No office rate
27680 is for release of one tendon; 27681 is the related choice when multiple tendons are released.
On this page
CMS RVU26D · Effective 2026-10-01
27680 in Vallejo
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$462.05
Base rate per service
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.
Orthopedic surgery
About 27680: Single lower-leg tendon adhesion release
Surgical freeing of a single scar-tethered flexor or extensor tendon in the leg or ankle to restore tendon glide after trauma or prior surgery.
The surgeon frees a flexor or extensor tendon in the leg or ankle that is bound down by scar tissue and cannot glide normally. This may be considered when restricted tendon movement continues after an injury or prior operation and limits motion despite nonsurgical care. An orthopedic or foot-and-ankle surgeon typically performs the release in an operating room, such as a hospital outpatient department or ambulatory surgery center.
Report this code for release of one tendon; the operative report should identify the tendon and site, describe the adhesions, and document the work performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment is restricted; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 27680
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.73 · 47%
- Practice expense (office) RVU5.54 · 45%
- Malpractice RVU0.96 · 8%
2K
Medicare services in 2024 · #2454 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.
27680 compared with similar codes
Office rates for Vallejo, from the same CMS release.
$816.57
27680 frees a tendon tethered by adhesions. 27685 changes the length of a tendon when length, rather than scarring, is the operative problem.
No office rate
27680 releases adhesions around a tendon. 27658 is a primary tendon repair, used when the tendon itself requires repair rather than adhesion release.
The same code, a different location
How does Vallejo compare?
27680 across payment areas
Same release and payment basis · bars start at $0
Vallejo · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 27680
Office
Unavailable
Facility
$414.63
No comparable office rate is available.
Merced
California · 27680
Office
Unavailable
Facility
$414.63
No comparable office rate is available.
Modesto
California · 27680
Office
Unavailable
Facility
$414.63
No comparable office rate is available.
Napa
California · 27680
Office
Unavailable
Facility
$463.62
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27680
Office
Unavailable
Facility
$435.44
No comparable office rate is available.
Redding
California · 27680
Office
Unavailable
Facility
$414.63
No comparable office rate is available.
Rest Of California
California · 27680
Office
Unavailable
Facility
$414.63
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27680
Office
Unavailable
Facility
$424.99
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27680
Office
Unavailable
Facility
$430.67
No comparable office rate is available.
Salinas
California · 27680
Office
Unavailable
Facility
$428.97
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27680
Office
Unavailable
Facility
$435.82
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27680
Office
Unavailable
Facility
$485.19
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27680
Office
Unavailable
Facility
$484.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27680
Office
Unavailable
Facility
$496.46
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27680
Office
Unavailable
Facility
$492.00
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27680
Office
Unavailable
Facility
$422.59
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27680
Office
Unavailable
Facility
$437.42
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27680
Office
Unavailable
Facility
$429.69
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27680
Office
Unavailable
Facility
$441.55
No comparable office rate is available.
Stockton
California · 27680
Office
Unavailable
Facility
$414.63
No comparable office rate is available.
Visalia
California · 27680
Office
Unavailable
Facility
$414.63
No comparable office rate is available.
Yuba City
California · 27680
Office
Unavailable
Facility
$414.63
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 27680
Office
Unavailable
Facility
$455.39
No comparable office rate is available.
Miami
Florida · 27680
Office
Unavailable
Facility
$465.11
No comparable office rate is available.
Chicago
Illinois · 27680
Office
Unavailable
Facility
$452.28
No comparable office rate is available.
Manhattan
New York · 27680
Office
Unavailable
Facility
$469.51
No comparable office rate is available.
Alaska*
Alaska · 27680
Office
Unavailable
Facility
$501.82
No comparable office rate is available.
Alabama
Alabama · 27680
Office
Unavailable
Facility
$371.45
No comparable office rate is available.
Arkansas
Arkansas · 27680
Office
Unavailable
Facility
$366.85
No comparable office rate is available.
Arizona
Arizona · 27680
Office
Unavailable
Facility
$398.14
No comparable office rate is available.
Colorado
Colorado · 27680
Office
Unavailable
Facility
$415.61
No comparable office rate is available.
Connecticut
Connecticut · 27680
Office
Unavailable
Facility
$433.30
No comparable office rate is available.
Delaware
Delaware · 27680
Office
Unavailable
Facility
$403.99
No comparable office rate is available.
Fort Lauderdale
Florida · 27680
Office
Unavailable
Facility
$436.81
No comparable office rate is available.
Rest Of Florida
Florida · 27680
Office
Unavailable
Facility
$416.48
No comparable office rate is available.
Atlanta
Georgia · 27680
Office
Unavailable
Facility
$418.47
No comparable office rate is available.
Rest Of Georgia
Georgia · 27680
Office
Unavailable
Facility
$394.67
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27680
Office
Unavailable
Facility
$420.34
No comparable office rate is available.
Iowa
Iowa · 27680
Office
Unavailable
Facility
$373.43
No comparable office rate is available.
Idaho
Idaho · 27680
Office
Unavailable
Facility
$376.79
No comparable office rate is available.
East St. Louis
Illinois · 27680
Office
Unavailable
Facility
$426.20
No comparable office rate is available.
Rest Of Illinois
Illinois · 27680
Office
Unavailable
Facility
$410.45
No comparable office rate is available.
