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CPT 27886: Reamputation Below Knee Through Tibia and Fibula
CPT code 27886 denotes reamputation of the leg below the knee performed through the bones of the lower leg, typically undertaken for nonhealing stumps or persistent infection. This surgical procedure is clinically significant because it addresses complications of prior amputations that can lead to ongoing infection, prolonged disability, and increased resource use. Nationally, management of failed below-knee amputations influences inpatient surgical volumes and postoperative care needs across payers.
Key payers referenced in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for reamputation, typical sites of service, and common billing considerations tied to CPT code 27886. The publication summarizes benchmarks in utilization and payment patterns where available, highlights policy and coverage considerations that affect access to reamputation, and clarifies procedural coding scope for clinical and billing teams.
The material provides a concise reference for clinicians, hospital billing staff, and policy analysts who need to understand how CPT code 27886 maps to clinical care pathways, resource implications, and payer coverage context at a national level. Data not available in the input will be identified as such in detailed sections.
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Billing Code Overview
CPT code 27886 describes a reamputation of the leg below the knee performed through the tibia and fibula. The procedure is carried out when the original below-knee amputation stump fails to heal or when persistent infection necessitates surgical resection of additional bone and soft tissue.
Service Type: Surgical — Major Lower Extremity Amputation (below-knee reamputation)
Typical Site of Service: Inpatient surgical suite or hospital operating room, often requiring perioperative admission for infection management and postoperative care.