FeeBase
Log inGet started
Menu

Billing code 27392: Tendon incisionMedicare rate & RVUs

Reports open incision of a thigh adductor tendon, such as release for a contracture that limits hip movement or positioning.

CMS RVU26DEffective Oct 1, 2026109 payment localities14 Medicare services in 2024

Medicare pays $673.70 for 27392 nationally in a facility.

Medicare rate · 27392

Tendon incision

Swap in your local Medicare rate.

Work RVUs
9.39
Total RVUs
20.17
Global days
090

National rate · 2026

$673.70

Facility setting, before claim adjustments.

See every locality for 27392 → · 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 27392 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 27392 covers

This code describes an open tenotomy of a thigh adductor tendon to release tightness or contracture. An orthopedic surgeon may perform it when adductor tightness restricts hip motion or positioning, including in a patient with cerebral palsy and hip adduction contracture. The operative report should identify the tendon treated, the side or sides, the release performed, and the clinical condition prompting surgery.

Report the code for the open adductor tendon incision, rather than for hamstring tenotomy or tendon lengthening. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery services may be paid; 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 27392 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

27392 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$608.05
Alaska*Unavailable$819.58
ArizonaUnavailable$654.99
ArkansasUnavailable$599.95
AtlantaUnavailable$692.76
AustinUnavailable$683.72
BakersfieldUnavailable$681.69
Baltimore/Surr. CntysUnavailable$715.95
BeaumontUnavailable$642.56
BrazoriaUnavailable$658.87

27392 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

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
27392 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 27392 rate is calculated

Each of 27392’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 · 27392

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 9.39Practice expense 8.78Malpractice 2.00

20.1700 adjusted RVUs×$33.4009 conversion factor=$673.70

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

Payment rules and modifiers for 27392

27392 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27392

Tendon incision

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)2Already bilateral by definition: paid once at 100%.
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 · 27392

Tendon incision

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 51 · payment effect

With and without the modifier

27392 without 51 · national facility

$673.70

Tendon incision

27392-51 · Second procedure: 50%

$336.85

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

27392 compared with similar codes

Compare codes

27392 vs 27390 vs 27391 vs 27393: national Medicare rates

Swap in your local Medicare rate.

  • 27392
    Tendon incision · 9.39 wRVU
    —
  • 27390
    Adductor tendon release · 5.39 wRVU
    —
  • 27391
    Thigh tenotomy · 7.3 wRVU
    —
  • 27393
    Tendon lengthening · 6.43 wRVU
    —

How to choose

27390Adductor tendon release
Use 27390 for open tenotomy of a single hamstring tendon. This code describes open adductor tendon incision.
27391Thigh tenotomy
Use 27391 for open tenotomy of multiple hamstring tendons. This code describes an adductor tendon incision, not a multiple-hamstring procedure.
27393Tendon lengthening
27393 describes thigh tendon lengthening. This code applies when the surgeon incises or releases an adductor tendon instead.

Codes related to 27392

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

Codes related to 27392
CodeHow it relatesNational office range
Same family
27390Adductor tendon releaseOpen hamstring tenotomy involving a single tendon; different tendon group.No office rate
27391Thigh tenotomyOpen hamstring tenotomy involving multiple tendons; different tendon group.No office rate
27393Tendon lengtheningThigh tendon lengthening rather than tendon incision.No office rate

27392 billing questions

How is this code different from 27390 or 27391?

This code is for an open adductor tendon incision. Codes 27390 and 27391 describe open hamstring tenotomy, distinguishing a single tendon from multiple tendons.

Should this code be reported for tendon lengthening?

No. It describes an incision or tenotomy, not a lengthening procedure. Select a lengthening code when the surgeon lengthens the tendon rather than releasing it by incision.

Does modifier 50 increase payment when both sides are treated?

No. CMS prices this code as bilateral, and modifier 50 does not increase payment.

What postoperative care is included?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other procedures in the same session paid?

Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.

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 27392PPRRVU2026_Oct_nonQPP.csv, line 2,868 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 27392 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 27392 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →