FeeBase
Log inGet started
Menu

CPT code 27692: Tendon transfer, each additional tendon2026 Medicare rate & RVUs

Reports an additional lower-leg or ankle tendon transfer performed with a primary tendon-transfer procedure to redirect another tendon for functional correction.

CMS RVU26DEffective Oct 1, 2026109 payment localities483 Medicare services in 2024

Medicare pays $89.51 for 27692 nationally in a facility.

Medicare rate · 27692

Tendon transfer, each additional tendon

Office or facility?

Work RVUs
1.82
Total RVUs
2.68
Global days
ZZZ

National rate · 2026

$89.51

Facility setting, before claim adjustments.

See every locality for 27692 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 27692 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 27692 covers

Code 27692 represents transfer or transplantation of an additional tendon in the leg or ankle during an operation that also transfers a primary tendon. The surgeon reroutes the additional tendon and secures it at a new attachment to improve movement or balance. Orthopedic surgeons, often in foot-and-ankle or lower-extremity reconstructive surgery, use it when the operative plan includes more than one tendon transfer.

Report 27692 only with the qualifying primary tendon-transfer service, such as 27690 or 27691, and only for tendon work beyond the primary tendon. The operative note should identify each tendon transferred and describe the additional transfer. CMS classifies 27692 as an add-on code: it is not reported alone, and its payment falls within the primary procedure’s global period.

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.

Where 27692 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27692 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$82.31
AlaskaUnavailable$115.77
ArizonaUnavailable$87.30
ArkansasUnavailable$81.44
Atlanta, GAUnavailable$92.32
Austin, TXUnavailable$89.29
Bakersfield, CAUnavailable$87.73
Baltimore area, MDUnavailable$94.50
Beaumont, TXUnavailable$87.15
Brazoria, TXUnavailable$87.28

27692 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
27692 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

How the 27692 rate is calculated

Each of 27692’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 · 27692

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.82

1.82 RVUs× 1.000 GPCI

Practice expense0.51

0.51 RVUs× 1.000 GPCI

Malpractice0.35

0.35 RVUs× 1.000 GPCI

Adjusted RVUs

2.6800

Conversion factor

$33.4009

Medicare rate

$89.51

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

Payment rules and modifiers for 27692

The CMS indicators that decide how 27692 is paid alongside other services.

CMS payment indicators · 27692

Tendon transfer, each additional tendon

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

27692 without 80 · national facility

$89.51

Tendon transfer, each additional tendon

27692-80 · Assistant: 16%

$14.32

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

27692 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 27692

    Tendon transfer, each additional tendon1.82 wRVU

    Not priced

  • 27690

    Tendon transfer, single lower-leg tendon8.94 wRVU

    Not priced

  • 27691

    Tendon transfer, deep, single tendon10.23 wRVU

    Not priced

  • 27686

    Tendon adjustment, multiple tendons, same incision7.56 wRVU

    Not priced

How to choose

27690Tendon transferSingle lower-leg tendon
Use 27690 for the primary superficial single-tendon transfer; use 27692 for an additional tendon transferred with the primary service.
27691Tendon transferDeep, single tendon
Use 27691 for the primary deep single-tendon transfer; 27692 represents an additional transferred tendon, not the primary tendon.
27686Tendon adjustmentMultiple tendons, same incision
27686 applies to additional tendon lengthening or shortening. Choose 27692 when the additional tendon is transferred to a new attachment.

Codes related to 27692

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

Codes related to 27692
CodeHow it relatesNational office range
Add-on codes
27690Tendon transfer, single lower-leg tendonPrimary single-tendon transfer code for the superficial tendon-transfer service.No office rate
27691Tendon transfer, deep, single tendonPrimary single-tendon transfer code for the deep tendon-transfer service.No office rate
Used instead
27686Tendon adjustment, multiple tendons, same incisionReports additional tendon lengthening or shortening rather than an additional tendon transfer.No office rate

27692 billing questions

Can 27692 be reported by itself?

No. It is an add-on for an additional tendon transfer and must be billed with a qualifying primary tendon-transfer procedure, such as 27690 or 27691.

How does 27692 differ from 27690 and 27691?

Codes 27690 and 27691 report the primary single-tendon transfer, distinguished by the tendon’s depth. Code 27692 reports each additional tendon transferred during the procedure.

What should the operative note identify?

Document the tendon or tendons transferred, the work performed, and which transfer is additional to the primary procedure.

Is 27692 reported for tendon lengthening?

No. It describes an additional tendon transfer or transplant. Tendon lengthening or shortening is represented by a different code family, including 27685 and 27686.

How does the global period affect payment?

CMS treats 27692 as an add-on paid within the primary procedure’s global period. It is not a separately reported stand-alone service.

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 27692PPRRVU2026_Oct_nonQPP.csv, line 3,010 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 27692 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 27692 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist