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

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, 2026One payment locality483 Medicare services in 2024

In South Dakota, Medicare pays $81.75 for 27692 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$81.75Hospital or facility

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.

We’ll open 27692 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 27692 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 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 South Dakota 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. South Dakota pays $81.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

27692 in South Dakota vs other payment areas
  1. South Dakota · this page$81.75
  2. Los Angeles, CA · California$91.20+$9.45
  3. Washington, DC area · District of Columbia$97.15+$15.40
  4. Miami, FL · Florida$108.09+$26.34
  5. Chicago, IL · Illinois$105.16+$23.41
  6. Manhattan, NY · New York$103.02+$21.27
  7. Alaska · Alaska$115.77+$34.02

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

Every other payment area

27692 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
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

See 27692 in every payment locality

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.

The exact South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Facility calculation for 27692 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.82× 1.0001.8200
Practice expense0.51× 1.0000.5100
Malpractice0.35× 0.3360.1176
Total RVUs2.4476
Conversion factor× 33.4009

Facility rate, South Dakota$81.75

Facility: (1.82 × 1 + 0.51 × 1 + 0.35 × 0.336) × $33.4009 = $81.75

Open 27692 in the RVU calculator

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

How 27692 has changed in South Dakota

27692 · 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$81.75RVU26D
2026-07-01Not available in this setting$81.75RVU26C
2026-04-01Not available in this setting$81.75RVU26B
2026-01-01Not available in this setting$81.75RVU26A
2025-10-01Not available in this setting$92.71RVU25D
2025-07-01Not available in this setting$92.71RVU25C
2025-04-01Not available in this setting$92.71RVU25B
2025-01-01Not available in this setting$92.71RVU25A
2024-10-01Not available in this setting$94.07RVU24D
2024-07-01Not available in this setting$94.07RVU24C
2024-04-01Not available in this setting$94.07RVU24B
2024-03-09Not available in this setting$94.07RVU24AR
2024-01-01Not available in this setting$92.54RVU24A
2023-10-01Not available in this setting$94.18RVU23D
2023-07-01Not available in this setting$94.18RVU23C
2023-04-01Not available in this setting$94.18RVU23B
2023-01-01Not available in this setting$94.18RVU23A
2022-10-01Not available in this setting$95.78RVU22D
2022-07-01Not available in this setting$95.78RVU22C
2022-04-01Not available in this setting$95.78RVU22B
2022-01-01Not available in this setting$95.78RVU22A
2021-10-01Not available in this setting$97.74RVU21D
2021-07-01Not available in this setting$97.74RVU21C
2021-04-01Not available in this setting$97.74RVU21B
2021-01-01Not available in this setting$97.74RVU21A
2020-10-01Not available in this setting$101.33RVU20D
2020-07-01Not available in this setting$101.33RVU20C
2020-04-01Not available in this setting$101.33RVU20B
2020-01-01Not available in this setting$101.33RVU20A
2019-10-01Not available in this setting$101.79RVU19D
2019-07-01Not available in this setting$101.79RVU19C
2019-04-01Not available in this setting$101.79RVU19B
2019-01-01Not available in this setting$101.79RVU19A
2018-10-01Not available in this setting$101.90RVU18D
2018-07-01Not available in this setting$101.90RVU18C
2018-04-01Not available in this setting$101.90RVU18B
2018-01-01Not available in this setting$101.90RVU18AR1
2017-10-01Not available in this setting$101.79RVU17D
2017-07-01Not available in this setting$101.79RVU17C
2017-04-01Not available in this setting$101.79RVU17B
2017-01-01Not available in this setting$101.79RVU17A
2016-10-01Not available in this setting$101.61RVU16D
2016-07-01Not available in this setting$101.61RVU16C
2016-04-01Not available in this setting$101.61RVU16B
2016-01-01Not available in this setting$101.61RVU16A
2015-10-01Not available in this setting$101.26RVU15D
2015-07-01Not available in this setting$101.26RVU15C
2015-04-01Not available in this setting$100.76RVU15B
2015-01-01Not available in this setting$100.76RVU15A
2014-10-01Not available in this setting$102.36RVU14D
2014-07-01Not available in this setting$102.36RVU14C
2014-04-01Not available in this setting$102.36RVU14B
2014-01-01Not available in this setting$102.36RVU14A
2013-10-01Not available in this setting$100.26RVU13D
2013-07-01Not available in this setting$100.26RVU13C
2013-04-01Not available in this setting$100.26RVU13B
2013-01-01Not available in this setting$100.26RVU13AR

Price 27692 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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