CPT code 27650: Achilles repair, primary rupture repair2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $592.10 for 27650 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27650 nationwide

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

What 27650 covers

This service repairs a ruptured Achilles tendon by bringing the tendon ends together, using an open or percutaneous approach. Orthopedic surgeons and podiatrists commonly perform it in an operating room for a complete rupture when primary repair is selected. The operative report should identify the Achilles tendon and describe the rupture and repair performed.

Select this code for primary repair, not a secondary repair or a primary repair that uses a graft. The documented procedure should distinguish it from the graft repair and secondary repair codes. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. When performed bilaterally with modifier 50, CMS pays at 150%. Assistant-at-surgery services may be paid; 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 South Dakota compares for 27650

Across 109 of 109 payment localities, the facility rate for 27650 runs from $561.87 in Arkansas to $770.42 in Alaska. South Dakota pays $592.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27650 rates by state

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

See 27650 in every payment locality

How the 27650 rate is calculated

Each of 27650’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.

Payment rules and modifiers for 27650

27650 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 27650

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 27650 has changed in South Dakota

Price 27650 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates