CPT code 27687: Calf tendon revision, gastrocnemius recession2026 Medicare rate & RVUs in New Mexico

Gastrocnemius recession surgically lengthens the calf muscle-tendon unit to improve ankle dorsiflexion when gastrocnemius tightness contributes to equinus.

CMS RVU26DEffective Oct 1, 2026One payment locality9.5K Medicare services in 2024

In New Mexico, Medicare pays $424.79 for 27687 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$424.79Hospital or facility

Check a contract rate as a % of Medicare · 27687 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 27687 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 27687 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 27687 covers

This procedure lengthens or recesses the gastrocnemius aponeurosis to reduce calf tightness and improve ankle dorsiflexion. Foot and ankle surgeons commonly perform it for equinus contracture when the gastrocnemius limits motion, sometimes as part of treatment for related foot or ankle problems. A Strayer-type recession is a familiar example; this is distinct from lengthening the Achilles tendon.

Report the procedure when the operative work is a gastrocnemius recession, supported by the indication, examination findings, side, and details of the recession performed. The 90-day global period includes 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 other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons are paid only with 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 New Mexico compares for 27687

Across 109 of 109 payment localities, the facility rate for 27687 runs from $391.16 in Arkansas to $536.42 in Alaska. New Mexico pays $424.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

27687 in New Mexico vs other payment areas
  1. New Mexico · this page$424.79
  2. Los Angeles, CA · California$467.04+$42.25
  3. Washington, DC area · District of Columbia$483.49+$58.70
  4. Miami, FL · Florida$492.16+$67.37
  5. Chicago, IL · Illinois$479.03+$54.24
  6. Manhattan, NY · New York$497.97+$73.18
  7. Alaska · Alaska$536.42+$111.63

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

Every other payment area

27687 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$395.92
ArkansasArkansas—$391.16
ArizonaArizona—$423.52
Bakersfield, CACalifornia—$443.88
Chico, CACalifornia—$441.07
El Centro, CACalifornia—$441.24
Fresno, CACalifornia—$441.07
Hanford, CACalifornia—$441.07

27687 rates by state

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

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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
27687 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 27687 in every payment locality

How the 27687 rate is calculated

Each of 27687’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 · 27687

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.25

6.25 RVUs× 1.000 GPCI

Practice expense5.77

5.77 RVUs× 1.000 GPCI

Malpractice0.98

0.98 RVUs× 1.000 GPCI

Adjusted RVUs

13.0000

Conversion factor

$33.4009

Medicare rate

$434.21

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,007

Code
27687
Physician work
6.25
Practice expense
5.77
Malpractice
0.98

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 27687 in New Mexico
ComponentRVULocality factorAdjusted
Physician work6.25× 1.0006.2500
Practice expense5.77× 0.9175.2911
Malpractice0.98× 1.2011.1770
Total RVUs12.7181
Conversion factor× 33.4009

Facility rate, New Mexico$424.79

Facility: (6.25 × 1 + 5.77 × 0.917 + 0.98 × 1.201) × $33.4009 = $424.79

Open 27687 in the RVU calculator

Payment rules and modifiers for 27687

27687 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27687

Calf tendon revision, gastrocnemius recession

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 · 27687

Calf tendon revision, gastrocnemius recession

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

27687 without 50 · national facility

$434.21

Calf tendon revision, gastrocnemius recession

27687-50 · Bilateral: 150%

$651.32

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 27687 has changed in New Mexico

27687 · 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$424.79RVU26D
2026-07-01Not available in this setting$424.79RVU26C
2026-04-01Not available in this setting$424.79RVU26B
2026-01-01Not available in this setting$424.79RVU26A
2025-10-01Not available in this setting$436.06RVU25D
2025-07-01Not available in this setting$436.06RVU25C
2025-04-01Not available in this setting$436.06RVU25B
2025-01-01Not available in this setting$436.06RVU25A
2024-10-01Not available in this setting$445.39RVU24D
2024-07-01Not available in this setting$445.39RVU24C
2024-04-01Not available in this setting$445.39RVU24B
2024-03-09Not available in this setting$445.39RVU24AR
2024-01-01Not available in this setting$438.12RVU24A
2023-10-01Not available in this setting$446.14RVU23D
2023-07-01Not available in this setting$446.14RVU23C
2023-04-01Not available in this setting$446.14RVU23B
2023-01-01Not available in this setting$446.14RVU23A
2022-10-01Not available in this setting$448.99RVU22D
2022-07-01Not available in this setting$448.99RVU22C
2022-04-01Not available in this setting$448.99RVU22B
2022-01-01Not available in this setting$448.99RVU22A
2021-10-01Not available in this setting$449.71RVU21D
2021-07-01Not available in this setting$449.71RVU21C
2021-04-01Not available in this setting$449.71RVU21B
2021-01-01Not available in this setting$449.71RVU21A
2020-10-01Not available in this setting$460.16RVU20D
2020-07-01Not available in this setting$460.16RVU20C
2020-04-01Not available in this setting$460.16RVU20B
2020-01-01Not available in this setting$460.16RVU20A
2019-10-01Not available in this setting$462.88RVU19D
2019-07-01Not available in this setting$462.88RVU19C
2019-04-01Not available in this setting$462.88RVU19B
2019-01-01Not available in this setting$462.88RVU19A
2018-10-01Not available in this setting$460.60RVU18D
2018-07-01Not available in this setting$460.60RVU18C
2018-04-01Not available in this setting$460.60RVU18B
2018-01-01Not available in this setting$460.60RVU18AR1
2017-10-01Not available in this setting$458.00RVU17D
2017-07-01Not available in this setting$458.00RVU17C
2017-04-01Not available in this setting$458.00RVU17B
2017-01-01Not available in this setting$458.00RVU17A
2016-10-01Not available in this setting$456.05RVU16D
2016-07-01Not available in this setting$456.05RVU16C
2016-04-01Not available in this setting$456.05RVU16B
2016-01-01Not available in this setting$456.05RVU16A
2015-10-01Not available in this setting$459.60RVU15D
2015-07-01Not available in this setting$459.60RVU15C
2015-04-01Not available in this setting$457.32RVU15B
2015-01-01Not available in this setting$457.32RVU15A
2014-10-01Not available in this setting$452.15RVU14D
2014-07-01Not available in this setting$452.15RVU14C
2014-04-01Not available in this setting$452.15RVU14B
2014-01-01Not available in this setting$452.15RVU14A
2013-10-01Not available in this setting$446.76RVU13D
2013-07-01Not available in this setting$446.76RVU13C
2013-04-01Not available in this setting$446.76RVU13B
2013-01-01Not available in this setting$446.76RVU13AR

Price 27687 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

27687 billing questions

How is this different from a general tendon lengthening?

This code is for a gastrocnemius recession. Use a general leg or ankle tendon-lengthening code when the operative work is lengthening a different tendon rather than recessing the gastrocnemius.

Does the code include Achilles tendon lengthening?

No. A gastrocnemius recession addresses tightness in the gastrocnemius aponeurosis; Achilles tendon lengthening is a different operative service.

What documentation supports the code?

Document the reason for surgery, the involved side, findings showing gastrocnemius tightness or equinus, and the operative technique and structures treated.

How is bilateral surgery reported?

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

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 27687PPRRVU2026_Oct_nonQPP.csv, line 3,007 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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