CPT code 27430: Quadricepsplasty, quadriceps contracture release2026 Medicare rate & RVUs in North Carolina

Reports surgical lengthening or release of contracted quadriceps muscle to improve knee flexion, often for persistent post-traumatic stiffness.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3K Medicare services in 2024

In North Carolina, Medicare pays $653.80 for 27430 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$653.80Hospital or facility

Check a contract rate as a % of Medicare · 27430 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27430 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 27430 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 27430 covers

A quadricepsplasty releases or lengthens a shortened quadriceps mechanism that is restricting knee flexion. Orthopedic surgeons commonly perform it for persistent stiffness after trauma, such as a distal femur fracture, when scarred or contracted thigh muscle limits motion. It is an open operative treatment, generally performed in a hospital or ambulatory surgical setting, rather than a manipulation or ligament reconstruction.

Report 27430 when the operative work is quadricepsplasty; the operative note should identify the contracture, its effect on knee motion, and the muscle release or lengthening performed. The code has 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.

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.

How North Carolina compares for 27430

Across 109 of 109 payment localities, the facility rate for 27430 runs from $623.05 in Arkansas to $852.45 in Alaska. North Carolina pays $653.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

27430 in North Carolina vs other payment areas
  1. North Carolina · this page$653.80
  2. Los Angeles, CA · California$743.61+$89.81
  3. Washington, DC area · District of Columbia$777.91+$124.11
  4. Miami, FL · Florida$818.54+$164.74
  5. Chicago, IL · Illinois$793.72+$139.92
  6. Manhattan, NY · New York$809.63+$155.83
  7. Alaska · Alaska$852.45+$198.65

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

27430 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$631.40
ArkansasArkansas—$623.05
ArizonaArizona—$679.74
Bakersfield, CACalifornia—$706.55
Chico, CACalifornia—$700.76
El Centro, CACalifornia—$701.11
Fresno, CACalifornia—$700.76
Hanford, CACalifornia—$700.76

27430 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
27430 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 27430 in every payment locality

How the 27430 rate is calculated

Each of 27430’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 · 27430

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.91

9.91 RVUs× 1.000 GPCI

Practice expense8.92

8.92 RVUs× 1.000 GPCI

Malpractice2.10

2.10 RVUs× 1.000 GPCI

Adjusted RVUs

20.9300

Conversion factor

$33.4009

Medicare rate

$699.08

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,890

Code
27430
Physician work
9.91
Practice expense
8.92
Malpractice
2.10

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Facility calculation for 27430 in North Carolina
ComponentRVULocality factorAdjusted
Physician work9.91× 1.0009.9100
Practice expense8.92× 0.9338.3224
Malpractice2.10× 0.6391.3419
Total RVUs19.5743
Conversion factor× 33.4009

Facility rate, North Carolina$653.80

Facility: (9.91 × 1 + 8.92 × 0.933 + 2.1 × 0.639) × $33.4009 = $653.80

Open 27430 in the RVU calculator

Payment rules and modifiers for 27430

27430 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27430

Quadricepsplasty, quadriceps contracture release

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27430

Quadricepsplasty, quadriceps contracture release

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27430 without 50 · national facility

$699.08

Quadricepsplasty, quadriceps contracture release

27430-50 · Bilateral: 150%

$1,048.62

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).

When to use modifier 50

How 27430 has changed in North Carolina

27430 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$653.80RVU26D
2026-07-01Not available in this setting$653.80RVU26C
2026-04-01Not available in this setting$653.80RVU26B
2026-01-01Not available in this setting$653.80RVU26A
2025-10-01Not available in this setting$688.06RVU25D
2025-07-01Not available in this setting$688.06RVU25C
2025-04-01Not available in this setting$688.06RVU25B
2025-01-01Not available in this setting$688.06RVU25A
2024-10-01Not available in this setting$703.27RVU24D
2024-07-01Not available in this setting$703.27RVU24C
2024-04-01Not available in this setting$703.27RVU24B
2024-03-09Not available in this setting$703.27RVU24AR
2024-01-01Not available in this setting$691.80RVU24A
2023-10-01Not available in this setting$715.44RVU23D
2023-07-01Not available in this setting$715.44RVU23C
2023-04-01Not available in this setting$715.44RVU23B
2023-01-01Not available in this setting$715.44RVU23A
2022-10-01Not available in this setting$727.84RVU22D
2022-07-01Not available in this setting$727.84RVU22C
2022-04-01Not available in this setting$727.84RVU22B
2022-01-01Not available in this setting$727.84RVU22A
2021-10-01Not available in this setting$728.68RVU21D
2021-07-01Not available in this setting$728.68RVU21C
2021-04-01Not available in this setting$728.68RVU21B
2021-01-01Not available in this setting$728.68RVU21A
2020-10-01Not available in this setting$731.90RVU20D
2020-07-01Not available in this setting$731.90RVU20C
2020-04-01Not available in this setting$731.90RVU20B
2020-01-01Not available in this setting$731.90RVU20A
2019-10-01Not available in this setting$722.67RVU19D
2019-07-01Not available in this setting$722.67RVU19C
2019-04-01Not available in this setting$722.67RVU19B
2019-01-01Not available in this setting$722.67RVU19A
2018-10-01Not available in this setting$721.63RVU18D
2018-07-01Not available in this setting$721.63RVU18C
2018-04-01Not available in this setting$721.63RVU18B
2018-01-01Not available in this setting$721.63RVU18AR1
2017-10-01Not available in this setting$720.10RVU17D
2017-07-01Not available in this setting$720.10RVU17C
2017-04-01Not available in this setting$720.10RVU17B
2017-01-01Not available in this setting$720.10RVU17A
2016-10-01Not available in this setting$721.17RVU16D
2016-07-01Not available in this setting$721.17RVU16C
2016-04-01Not available in this setting$721.17RVU16B
2016-01-01Not available in this setting$721.17RVU16A
2015-10-01Not available in this setting$722.73RVU15D
2015-07-01Not available in this setting$722.73RVU15C
2015-04-01Not available in this setting$719.13RVU15B
2015-01-01Not available in this setting$719.13RVU15A
2014-10-01Not available in this setting$715.29RVU14D
2014-07-01Not available in this setting$715.29RVU14C
2014-04-01Not available in this setting$715.29RVU14B
2014-01-01Not available in this setting$715.29RVU14A
2013-10-01Not available in this setting$704.34RVU13D
2013-07-01Not available in this setting$704.34RVU13C
2013-04-01Not available in this setting$704.34RVU13B
2013-01-01Not available in this setting$704.34RVU13AR

Price 27430 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

27430 billing questions

When is quadricepsplasty appropriate instead of knee manipulation?

Report 27430 for operative release or lengthening of contracted quadriceps muscle. Code 27570 describes manipulation of the knee under anesthesia, not quadricepsplasty.

How is this different from a knee capsular release?

Quadricepsplasty addresses restriction from contracted quadriceps muscle. A capsular procedure such as 27435 addresses the knee capsule.

What documentation supports 27430?

Document the quadriceps contracture, the resulting restriction in knee flexion, and the operative release or lengthening performed.

Can modifier 50 be used for bilateral quadricepsplasty?

Yes. CMS identifies this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%.

How does the 90-day global period affect postoperative claims?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation.

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
RVUs for 27430PPRRVU2026_Oct_nonQPP.csv, line 2,890 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 27430 pays in North Carolina?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 27430 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist