affected lining is the planned treatment. It is typically performed in an operating room, with the operative report identifying the joint and describing the tissue removed and the extent of the synovectomy.
Choose this code for a standard-extent ankle synovectomy; use the extensive sibling code when the documented resection meets that greater extent. The operative report should support the indication, open approach, ankle site, and scope of tissue removal. 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 the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27625
- 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 RVU8.28 · 50%
- Practice expense (office) RVU6.79 · 41%
- Malpractice RVU1.34 · 8%
376
Medicare services in 2024 · #3787 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.
27625 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
29895 describes arthroscopic partial ankle synovectomy. This code describes an open synovectomy.
No office rate
29898 is an arthroscopic ankle debridement code. Choose it when the documented service is extensive arthroscopic debridement, not open synovial tissue removal.
Compare 27625 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
$536.47
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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 27625 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,979
- Code
- 27625
- Physician work
- 8.28
- Practice expense
- 6.79
- Malpractice
- 1.34
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.28 | × 1.000 | 8.2800 |
| Practice expense | 6.79 | × 1.000 | 6.7900 |
| Malpractice | 1.34 | × 0.740 | 0.9916 |
| Total RVUs | 16.0616 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$536.47
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.28 | 1 |
| Practice expense | 6.79 | 1 |
| Malpractice | 1.34 | 0.74 |
(8.28 × 1 + 6.79 × 1 + 1.34 × 0.74) × $33.4009 = $536.47
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.
27625 billing questions
How do I distinguish this code from 27626?
Both describe open ankle synovectomy. Use 27625 for standard extent and 27626 when the operative documentation supports an extensive synovectomy.
Can this code be used for arthroscopic synovectomy?
No. This code describes an open ankle synovectomy. For arthroscopic partial synovectomy, consider 29895 when the documented service fits that code.
What should the operative report document?
Document the ankle joint treated, the reason for removing synovium, the open approach, and the extent of tissue removed. Those details support code selection against the extensive sibling.
How is bilateral ankle synovectomy reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. The operative documentation should support treatment of both ankles.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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.
2,97627618,,Exc leg/ankle tum < 3 cm,A,,3.86,10.88,,4.29,,0.78,15.52,8.93,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97727619,,Exc leg/ankle tum deep <5 cm,A,,6.74,5.19,NA,5.19,,1.13,13.06,13.06,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97827620,,Explore/treat ankle joint,A,,6.00,6.01,NA,6.01,,1.03,13.04,13.04,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97927625,,Remove ankle joint lining,A,,8.28,6.79,NA,6.79,,1.34,16.41,16.41,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98027626,,Remove ankle joint lining,A,,8.87,6.69,NA,6.69,,1.33,16.89,16.89,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98127630,,Removal of tendon lesion,A,,4.82,11.44,,4.84,,0.72,16.98,10.38,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,98227632,,Exc leg/ankle les sc 3 cm/>,A,,5.76,4.79,NA,4.79,,1.22,11.77,11.77,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,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.,,,,,,