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Billing code 27307: Hamstring tenotomyMedicare rate & RVUs

Percutaneous multiple-tendon hamstring release in the thigh is reported when the surgeon divides more than one tendon through a percutaneous approach to address contracture.

CMS RVU26DEffective Oct 1, 2026109 payment localities303 Medicare services in 2024

Medicare pays $376.09 for 27307 nationally in a facility.

Medicare rate · 27307

Hamstring tenotomy

Swap in your local Medicare rate.

Work RVUs
5.91
Total RVUs
11.26
Global days
090

National rate · 2026

$376.09

Facility setting, before claim adjustments.

See every locality for 27307 → · 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 27307 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 27307 covers

This code represents percutaneous release of multiple hamstring tendons in the thigh. An orthopedic surgeon, often treating a patient with hamstring tightness or contracture, makes small skin openings and divides the selected tendons without an open exposure. The procedure is typically performed in a surgical or procedure setting; the operative report should identify the tendons treated and describe the percutaneous technique.

Select this code when the documented procedure involves multiple tendons and a percutaneous approach. Use the single-tendon code when only one tendon is released, and distinguish open release by the operative approach. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity, and co-surgeon payment requires supporting documentation; 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 27307 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

27307 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$347.87
Alaska*Unavailable$476.62
ArizonaUnavailable$368.40
ArkansasUnavailable$344.35
AtlantaUnavailable$383.07
AustinUnavailable$383.58
BakersfieldUnavailable$387.73
Baltimore/Surr. CntysUnavailable$395.42
BeaumontUnavailable$360.37
BrazoriaUnavailable$372.05

27307 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
27307 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 27307 rate is calculated

Each of 27307’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 · 27307

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.91Practice expense 4.78Malpractice 0.57

11.2600 adjusted RVUs×$33.4009 conversion factor=$376.09

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

Payment rules and modifiers for 27307

27307 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27307

Hamstring 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)0Not paid without supporting documentation.
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 · 27307

Hamstring 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

27307 without 50 · national facility

$376.09

Hamstring tenotomy

27307-50 · Bilateral: 150%

$564.13

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

27307 compared with similar codes

Compare codes

27307 vs 27306 vs 27305 vs 27325: national Medicare rates

Swap in your local Medicare rate.

  • 27307
    Hamstring tenotomy · 5.91 wRVU
    —
  • 27306
    Hamstring tenotomy · 4.62 wRVU
    —
  • 27305
    Thigh fasciotomy · 6.03 wRVU
    —
  • 27325
    Hamstring neurectomy · 7.02 wRVU
    —

How to choose

27306Hamstring tenotomy
27306 is the percutaneous hamstring tenotomy code for a single tendon; 27307 is used when multiple tendons are released.
27305Thigh fasciotomy
27305 describes open hamstring tenotomy. Choose based on the documented surgical approach, not simply the diagnosis or treatment goal.
27325Hamstring neurectomy
27325 is hamstring neurectomy, which removes or interrupts nerve tissue; 27307 releases tendons.

Codes related to 27307

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

Codes related to 27307
CodeHow it relatesNational office range
Same family
27306Hamstring tenotomyPercutaneous hamstring tenotomy for a single tendon rather than multiple tendons.No office rate
Used instead
27305Thigh fasciotomyOpen hamstring tenotomy when the operative approach is open rather than percutaneous.No office rate
27325Hamstring neurectomyHamstring neurectomy targets a nerve rather than releasing hamstring tendons.No office rate

27307 billing questions

When should 27307 be selected instead of 27306?

Use 27307 for percutaneous release of multiple hamstring tendons. The related single-tendon procedure is reported with 27306.

How does 27307 differ from 27305?

The approach distinguishes them: 27307 describes percutaneous release of multiple tendons, while 27305 is an open hamstring tenotomy.

What documentation supports reporting 27307?

The operative report should establish the hamstring tendons released, that more than one tendon was treated, and that the approach was percutaneous.

How is bilateral treatment reported?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document the treated sides and the procedures performed.

Is related postoperative care separately included?

The code has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation, and 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 27307PPRRVU2026_Oct_nonQPP.csv, line 2,832 (RVU26D)

Open CMS sourceHow we calculate rates

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