CPT code 27692: Tendon transfer, each additional tendon2026 Medicare rate & RVUs in North Carolina
Reports an additional lower-leg or ankle tendon transfer performed with a primary tendon-transfer procedure to redirect another tendon for functional correction.
In North Carolina, Medicare pays $84.15 for 27692 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27692 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How North Carolina compares for 27692
Across 109 of 109 payment localities, the facility rate for 27692 runs from $80.71 in Wisconsin to $115.77 in Alaska. North Carolina pays $84.15. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$84.15
- Los Angeles, CA · California$91.20+$7.05
- Washington, DC area · District of Columbia$97.15+$13.00
- Miami, FL · Florida$108.09+$23.94
- Chicago, IL · Illinois$105.16+$21.01
- Manhattan, NY · New York$103.02+$18.87
- Alaska · Alaska$115.77+$31.62
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $82.31 |
| ArkansasArkansas | — | $81.44 |
| ArizonaArizona | — | $87.30 |
| Bakersfield, CACalifornia | — | $87.73 |
| Chico, CACalifornia | — | $86.76 |
| El Centro, CACalifornia | — | $86.82 |
| Fresno, CACalifornia | — | $86.76 |
| Hanford, CACalifornia | — | $86.76 |
| Madera, CACalifornia | — | $86.76 |
| Merced, CACalifornia | — | $86.76 |
| Modesto, CACalifornia | — | $86.76 |
| Napa, CACalifornia | — | $93.01 |
| Oxnard, CACalifornia | — | $89.91 |
| Redding, CACalifornia | — | $86.76 |
| Rest of CaliforniaCalifornia | — | $86.76 |
| Riverside, CACalifornia | — | $90.53 |
| Sacramento, CACalifornia | — | $89.06 |
| Salinas, CACalifornia | — | $88.68 |
| San Diego, CACalifornia | — | $89.32 |
| Marin County, CACalifornia | — | $95.95 |
| San Francisco, CACalifornia | — | $95.55 |
| San Benito County, CACalifornia | — | $98.31 |
| Santa Clara County, CACalifornia | — | $96.68 |
| San Luis Obispo, CACalifornia | — | $87.49 |
| Santa Cruz, CACalifornia | — | $89.03 |
| Santa Maria, CACalifornia | — | $88.62 |
| Santa Rosa, CACalifornia | — | $89.80 |
| Stockton, CACalifornia | — | $86.76 |
| Vallejo, CACalifornia | — | $92.44 |
| Visalia, CACalifornia | — | $86.76 |
| Yuba City, CACalifornia | — | $86.76 |
| ColoradoColorado | — | $88.77 |
| ConnecticutConnecticut | — | $94.50 |
| DelawareDelaware | — | $88.43 |
| Fort Lauderdale, FLFlorida | — | $99.18 |
| Rest of FloridaFlorida | — | $94.65 |
| Atlanta, GAGeorgia | — | $92.32 |
| Rest of GeorgiaGeorgia | — | $89.92 |
| Hawaii, Guam, HIHawaii | — | $86.93 |
| IowaIowa | — | $81.02 |
| IdahoIdaho | — | $81.99 |
| East St. Louis, ILIllinois | — | $100.01 |
| Rest of IllinoisIllinois | — | $94.61 |
| Suburban Chicago, ILIllinois | — | $99.42 |
| IndianaIndiana | — | $82.26 |
| KansasKansas | — | $82.08 |
| KentuckyKentucky | — | $86.63 |
| New Orleans, LALouisiana | — | $90.10 |
| Rest of LouisianaLouisiana | — | $87.06 |
| Metropolitan Boston, MAMassachusetts | — | $94.03 |
| Rest of MassachusettsMassachusetts | — | $89.02 |
| Baltimore area, MDMaryland | — | $94.50 |
| Rest of MarylandMaryland | — | $89.37 |
| Rest of MaineMaine | — | $83.73 |
| Southern Maine, MEMaine | — | $85.05 |
| Detroit, MIMichigan | — | $96.94 |
| Rest of MichiganMichigan | — | $89.54 |
| MinnesotaMinnesota | — | $81.78 |
| Metropolitan Kansas City, MOMissouri | — | $88.21 |
| Metropolitan St. Louis, MOMissouri | — | $88.72 |
| Rest of MissouriMissouri | — | $86.86 |
| MississippiMississippi | — | $84.10 |
| MontanaMontana | — | $89.49 |
| North DakotaNorth Dakota | — | $82.57 |
| NebraskaNebraska | — | $80.93 |
| New HampshireNew Hampshire | — | $88.75 |
| Northern New JerseyNew Jersey | — | $96.86 |
| Rest of New JerseyNew Jersey | — | $94.65 |
| New MexicoNew Mexico | — | $90.45 |
| NevadaNevada | — | $87.58 |
| NYC suburbs and Long Island, NYNew York | — | $106.64 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $96.32 |
| Queens, NYNew York | — | $101.67 |
| Rest of New YorkNew York | — | $85.19 |
| OhioOhio | — | $88.13 |
| OklahomaOklahoma | — | $85.08 |
| Portland, OROregon | — | $89.39 |
| Rest of OregonOregon | — | $85.97 |
| Metropolitan Philadelphia, PAPennsylvania | — | $93.56 |
| Rest of PennsylvaniaPennsylvania | — | $87.47 |
| Puerto RicoPuerto Rico | — | $89.53 |
| Rhode IslandRhode Island | — | $89.97 |
| South CarolinaSouth Carolina | — | $86.47 |
| South DakotaSouth Dakota | — | $81.75 |
| TennesseeTennessee | — | $82.55 |
| Austin, TXTexas | — | $89.29 |
| Beaumont, TXTexas | — | $87.15 |
| Brazoria, TXTexas | — | $87.28 |
| Dallas, TXTexas | — | $88.33 |
| Fort Worth, TXTexas | — | $88.31 |
| Galveston, TXTexas | — | $87.87 |
| Houston, TXTexas | — | $94.28 |
| Rest of TexasTexas | — | $87.51 |
| UtahUtah | — | $87.30 |
| VirginiaVirginia | — | $85.79 |
| Virgin Islands, VIUnited States Virgin Islands | — | $89.53 |
| VermontVermont | — | $83.57 |
| Rest of WashingtonWashington | — | $88.41 |
| King County, WAWashington | — | $94.28 |
| WisconsinWisconsin | — | $80.71 |
| West VirginiaWest Virginia | — | $92.32 |
| WyomingWyoming | — | $86.47 |
27692 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,010
- Code
- 27692
- Physician work
- 1.82
- Practice expense
- 0.51
- Malpractice
- 0.35
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.82 | × 1.000 | 1.8200 |
| Practice expense | 0.51 | × 0.933 | 0.4758 |
| Malpractice | 0.35 | × 0.639 | 0.2236 |
| Total RVUs | 2.5195 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Carolina$84.15
Facility: (1.82 × 1 + 0.51 × 0.933 + 0.35 × 0.639) × $33.4009 = $84.15
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.
