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Billing code 27001: Adductor tenotomyMedicare rate & RVUs

Open adductor tenotomy releases a contracted or spastic hip adductor tendon to improve hip movement, commonly in patients with neuromuscular conditions.

CMS RVU26DEffective Oct 1, 2026109 payment localities523 Medicare services in 2024

Medicare pays $514.04 for 27001 nationally in a facility.

Medicare rate · 27001

Adductor tenotomy

Swap in your local Medicare rate.

Work RVUs
6.96
Total RVUs
15.39
Global days
090

National rate · 2026

$514.04

Facility setting, before claim adjustments.

See every locality for 27001 → · 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 27001 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 27001 covers

An orthopedic surgeon makes an open approach to release an adductor tendon at the hip when tightness or spasticity limits hip motion or positioning. A common setting is operative treatment of adductor contracture in a patient with cerebral palsy. The procedure is generally performed in a hospital or ambulatory surgery setting; the operative report should identify the treated tendon and side and document the clinical reason for the release.

Report this code for the open adductor release, rather than a percutaneous release or an operation on hip flexors, abductors, or extensors. Document the approach, treated side, findings, and extent of the release. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with 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 27001 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

27001 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$463.67
Alaska*Unavailable$623.34
ArizonaUnavailable$499.76
ArkansasUnavailable$457.45
AtlantaUnavailable$528.33
AustinUnavailable$522.39
BakersfieldUnavailable$521.58
Baltimore/Surr. CntysUnavailable$546.37
BeaumontUnavailable$489.63
BrazoriaUnavailable$503.01

27001 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
27001 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 27001 rate is calculated

Each of 27001’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 · 27001

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.96Practice expense 6.96Malpractice 1.47

15.3900 adjusted RVUs×$33.4009 conversion factor=$514.04

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

Payment rules and modifiers for 27001

27001 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27001

Adductor 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)2Paid.
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 · 27001

Adductor 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

27001 without 50 · national facility

$514.04

Adductor tenotomy

27001-50 · Bilateral: 150%

$771.06

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

27001 compared with similar codes

Compare codes

27001 vs 27000 vs 27003 vs 27005: national Medicare rates

Swap in your local Medicare rate.

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

How to choose

27000Hip tenotomy
Choose 27001 for an open adductor tendon release and 27000 when the release is performed percutaneously.
27003Adductor release
27003 includes obturator neurectomy with adductor tenotomy; 27001 describes the open adductor tenotomy without that added nerve procedure.
27005Hip tenotomy
27005 addresses open tenotomy of hip flexors. Use 27001 when the released tendon is an adductor.

Codes related to 27001

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

Codes related to 27001
CodeHow it relatesNational office range
Used instead
27000Hip tenotomyPercutaneous approach to adductor tenotomy rather than the open approach.No office rate
Same family
27003Adductor releaseAdductor tenotomy code that also includes obturator neurectomy.No office rate
27005Hip tenotomyOpen tenotomy involving hip flexor tendons rather than adductors.No office rate
27006Hip tenotomyTenotomy involving hip abductors or extensors rather than adductors.No office rate

27001 billing questions

How does this differ from 27000?

This code is for an open approach to the adductor tendon. Code 27000 describes a percutaneous approach.

When would 27003 be considered instead?

Code 27003 describes adductor tenotomy with obturator neurectomy. The operative report must support that additional nerve procedure.

Are routine postoperative visits separately reported?

Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.

How is bilateral surgery reported?

Use modifier 50 for a bilateral procedure; CMS pays this code at 150% under the supplied fee schedule rule.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. 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 27001PPRRVU2026_Oct_nonQPP.csv, line 2,710 (RVU26D)

Open CMS sourceHow we calculate rates

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