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Billing code 27385: Thigh muscle repairMedicare rate & RVUs

Reports operative direct repair of a torn or ruptured thigh muscle when the surgeon repairs the muscle without using a graft.

CMS RVU26DEffective Oct 1, 2026109 payment localities7.7K Medicare services in 2024

Medicare pays $588.52 for 27385 nationally in a facility.

Medicare rate · 27385

Thigh muscle repair

Swap in your local Medicare rate.

Work RVUs
6.76
Total RVUs
17.62
Global days
090

National rate · 2026

$588.52

Facility setting, before claim adjustments.

See every locality for 27385 → · 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 27385 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 27385 covers

This service involves surgically bringing together and repairing a torn or ruptured muscle in the thigh without graft material. An orthopedic surgeon commonly performs the repair in an operating room for an injury that requires operative treatment; the code describes muscle repair, rather than repair of the kneecap tendon or a thigh tendon. The operative report should identify the injured muscle and the repair performed.

Report the code when documentation supports direct repair without a graft; use the graft-repair sibling when graft material is used. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require 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 27385 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

27385 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$529.04
Alaska*Unavailable$701.48
ArizonaUnavailable$572.11
ArkansasUnavailable$521.64
AtlantaUnavailable$603.47
AustinUnavailable$602.14
BakersfieldUnavailable$605.35
Baltimore/Surr. CntysUnavailable$626.12
BeaumontUnavailable$556.75
BrazoriaUnavailable$577.41

27385 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
27385 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 27385 rate is calculated

Each of 27385’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 · 27385

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.76Practice expense 9.49Malpractice 1.37

17.6200 adjusted RVUs×$33.4009 conversion factor=$588.52

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

Payment rules and modifiers for 27385

27385 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27385

Thigh muscle repair

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 · 27385

Thigh muscle repair

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

27385 without 50 · national facility

$588.52

Thigh muscle repair

27385-50 · Bilateral: 150%

$882.78

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

27385 compared with similar codes

Compare codes

27385 vs 27386 vs 27380 vs 27381: national Medicare rates

Swap in your local Medicare rate.

  • 27385
    Thigh muscle repair · 6.76 wRVU
    —
  • 27386
    Thigh muscle repair · 10.85 wRVU
    —
  • 27380
    Patellar tendon repair · 7.26 wRVU
    —
  • 27381
    Patellar tendon repair · 10.49 wRVU
    —

How to choose

27386Thigh muscle repair
This code describes direct thigh muscle repair without a graft. Choose 27386 when graft material is used in the repair.
27380Patellar tendon repair
Use 27380 for repair of the kneecap tendon, not a torn or ruptured thigh muscle.
27381Patellar tendon repair
This code concerns thigh muscle repair; 27381 is for a kneecap tendon repair.

Codes related to 27385

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

Codes related to 27385
CodeHow it relatesNational office range
Same family
27386Thigh muscle repairThigh muscle repair using graft material rather than direct repair without a graft.No office rate
Used instead
27380Patellar tendon repairApplies when the injured structure is the kneecap tendon rather than a thigh muscle.No office rate
27381Patellar tendon repairA kneecap tendon repair option when that tendon, not a thigh muscle, is repaired.No office rate

27385 billing questions

When should this code be chosen over 27386?

Use this code for direct repair of a torn or ruptured thigh muscle without a graft. Use 27386 when the repair uses graft material.

Is repair of the kneecap tendon reported here?

No. This code is for a thigh muscle; patellar tendon repair is reported with the code that matches the tendon repair performed, such as 27380 or 27381.

What documentation supports the repair?

Document the injured thigh muscle, the tear or rupture, the operative repair, and whether graft material was used.

How does the 90-day global period affect postoperative care?

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

How is bilateral repair handled?

When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule supplied for this code.

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 27385PPRRVU2026_Oct_nonQPP.csv, line 2,864 (RVU26D)

Open CMS sourceHow we calculate rates

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