How 27692 has changed in North Carolina
27692 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $84.15 | RVU26D |
| 2026-07-01 | Not available in this setting | $84.15 | RVU26C |
| 2026-04-01 | Not available in this setting | $84.15 | RVU26B |
| 2026-01-01 | Not available in this setting | $84.15 | RVU26A |
| 2025-10-01 | Not available in this setting | $93.65 | RVU25D |
| 2025-07-01 | Not available in this setting | $93.65 | RVU25C |
| 2025-04-01 | Not available in this setting | $93.65 | RVU25B |
| 2025-01-01 | Not available in this setting | $93.65 | RVU25A |
| 2024-10-01 | Not available in this setting | $95.14 | RVU24D |
| 2024-07-01 | Not available in this setting | $95.14 | RVU24C |
| 2024-04-01 | Not available in this setting | $95.14 | RVU24B |
| 2024-03-09 | Not available in this setting | $95.14 | RVU24AR |
| 2024-01-01 | Not available in this setting | $93.58 | RVU24A |
| 2023-10-01 | Not available in this setting | $96.04 | RVU23D |
| 2023-07-01 | Not available in this setting | $96.04 | RVU23C |
| 2023-04-01 | Not available in this setting | $96.04 | RVU23B |
| 2023-01-01 | Not available in this setting | $96.04 | RVU23A |
| 2022-10-01 | Not available in this setting | $98.87 | RVU22D |
| 2022-07-01 | Not available in this setting | $98.87 | RVU22C |
| 2022-04-01 | Not available in this setting | $98.87 | RVU22B |
| 2022-01-01 | Not available in this setting | $98.87 | RVU22A |
| 2021-10-01 | Not available in this setting | $100.95 | RVU21D |
| 2021-07-01 | Not available in this setting | $100.95 | RVU21C |
| 2021-04-01 | Not available in this setting | $100.95 | RVU21B |
| 2021-01-01 | Not available in this setting | $100.95 | RVU21A |
| 2020-10-01 | Not available in this setting | $103.75 | RVU20D |
| 2020-07-01 | Not available in this setting | $103.75 | RVU20C |
| 2020-04-01 | Not available in this setting | $103.75 | RVU20B |
| 2020-01-01 | Not available in this setting | $103.75 | RVU20A |
| 2019-10-01 | Not available in this setting | $103.26 | RVU19D |
| 2019-07-01 | Not available in this setting | $103.26 | RVU19C |
| 2019-04-01 | Not available in this setting | $103.26 | RVU19B |
| 2019-01-01 | Not available in this setting | $103.26 | RVU19A |
| 2018-10-01 | Not available in this setting | $103.23 | RVU18D |
| 2018-07-01 | Not available in this setting | $103.23 | RVU18C |
| 2018-04-01 | Not available in this setting | $103.23 | RVU18B |
| 2018-01-01 | Not available in this setting | $103.23 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $103.58 | RVU17D |
| 2017-07-01 | Not available in this setting | $103.58 | RVU17C |
| 2017-04-01 | Not available in this setting | $103.58 | RVU17B |
| 2017-01-01 | Not available in this setting | $103.58 | RVU17A |
| 2016-10-01 | Not available in this setting | $103.72 | RVU16D |
| 2016-07-01 | Not available in this setting | $103.72 | RVU16C |
| 2016-04-01 | Not available in this setting | $103.72 | RVU16B |
| 2016-01-01 | Not available in this setting | $103.72 | RVU16A |
| 2015-10-01 | Not available in this setting | $103.43 | RVU15D |
| 2015-07-01 | Not available in this setting | $103.43 | RVU15C |
| 2015-04-01 | Not available in this setting | $102.91 | RVU15B |
| 2015-01-01 | Not available in this setting | $102.91 | RVU15A |
| 2014-10-01 | Not available in this setting | $103.93 | RVU14D |
| 2014-07-01 | Not available in this setting | $103.93 | RVU14C |
| 2014-04-01 | Not available in this setting | $103.93 | RVU14B |
| 2014-01-01 | Not available in this setting | $103.93 | RVU14A |
| 2013-10-01 | Not available in this setting | $100.99 | RVU13D |
| 2013-07-01 | Not available in this setting | $100.99 | RVU13C |
| 2013-04-01 | Not available in this setting | $100.99 | RVU13B |
| 2013-01-01 | Not available in this setting | $100.99 | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
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
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