No office rate
Both treat dislocating peroneal tendons. The distinguishing feature is whether the procedure includes fibular osteotomy.
On this page
CMS RVU26D · Effective 2026-10-01
27675 Tendon stabilization Medicare reimbursement rates
Reports operative stabilization of dislocating peroneal tendons at the ankle when the repair is performed without a fibular osteotomy. Compare 27675 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27675?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 27675 pays more and less
Orthopedic surgery
About 27675: Peroneal tendon instability repair
Reports operative stabilization of dislocating peroneal tendons at the ankle when the repair is performed without a fibular osteotomy.
This procedure stabilizes peroneal tendons that slip or dislocate from their normal position behind the outer ankle bone. The surgeon repairs or reconstructs the tissues that restrain the tendons, commonly after injury has disrupted the stabilizing retinaculum. It is typically performed by an orthopedic foot and ankle surgeon in an operating room for symptomatic tendon instability.
Select this code when the operative treatment addresses peroneal tendon dislocation and does not include a fibular osteotomy; use the related code for the osteotomy approach. The operative report should identify the involved tendons, the instability being treated, and the repair performed. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur 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 may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27675
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.17 · 51%
- Practice expense (office) RVU5.81 · 41%
- Malpractice RVU1.07 · 8%
917
Medicare services in 2024 · #3032 by national volume
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.
27675 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
This code addresses peroneal tendon dislocation. Code 27658 is for primary repair of a flexor tendon injury in the leg, not tendon stabilization for dislocation.
No office rate
Code 27650 is for primary Achilles tendon repair. This code addresses peroneal tendon dislocation at the outer ankle.
See how rates vary across the country
27675 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 27675 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $429.51 |
| Alaska* | Office Unavailable | Facility $585.59 |
| Arizona | Office Unavailable | Facility $458.12 |
| Arkansas | Office Unavailable | Facility $424.59 |
| Atlanta | Office Unavailable | Facility $480.29 |
| Austin | Office Unavailable | Facility $476.94 |
| Bakersfield | Office Unavailable | Facility $478.49 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $495.75 |
| Beaumont | Office Unavailable | Facility $449.28 |
| Brazoria | Office Unavailable | Facility $461.59 |
| Chicago | Office Unavailable | Facility $518.21 |
| Chico | Office Unavailable | Facility $475.40 |
| Colorado | Office Unavailable | Facility $476.75 |
| Connecticut | Office Unavailable | Facility $496.52 |
| Dallas | Office Unavailable | Facility $465.59 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $520.80 |
| Delaware | Office Unavailable | Facility $464.54 |
| Detroit | Office Unavailable | Facility $487.01 |
| East St. Louis | Office Unavailable | Facility $490.00 |
| El Centro | Office Unavailable | Facility $475.58 |
| Fort Lauderdale | Office Unavailable | Facility $500.68 |
| Fort Worth | Office Unavailable | Facility $464.11 |
| Fresno | Office Unavailable | Facility $475.40 |
| Galveston | Office Unavailable | Facility $463.69 |
| Hanford-Corcoran | Office Unavailable | Facility $475.40 |
| Hawaii, Guam | Office Unavailable | Facility $480.82 |
| Houston | Office Unavailable | Facility $483.28 |
| Idaho | Office Unavailable | Facility $434.92 |
| Indiana | Office Unavailable | Facility $436.75 |
| Iowa | Office Unavailable | Facility $431.24 |
| Kansas | Office Unavailable | Facility $432.93 |
| Kentucky | Office Unavailable | Facility $444.70 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $502.61 |
| Madera | Office Unavailable | Facility $475.40 |
| Manhattan | Office Unavailable | Facility $536.99 |
| Merced | Office Unavailable | Facility $475.40 |
| Metropolitan Boston | Office Unavailable | Facility $512.82 |
| Metropolitan Kansas City | Office Unavailable | Facility $456.62 |
| Metropolitan Philadelphia | Office Unavailable | Facility $488.45 |
| Metropolitan St. Louis | Office Unavailable | Facility $460.04 |
| Miami | Office Unavailable | Facility $531.88 |
| Minnesota | Office Unavailable | Facility $449.75 |
| Mississippi | Office Unavailable | Facility $432.98 |
| Modesto | Office Unavailable | Facility $475.40 |
| Montana** | Office Unavailable | Facility $469.21 |
| Napa | Office Unavailable | Facility $528.50 |
| Nebraska | Office Unavailable | Facility $432.11 |
| Nevada** | Office Unavailable | Facility $463.51 |
| New Hampshire | Office Unavailable | Facility $472.77 |
| New Mexico | Office Unavailable | Facility $460.36 |
| New Orleans | Office Unavailable | Facility $462.69 |
| North Carolina | Office Unavailable | Facility $443.38 |
| North Dakota** | Office Unavailable | Facility $448.05 |
