CPT code 27692: Tendon transfer, each additional tendon2026 Medicare rate & RVUs in Florida
Reports an additional lower-leg or ankle tendon transfer performed with a primary tendon-transfer procedure to redirect another tendon for functional correction.
CMS doesn’t publish an office rate for 27692 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $99.18 |
| Miami, FL | Unavailable | $108.09 |
| Rest of Florida | Unavailable | $94.65 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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.
27692 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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