No office rate
Use 27690 for the primary superficial single-tendon transfer; use 27692 for an additional tendon transferred with the primary service.
On this page
CMS RVU26D · Effective 2026-10-01
27692 Tendon transfer Medicare reimbursement rates
Reports an additional lower-leg or ankle tendon transfer performed with a primary tendon-transfer procedure to redirect another tendon for functional correction. Compare 27692 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 27692?
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 27692 pays more and less
Orthopedic surgery
About 27692: Additional lower-leg tendon transfer
Reports an additional lower-leg or ankle tendon transfer performed with a primary tendon-transfer procedure to redirect another tendon for functional correction.
Code 27692 represents transfer or transplantation of an additional tendon in the leg or ankle during an operation that also transfers a primary tendon. The surgeon reroutes the additional tendon and secures it at a new attachment to improve movement or balance. Orthopedic surgeons, often in foot-and-ankle or lower-extremity reconstructive surgery, use it when the operative plan includes more than one tendon transfer.
Report 27692 only with the qualifying primary tendon-transfer service, such as 27690 or 27691, and only for tendon work beyond the primary tendon. The operative note should identify each tendon transferred and describe the additional transfer. CMS classifies 27692 as an add-on code: it is not reported alone, and its payment falls within the primary procedure’s global period.
CMS billing rules for 27692
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.82 · 68%
- Practice expense (office) RVU0.51 · 19%
- Malpractice RVU0.35 · 13%
483
Medicare services in 2024 · #3599 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.
27692 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Use 27691 for the primary deep single-tendon transfer; 27692 represents an additional transferred tendon, not the primary tendon.
No office rate
27686 applies to additional tendon lengthening or shortening. Choose 27692 when the additional tendon is transferred to a new attachment.
See how rates vary across the country
27692 · 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 27692 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 $82.31 |
| Alaska* | Office Unavailable | Facility $115.77 |
| Arizona | Office Unavailable | Facility $87.30 |
| Arkansas | Office Unavailable | Facility $81.44 |
| Atlanta | Office Unavailable | Facility $92.32 |
| Austin | Office Unavailable | Facility $89.29 |
| Bakersfield | Office Unavailable | Facility $87.73 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $94.50 |
| Beaumont | Office Unavailable | Facility $87.15 |
| Brazoria | Office Unavailable | Facility $87.28 |
| Chicago | Office Unavailable | Facility $105.16 |
| Chico | Office Unavailable | Facility $86.76 |
| Colorado | Office Unavailable | Facility $88.77 |
| Connecticut | Office Unavailable | Facility $94.50 |
| Dallas | Office Unavailable | Facility $88.33 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $97.15 |
| Delaware | Office Unavailable | Facility $88.43 |
| Detroit | Office Unavailable | Facility $96.94 |
| East St. Louis | Office Unavailable | Facility $100.01 |
| El Centro | Office Unavailable | Facility $86.82 |
| Fort Lauderdale | Office Unavailable | Facility $99.18 |
| Fort Worth | Office Unavailable | Facility $88.31 |
| Fresno | Office Unavailable | Facility $86.76 |
| Galveston | Office Unavailable | Facility $87.87 |
| Hanford-Corcoran | Office Unavailable | Facility $86.76 |
| Hawaii, Guam | Office Unavailable | Facility $86.93 |
| Houston | Office Unavailable | Facility $94.28 |
| Idaho | Office Unavailable | Facility $81.99 |
| Indiana | Office Unavailable | Facility $82.26 |
| Iowa | Office Unavailable | Facility $81.02 |
| Kansas | Office Unavailable | Facility $82.08 |
| Kentucky | Office Unavailable | Facility $86.63 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $91.20 |
| Madera | Office Unavailable | Facility $86.76 |
| Manhattan | Office Unavailable | Facility $103.02 |
| Merced | Office Unavailable | Facility $86.76 |
| Metropolitan Boston | Office Unavailable | Facility $94.03 |
| Metropolitan Kansas City | Office Unavailable | Facility $88.21 |
| Metropolitan Philadelphia | Office Unavailable | Facility $93.56 |
| Metropolitan St. Louis | Office Unavailable | Facility $88.72 |
| Miami | Office Unavailable | Facility $108.09 |
| Minnesota | Office Unavailable | Facility $81.78 |
| Mississippi | Office Unavailable | Facility $84.10 |
| Modesto | Office Unavailable | Facility $86.76 |
| Montana** | Office Unavailable | Facility $89.49 |
| Napa | Office Unavailable | Facility $93.01 |
| Nebraska | Office Unavailable | Facility $80.93 |
| Nevada** | Office Unavailable | Facility $87.58 |
| New Hampshire | Office Unavailable | Facility $88.75 |
| New Mexico | Office Unavailable | Facility $90.45 |
| New Orleans | Office Unavailable | Facility $90.10 |
| North Carolina | Office Unavailable | Facility $84.15 |
| North Dakota** | Office Unavailable | Facility $82.57 |
