CPT code 27658: Tendon repair, secondary, no graft, each tendon2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $398.29 for 27658 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27658 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 27658 covers

This code describes secondary repair of a flexor tendon in the leg without a graft. It is used when the surgeon repairs a tendon after the primary repair period, such as for a delayed injury or a tendon requiring secondary reconstruction. An orthopedic or foot and ankle surgeon typically performs the operation in a hospital or ambulatory surgery center. The operative report should identify the tendon and explain the circumstances supporting secondary rather than primary repair.

Report one unit for each tendon repaired, and document that no graft was used. Medicare assigns a 90-day global period; the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this descriptor or anatomy. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team-surgery payment 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 Washington, DC area compares for 27658

Across 109 of 109 payment localities, the facility rate for 27658 runs from $321.48 in Arkansas to $439.72 in Alaska. Washington, DC area pays $398.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27658 rates by state

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

See 27658 in every payment locality

How the 27658 rate is calculated

Each of 27658’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 27658

27658 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 51

Codes related to 27658

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

How 27658 has changed in Washington, DC area

Price 27658 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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