CPT code 27664: Tendon repair, primary extensor, no graft2026 Medicare rate & RVUs in Utah

Reports primary repair without a graft of an extensor tendon in the leg, such as a tibialis anterior tendon injury, counted for each tendon repaired.

CMS RVU26DEffective Oct 1, 2026One payment locality577 Medicare services in 2024

In Utah, Medicare pays $331.63 for 27664 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$331.63Hospital or facility

Check a contract rate as a % of Medicare · 27664 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 27664 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 27664 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 27664 covers

This code covers primary operative repair of an extensor tendon in the leg without a graft. A typical example is repair of a disrupted tibialis anterior tendon. Orthopedic and foot-and-ankle surgeons commonly perform the service in an operating room or other surgical setting. The code is specific to extensor tendons in the leg; Achilles tendon repairs and flexor tendon repairs have separate codes.

Report it for each tendon repaired, and document the tendon, the primary nature of the repair, and that no graft was used. The service 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 are subject to the standard 50% reduction. Modifier 50 is inappropriate; the descriptor is reported for each tendon. Assistant-at-surgery payment requires documented medical necessity. Co-surgeons and team surgery are 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 Utah compares for 27664

Across 109 of 109 payment localities, the facility rate for 27664 runs from $309.07 in Arkansas to $423.48 in San Benito County, CA. Utah pays $331.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

27664 in Utah vs other payment areas
  1. Utah · this page$331.63
  2. Los Angeles, CA · California$372.81+$41.18
  3. Washington, DC area · District of Columbia$384.63+$53.00
  4. Miami, FL · Florida$387.11+$55.48
  5. Chicago, IL · Illinois$376.65+$45.02
  6. Manhattan, NY · New York$394.73+$63.10
  7. Alaska · Alaska$421.18+$89.55

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

Every other payment area

27664 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$312.95
ArkansasArkansas—$309.07
ArizonaArizona—$335.46
Bakersfield, CACalifornia—$353.65
Chico, CACalifornia—$351.61
El Centro, CACalifornia—$351.73
Fresno, CACalifornia—$351.61
Hanford, CACalifornia—$351.61

27664 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
27664 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 27664 in every payment locality

How the 27664 rate is calculated

Each of 27664’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 · 27664

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.61

4.61 RVUs× 1.000 GPCI

Practice expense4.98

4.98 RVUs× 1.000 GPCI

Malpractice0.71

0.71 RVUs× 1.000 GPCI

Adjusted RVUs

10.3000

Conversion factor

$33.4009

Medicare rate

$344.03

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

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,999

Code
27664
Physician work
4.61
Practice expense
4.98
Malpractice
0.71

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 27664 in Utah
ComponentRVULocality factorAdjusted
Physician work4.61× 1.0004.6100
Practice expense4.98× 0.9404.6812
Malpractice0.71× 0.8980.6376
Total RVUs9.9288
Conversion factor× 33.4009

Facility rate, Utah$331.63

Facility: (4.61 × 1 + 4.98 × 0.94 + 0.71 × 0.898) × $33.4009 = $331.63

Open 27664 in the RVU calculator

Payment rules and modifiers for 27664

27664 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27664

Tendon repair, primary extensor, no graft

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)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
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 · 27664

Tendon repair, primary extensor, no graft

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 51 · payment effect

With and without the modifier

27664 without 51 · national facility

$344.03

Tendon repair, primary extensor, no graft

27664-51 · Second procedure: 50%

$172.02

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 27664 has changed in Utah

27664 · 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$331.63RVU26D
2026-07-01Not available in this setting$331.63RVU26C
2026-04-01Not available in this setting$331.63RVU26B
2026-01-01Not available in this setting$331.63RVU26A
2025-10-01Not available in this setting$340.95RVU25D
2025-07-01Not available in this setting$340.95RVU25C
2025-04-01Not available in this setting$340.95RVU25B
2025-01-01Not available in this setting$340.95RVU25A
2024-10-01Not available in this setting$353.35RVU24D
2024-07-01Not available in this setting$353.35RVU24C
2024-04-01Not available in this setting$353.35RVU24B
2024-03-09Not available in this setting$353.35RVU24AR
2024-01-01Not available in this setting$347.58RVU24A
2023-10-01Not available in this setting$353.92RVU23D
2023-07-01Not available in this setting$353.92RVU23C
2023-04-01Not available in this setting$353.92RVU23B
2023-01-01Not available in this setting$353.92RVU23A
2022-10-01Not available in this setting$354.81RVU22D
2022-07-01Not available in this setting$354.81RVU22C
2022-04-01Not available in this setting$354.81RVU22B
2022-01-01Not available in this setting$354.81RVU22A
2021-10-01Not available in this setting$352.42RVU21D
2021-07-01Not available in this setting$352.42RVU21C
2021-04-01Not available in this setting$352.42RVU21B
2021-01-01Not available in this setting$352.42RVU21A
2020-10-01Not available in this setting$360.44RVU20D
2020-07-01Not available in this setting$360.44RVU20C
2020-04-01Not available in this setting$360.44RVU20B
2020-01-01Not available in this setting$360.44RVU20A
2019-10-01Not available in this setting$365.98RVU19D
2019-07-01Not available in this setting$365.98RVU19C
2019-04-01Not available in this setting$365.98RVU19B
2019-01-01Not available in this setting$365.98RVU19A
2018-10-01Not available in this setting$365.58RVU18D
2018-07-01Not available in this setting$365.58RVU18C
2018-04-01Not available in this setting$365.58RVU18B
2018-01-01Not available in this setting$365.58RVU18AR1
2017-10-01Not available in this setting$364.23RVU17D
2017-07-01Not available in this setting$364.23RVU17C
2017-04-01Not available in this setting$364.23RVU17B
2017-01-01Not available in this setting$364.23RVU17A
2016-10-01Not available in this setting$361.91RVU16D
2016-07-01Not available in this setting$361.91RVU16C
2016-04-01Not available in this setting$361.91RVU16B
2016-01-01Not available in this setting$361.91RVU16A
2015-10-01Not available in this setting$366.04RVU15D
2015-07-01Not available in this setting$366.04RVU15C
2015-04-01Not available in this setting$364.22RVU15B
2015-01-01Not available in this setting$364.22RVU15A
2014-10-01Not available in this setting$359.07RVU14D
2014-07-01Not available in this setting$359.07RVU14C
2014-04-01Not available in this setting$359.07RVU14B
2014-01-01Not available in this setting$359.07RVU14A
2013-10-01Not available in this setting$357.65RVU13D
2013-07-01Not available in this setting$357.65RVU13C
2013-04-01Not available in this setting$357.65RVU13B
2013-01-01Not available in this setting$357.65RVU13AR

Price 27664 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

27664 billing questions

How does 27664 differ from 27665?

27664 is for primary repair of a leg extensor tendon without a graft. 27665 is the secondary-repair code for a leg extensor tendon without a graft.

Can 27664 be used for an Achilles tendon repair?

No. Achilles tendon repairs have dedicated codes, including 27650, 27652, and 27654, selected according to the repair performed.

How should multiple repaired tendons be reported?

The descriptor is per tendon, so identify each tendon repaired in the operative documentation and report the service accordingly. Modifier 50 is inappropriate.

What documentation supports primary repair?

Document the specific leg extensor tendon, the injury or disruption, and the operative repair performed. The record should support a primary repair without graft.

Can an assistant surgeon be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.

What postoperative care is included?

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

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 27664PPRRVU2026_Oct_nonQPP.csv, line 2,999 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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