| Northern Nj | Office Unavailable | Facility $96.86 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $106.64 |
| Ohio | Office Unavailable | Facility $88.13 |
| Oklahoma | Office Unavailable | Facility $85.08 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $89.91 |
| Portland | Office Unavailable | Facility $89.39 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $96.32 |
| Puerto Rico | Office Unavailable | Facility $89.53 |
| Queens | Office Unavailable | Facility $101.67 |
| Redding | Office Unavailable | Facility $86.76 |
| Rest Of California | Office Unavailable | Facility $86.76 |
| Rest Of Florida | Office Unavailable | Facility $94.65 |
| Rest Of Georgia | Office Unavailable | Facility $89.92 |
| Rest Of Illinois | Office Unavailable | Facility $94.61 |
| Rest Of Louisiana | Office Unavailable | Facility $87.06 |
| Rest Of Maine | Office Unavailable | Facility $83.73 |
| Rest Of Maryland | Office Unavailable | Facility $89.37 |
| Rest Of Massachusetts | Office Unavailable | Facility $89.02 |
| Rest Of Michigan | Office Unavailable | Facility $89.54 |
| Rest Of Missouri | Office Unavailable | Facility $86.86 |
| Rest Of New Jersey | Office Unavailable | Facility $94.65 |
| Rest Of New York | Office Unavailable | Facility $85.19 |
| Rest Of Oregon | Office Unavailable | Facility $85.97 |
| Rest Of Pennsylvania | Office Unavailable | Facility $87.47 |
| Rest Of Texas | Office Unavailable | Facility $87.51 |
| Rest Of Washington | Office Unavailable | Facility $88.41 |
| Rhode Island | Office Unavailable | Facility $89.97 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $90.53 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $89.06 |
| Salinas | Office Unavailable | Facility $88.68 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $89.32 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $95.95 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $95.55 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $98.31 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $96.68 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $87.49 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $89.03 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $88.62 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $89.80 |
| Seattle (King Cnty) | Office Unavailable | Facility $94.28 |
| South Carolina | Office Unavailable | Facility $86.47 |
| South Dakota** | Office Unavailable | Facility $81.75 |
| Southern Maine | Office Unavailable | Facility $85.05 |
| Stockton | Office Unavailable | Facility $86.76 |
| Suburban Chicago | Office Unavailable | Facility $99.42 |
| Tennessee | Office Unavailable | Facility $82.55 |
| Utah | Office Unavailable | Facility $87.30 |
| Vallejo | Office Unavailable | Facility $92.44 |
| Vermont | Office Unavailable | Facility $83.57 |
| Virgin Islands | Office Unavailable | Facility $89.53 |
| Virginia | Office Unavailable | Facility $85.79 |
| Visalia | Office Unavailable | Facility $86.76 |
| West Virginia | Office Unavailable | Facility $92.32 |
| Wisconsin | Office Unavailable | Facility $80.71 |
| Wyoming** | Office Unavailable | Facility $86.47 |
| Yuba City | Office Unavailable | Facility $86.76 |
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27692 billing questions
Can 27692 be reported by itself?
No. It is an add-on for an additional tendon transfer and must be billed with a qualifying primary tendon-transfer procedure, such as 27690 or 27691.
How does 27692 differ from 27690 and 27691?
Codes 27690 and 27691 report the primary single-tendon transfer, distinguished by the tendon’s depth. Code 27692 reports each additional tendon transferred during the procedure.
What should the operative note identify?
Document the tendon or tendons transferred, the work performed, and which transfer is additional to the primary procedure.
Is 27692 reported for tendon lengthening?
No. It describes an additional tendon transfer or transplant. Tendon lengthening or shortening is represented by a different code family, including 27685 and 27686.
How does the global period affect payment?
CMS treats 27692 as an add-on paid within the primary procedure’s global period. It is not a separately reported stand-alone service.
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.
3,00727687,,Revision of calf tendon,A,,6.25,5.77,NA,5.77,,0.98,13.00,13.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00827690,,Revise lower leg tendon,A,,8.94,7.91,NA,7.91,,1.36,18.21,18.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00927691,,Revise lower leg tendon,A,,10.23,9.04,NA,9.04,,1.76,21.03,21.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01027692,,Revise additional leg tendon,A,,1.82,0.51,NA,0.51,,0.35,2.68,2.68,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01127695,,Repair of ankle ligament,A,,6.53,6.34,NA,6.34,,1.07,13.94,13.94,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01227696,,Repair of ankle ligaments,A,,8.37,5.79,NA,5.79,,1.12,15.28,15.28,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01327698,,Repair of ankle ligament,A,,9.37,7.00,NA,7.00,,1.50,17.87,17.87,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00