Billing code 27111: Muscle transferMedicare rate & RVUs

Medicare pays $840.70 for 27111 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 27111 covers

An orthopedic surgeon surgically relocates the iliopsoas muscle to alter its effect on the hip. The procedure may be considered for selected hip deformities or muscle imbalances, including in patients with neuromuscular conditions. It is a reconstructive operation performed in an operating room, not a routine tendon release or a hip replacement. The operative report should identify the muscle transferred, the transfer performed, and the hip condition being treated.

Report 27111 when the documented operation is an iliopsoas transfer, not a release alone. Documentation should support the surgical approach and the work performed; the diagnosis and operative findings should explain the transfer’s purpose. 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 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; 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 27111 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

27111 rates by state

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

How the 27111 rate is calculated

Each of 27111’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.

Payment rules and modifiers for 27111

27111 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

27111 compared with similar codes

How to choose

27005Hip tenotomy

This code is for iliopsoas tenotomy, a release. Use 27111 when the operation relocates the muscle rather than simply cutting or releasing it.

27120Hip socket reconstruction

27120 addresses reconstruction of the hip socket. 27111 addresses transfer of the iliopsoas muscle.

27125Hip replacement

27125 is partial hip replacement; it is not the code for an iliopsoas transfer performed to address muscle imbalance or deformity.

27130Hip replacement

27130 reports total hip arthroplasty. 27111 reports a muscle transfer and does not describe replacement of the hip joint.

Codes related to 27111

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

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

Open CMS sourceHow we calculate rates