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Billing code 27110: Iliopsoas transferMedicare rate & RVUs

Reports surgical rerouting of the iliopsoas to the greater trochanter, typically to address hip muscle imbalance or instability in neuromuscular conditions.

CMS RVU26DEffective Oct 1, 2026109 payment localities32 Medicare services in 2024

Medicare pays $899.15 for 27110 nationally in a facility.

Medicare rate · 27110

Iliopsoas transfer

Swap in your local Medicare rate.

Work RVUs
13.43
Total RVUs
26.92
Global days
090

National rate · 2026

$899.15

Facility setting, before claim adjustments.

See every locality for 27110 → · 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 27110 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 27110 covers

An orthopedic surgeon releases the iliopsoas from its usual attachment and reroutes it to the greater trochanter to change its action on the hip. The operation is most often considered for selected patients with neuromuscular hip imbalance, such as children with cerebral palsy, when the surgeon seeks to improve hip stability or muscle balance. It is performed in an operating room, generally as an open procedure; the operative report should identify the side, original attachment, new attachment, and reason for the transfer.

Report this code when the documented operation transfers the iliopsoas to the greater trochanter, rather than simply releasing the tendon or attaching it at a different femoral site. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 27110 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

27110 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$813.31
Alaska*Unavailable$1,103.63
ArizonaUnavailable$874.39
ArkansasUnavailable$802.76
AtlantaUnavailable$925.38
AustinUnavailable$909.75
BakersfieldUnavailable$904.41
Baltimore/Surr. CntysUnavailable$954.89
BeaumontUnavailable$860.42
BrazoriaUnavailable$878.53

27110 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
27110 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 27110 rate is calculated

Each of 27110’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 · 27110

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 13.43Practice expense 10.63Malpractice 2.86

26.9200 adjusted RVUs×$33.4009 conversion factor=$899.15

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

Payment rules and modifiers for 27110

27110 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27110

Iliopsoas transfer

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 · 27110

Iliopsoas transfer

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

27110 without 50 · national facility

$899.15

Iliopsoas transfer

27110-50 · Bilateral: 150%

$1,348.73

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

27110 compared with similar codes

Compare codes

27110 vs 27111 vs 27005 vs 27100: national Medicare rates

Swap in your local Medicare rate.

  • 27110
    Iliopsoas transfer · 13.43 wRVU
    —
  • 27111
    Muscle transfer · 12.29 wRVU
    —
  • 27005
    Hip tenotomy · 9.82 wRVU
    —
  • 27100
    Muscle transfer · 11.07 wRVU
    —

How to choose

27111Muscle transfer
Both codes describe iliopsoas transfers, but the intended femoral attachment differs. Use the code matching the attachment documented in the operative report.
27005Hip tenotomy
This code represents transfer to the greater trochanter. Code 27005 is for an open hip-flexor tenotomy, not a muscle transfer.
27100Muscle transfer
Code 27100 involves transfer of an abdominal muscle; this code involves the iliopsoas.

Codes related to 27110

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

Codes related to 27110
CodeHow it relatesNational office range
Same family
27111Muscle transferA sibling iliopsoas transfer code for a different femoral attachment site.No office rate
27100Muscle transferA related muscle-transfer procedure involving an abdominal muscle.No office rate
27105Muscle transferA related muscle-transfer procedure involving a spinal muscle.No office rate
Used instead
27005Hip tenotomyAn open hip-flexor tenotomy may be selected when release, rather than transfer, is performed.No office rate

27110 billing questions

How is this code distinguished from 27111?

This code describes transfer of the iliopsoas to the greater trochanter. Code 27111 describes a different iliopsoas transfer site; verify the documented attachment before choosing between them.

Can an iliopsoas release be reported as this transfer?

No. A release or tenotomy does not reroute and secure the muscle at the greater trochanter; code the documented procedure performed.

What documentation supports reporting this code?

The operative report should establish the side, iliopsoas mobilization and rerouting, greater-trochanter attachment, and clinical reason for the transfer.

How is bilateral surgery reported?

Use modifier 50 for a bilateral procedure; CMS pays the bilateral service at 150%.

Are assistant or co-surgeon services payable?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted for this code.

What postoperative care is included?

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

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 27110PPRRVU2026_Oct_nonQPP.csv, line 2,755 (RVU26D)

Open CMS sourceHow we calculate rates

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