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Billing code 27000: Hip tenotomyMedicare rate & RVUs

Reports percutaneous release of a hip adductor tendon to address contracture or restricted hip abduction, including in patients with neuromuscular spasticity.

CMS RVU26DEffective Oct 1, 2026109 payment localities624 Medicare services in 2024

Medicare pays $362.40 for 27000 nationally in a facility.

Medicare rate · 27000

Hip tenotomy

Swap in your local Medicare rate.

Work RVUs
5.6
Total RVUs
10.85
Global days
090

National rate · 2026

$362.40

Facility setting, before claim adjustments.

See every locality for 27000 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 27000 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 27000 covers

An orthopedic surgeon releases a hip adductor tendon through a small percutaneous approach to reduce tightness limiting hip abduction. The procedure may be considered for adductor contracture associated with neuromuscular spasticity, such as in a patient with cerebral palsy, when the treatment plan calls for tendon release rather than an open operation. It is generally performed as a surgical procedure, with the operative record identifying the treated side and the tendon or adductor structures addressed.

Report this code when the adductor release is performed percutaneously; an open release is represented by a different code. Documentation should establish the contracture or functional restriction, laterality, approach, and work performed. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When performed bilaterally and reported with modifier 50, Medicare pays 150% of the unilateral amount. In a same-session group of procedures, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery; co-surgeon payment requires 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.

Where 27000 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

27000 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$334.49
Alaska*Unavailable$457.36
ArizonaUnavailable$354.77
ArkansasUnavailable$331.01
AtlantaUnavailable$369.35
AustinUnavailable$369.61
BakersfieldUnavailable$373.35
Baltimore/Surr. CntysUnavailable$381.37
BeaumontUnavailable$346.99
BrazoriaUnavailable$358.23

27000 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
27000 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 27000 rate is calculated

Each of 27000’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 · 27000

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.60Practice expense 4.67Malpractice 0.58

10.8500 adjusted RVUs×$33.4009 conversion factor=$362.40

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27000

27000 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27000

Hip tenotomy

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)1Not paid (statutory restriction).
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 · 27000

Hip tenotomy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

27000 without 50 · national facility

$362.40

Hip tenotomy

27000-50 · Bilateral: 150%

$543.60

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

27000 compared with similar codes

Compare codes

27000 vs 27001 vs 27003 vs 27005: national Medicare rates

Swap in your local Medicare rate.

  • 27000
    Hip tenotomy · 5.6 wRVU
    —
  • 27001
    Adductor tenotomy · 6.96 wRVU
    —
  • 27003
    Adductor release · 7.61 wRVU
    —
  • 27005
    Hip tenotomy · 9.82 wRVU
    —

How to choose

27001Adductor tenotomy
Both address hip adductor tightness, but 27000 describes a percutaneous release and 27001 an open tenotomy.
27003Adductor release
27003 describes an open subcutaneous adductor tenotomy performed with obturator neurectomy; 27000 is the percutaneous adductor release.
27005Hip tenotomy
27005 is an open tenotomy of hip flexor structures. Choose 27000 when the treated structures are the hip adductors and the release is percutaneous.

Codes related to 27000

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

Codes related to 27000
CodeHow it relatesNational office range
Used instead
27001Adductor tenotomyOpen approach for release of the hip adductor tendon.No office rate
27003Adductor releaseOpen subcutaneous adductor tenotomy with obturator neurectomy.No office rate
27005Hip tenotomyOpen tenotomy for hip flexor tightness rather than adductor contracture.No office rate
27006Hip tenotomyOpen release of hip abductor and/or extensor structures.No office rate

27000 billing questions

How is 27000 different from 27001?

27000 is for a percutaneous adductor tendon release. Use 27001 when the adductor tenotomy is performed through an open approach.

Can 27000 be reported bilaterally?

Yes. For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150% of the unilateral amount.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How does Medicare handle another procedure performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50% under the standard multiple procedure reduction.

May an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.

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 27000PPRRVU2026_Oct_nonQPP.csv, line 2,709 (RVU26D)

Open CMS sourceHow we calculate rates

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