| Northern Nj | Office Unavailable | Facility $517.85 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $551.92 |
| Ohio | Office Unavailable | Facility $452.69 |
| Oklahoma | Office Unavailable | Facility $440.55 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $497.83 |
| Portland | Office Unavailable | Facility $485.51 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $506.00 |
| Puerto Rico | Office Unavailable | Facility $470.88 |
| Queens | Office Unavailable | Facility $535.73 |
| Redding | Office Unavailable | Facility $475.40 |
| Rest Of California | Office Unavailable | Facility $475.40 |
| Rest Of Florida | Office Unavailable | Facility $478.72 |
| Rest Of Georgia | Office Unavailable | Facility $455.19 |
| Rest Of Illinois | Office Unavailable | Facility $472.52 |
| Rest Of Louisiana | Office Unavailable | Facility $445.46 |
| Rest Of Maine | Office Unavailable | Facility $440.25 |
| Rest Of Maryland | Office Unavailable | Facility $471.08 |
| Rest Of Massachusetts | Office Unavailable | Facility $476.14 |
| Rest Of Michigan | Office Unavailable | Facility $457.01 |
| Rest Of Missouri | Office Unavailable | Facility $441.57 |
| Rest Of New Jersey | Office Unavailable | Facility $500.18 |
| Rest Of New York | Office Unavailable | Facility $448.97 |
| Rest Of Oregon | Office Unavailable | Facility $457.89 |
| Rest Of Pennsylvania | Office Unavailable | Facility $451.40 |
| Rest Of Texas | Office Unavailable | Facility $455.92 |
| Rest Of Washington | Office Unavailable | Facility $474.14 |
| Rhode Island | Office Unavailable | Facility $476.38 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $486.97 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $492.95 |
| Salinas | Office Unavailable | Facility $490.98 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $498.13 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $552.26 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $551.05 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $564.82 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $559.85 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $483.75 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $499.45 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $491.62 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $504.13 |
| Seattle (King Cnty) | Office Unavailable | Facility $518.77 |
| South Carolina | Office Unavailable | Facility $449.17 |
| South Dakota** | Office Unavailable | Facility $445.55 |
| Southern Maine | Office Unavailable | Facility $454.35 |
| Stockton | Office Unavailable | Facility $475.40 |
| Suburban Chicago | Office Unavailable | Facility $503.79 |
| Tennessee | Office Unavailable | Facility $435.08 |
| Utah | Office Unavailable | Facility $453.99 |
| Vallejo | Office Unavailable | Facility $526.75 |
| Vermont | Office Unavailable | Facility $449.69 |
| Virgin Islands | Office Unavailable | Facility $470.88 |
| Virginia | Office Unavailable | Facility $455.48 |
| Visalia | Office Unavailable | Facility $475.40 |
| West Virginia | Office Unavailable | Facility $459.26 |
| Wisconsin | Office Unavailable | Facility $436.40 |
| Wyoming** | Office Unavailable | Facility $459.99 |
| Yuba City | Office Unavailable | Facility $475.40 |
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27675 billing questions
How does this differ from 27676?
Both address peroneal tendon dislocation. This code is for repair without fibular osteotomy; 27676 is the related option when the procedure includes a fibular osteotomy.
Can this code be used for a peroneal tendon tear?
Use it when the procedure treats tendon dislocation or instability. A repair of a tendon injury, rather than dislocation, may fall under a tendon-repair code such as 27658 or 27659, depending on the tendon and repair circumstances.
What should the operative report document?
Document the peroneal tendon instability or dislocation, the tendons treated, the stabilizing repair performed, and whether a fibular osteotomy was part of the procedure.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS payment for the bilateral procedure is 150%.
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 paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,99827659,,Repair of leg tendon each,A,,6.92,5.46,NA,5.46,,0.99,13.37,13.37,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99927664,,Repair of leg tendon each,A,,4.61,4.98,NA,4.98,,0.71,10.30,10.30,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00027665,,Repair of leg tendon each,A,,5.43,5.66,NA,5.66,,0.87,11.96,11.96,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00127675,,Repair lower leg tendons,A,,7.17,5.81,NA,5.81,,1.07,14.05,14.05,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00227676,,Repair lower leg tendons,A,,8.51,7.20,NA,7.20,,1.48,17.19,17.19,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00327680,,Release of lower leg tendon,A,,5.73,5.54,NA,5.54,,0.96,12.23,12.23,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00427681,,Release of lower leg tendons,A,,6.87,6.55,NA,6.55,,1.24,14.66,14.66,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00