CPT code 27654: Achilles repair, secondary repair2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $678.29 for 27654 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27654 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 27654 covers

This code describes secondary surgery to restore continuity and function of the Achilles tendon, commonly after a rupture has not been repaired promptly or an earlier repair has failed. The surgeon exposes and prepares the tendon ends and may use a graft when needed to bridge or reinforce the defect. These procedures are typically performed by orthopedic or foot and ankle surgeons in an operating room.

Select this service when the operative report supports a secondary Achilles repair rather than primary repair of a rupture. Document the condition prompting secondary surgery, tendon findings, repair technique, and any graft use. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral repair reported with modifier 50, payment is 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 Puerto Rico compares for 27654

Across 109 of 109 payment localities, the facility rate for 27654 runs from $610.47 in Arkansas to $841.38 in Alaska. Puerto Rico pays $678.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27654 rates by state

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

See 27654 in every payment locality

How the 27654 rate is calculated

Each of 27654’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 27654

27654 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 27654

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

How 27654 has changed in Puerto Rico

Price 27654 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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