27889 Ankle disarticulation
Also known as: ankle disarticulation, foot disarticulation, Chopart amputation variant
Ankle disarticulation with complete removal of the foot. This procedure removes the entire foot by disarticulating at the ankle joint with appropriate soft tissue handling and bone shaping.
In Plain Language
removing the entire foot at the ankle joint; foot and ankle amputation
Clinical Context
Used for severe foot pathology including extensive trauma, necrotizing soft tissue infections, severe peripheral vascular disease, or malignancy when foot salvage is impossible.
RVU Breakdown
| Work RVU | 10.59 |
| Total RVU | 10.59 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 10.59, this code ranks in the 61st percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27889?
CPT 27889 (Ankle disarticulation) is a Surgery code. Ankle disarticulation with complete removal of the foot. This procedure removes the entire foot by disarticulating at the ankle joint with appropriate soft tissue handling and bone shaping.
What is the wRVU value for CPT 27889?
The work RVU for CPT 27889 is 10.59. This code is primarily used by orthopedic surgery, vascular surgery, trauma surgery. It has a 90-day global period.
When is CPT 27889 used?
Used for severe foot pathology including extensive trauma, necrotizing soft tissue infections, severe peripheral vascular disease, or malignancy when foot salvage is impossible.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.