Suburban Chicago
Illinois · 27680
Office
Unavailable
Facility
$439.58
No comparable office rate is available.
Indiana
Indiana · 27680
Office
Unavailable
Facility
$378.50
No comparable office rate is available.
Kansas
Kansas · 27680
Office
Unavailable
Facility
$374.82
No comparable office rate is available.
Kentucky
Kentucky · 27680
Office
Unavailable
Facility
$385.23
No comparable office rate is available.
New Orleans
Louisiana · 27680
Office
Unavailable
Facility
$401.94
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27680
Office
Unavailable
Facility
$385.87
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27680
Office
Unavailable
Facility
$448.71
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27680
Office
Unavailable
Facility
$414.85
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27680
Office
Unavailable
Facility
$432.66
No comparable office rate is available.
Rest Of Maryland
Maryland · 27680
Office
Unavailable
Facility
$410.00
No comparable office rate is available.
Rest Of Maine
Maine · 27680
Office
Unavailable
Facility
$381.57
No comparable office rate is available.
Southern Maine
Maine · 27680
Office
Unavailable
Facility
$395.00
No comparable office rate is available.
Detroit
Michigan · 27680
Office
Unavailable
Facility
$424.01
No comparable office rate is available.
Rest Of Michigan
Michigan · 27680
Office
Unavailable
Facility
$396.53
No comparable office rate is available.
Minnesota
Minnesota · 27680
Office
Unavailable
Facility
$391.29
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27680
Office
Unavailable
Facility
$396.47
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27680
Office
Unavailable
Facility
$399.68
No comparable office rate is available.
Rest Of Missouri
Missouri · 27680
Office
Unavailable
Facility
$382.12
No comparable office rate is available.
Mississippi
Mississippi · 27680
Office
Unavailable
Facility
$374.40
No comparable office rate is available.
Montana**
Montana · 27680
Office
Unavailable
Facility
$408.43
No comparable office rate is available.
North Carolina
North Carolina · 27680
Office
Unavailable
Facility
$384.52
No comparable office rate is available.
North Dakota**
North Dakota · 27680
Office
Unavailable
Facility
$389.45
No comparable office rate is available.
Nebraska
Nebraska · 27680
Office
Unavailable
Facility
$374.30
No comparable office rate is available.
New Hampshire
New Hampshire · 27680
Office
Unavailable
Facility
$412.07
No comparable office rate is available.
Northern Nj
New Jersey · 27680
Office
Unavailable
Facility
$452.34
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27680
Office
Unavailable
Facility
$436.28
No comparable office rate is available.
New Mexico
New Mexico · 27680
Office
Unavailable
Facility
$399.58
No comparable office rate is available.
Nevada**
Nevada · 27680
Office
Unavailable
Facility
$403.32
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27680
Office
Unavailable
Facility
$483.19
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27680
Office
Unavailable
Facility
$441.42
No comparable office rate is available.
Queens
New York · 27680
Office
Unavailable
Facility
$468.59
No comparable office rate is available.
Rest Of New York
New York · 27680
Office
Unavailable
Facility
$389.72
No comparable office rate is available.
Ohio
Ohio · 27680
Office
Unavailable
Facility
$392.65
No comparable office rate is available.
Oklahoma
Oklahoma · 27680
Office
Unavailable
Facility
$381.54
No comparable office rate is available.
Portland
Oregon · 27680
Office
Unavailable
Facility
$423.89
No comparable office rate is available.
Rest Of Oregon
Oregon · 27680
Office
Unavailable
Facility
$398.23
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27680
Office
Unavailable
Facility
$425.71
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27680
Office
Unavailable
Facility
$391.56
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27680
Office
Unavailable
Facility
$410.05
No comparable office rate is available.
Rhode Island
Rhode Island · 27680
Office
Unavailable
Facility
$414.77
No comparable office rate is available.
South Carolina
South Carolina · 27680
Office
Unavailable
Facility
$389.62
No comparable office rate is available.
South Dakota**
South Dakota · 27680
Office
Unavailable
Facility
$387.20
No comparable office rate is available.
Tennessee
Tennessee · 27680
Office
Unavailable
Facility
$376.81
No comparable office rate is available.
Austin
Texas · 27680
Office
Unavailable
Facility
$415.95
No comparable office rate is available.
Beaumont
Texas · 27680
Office
Unavailable
Facility
$389.56
No comparable office rate is available.
Brazoria
Texas · 27680
Office
Unavailable
Facility
$401.30
No comparable office rate is available.
Dallas
Texas · 27680
Office
Unavailable
Facility
$404.92
No comparable office rate is available.
Fort Worth
Texas · 27680
Office
Unavailable
Facility
$403.49
No comparable office rate is available.
Galveston
Texas · 27680
Office
Unavailable
Facility
$403.21
No comparable office rate is available.
Houston
Texas · 27680
Office
Unavailable
Facility
$420.79
No comparable office rate is available.
Rest Of Texas
Texas · 27680
Office
Unavailable
Facility
$395.95
No comparable office rate is available.
Utah
Utah · 27680
Office
Unavailable
Facility
$394.12
No comparable office rate is available.
Virginia
Virginia · 27680
Office
Unavailable
Facility
$395.92
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27680
Office
Unavailable
Facility
$410.05
No comparable office rate is available.
Vermont
Vermont · 27680
Office
Unavailable
Facility
$390.80
No comparable office rate is available.
Rest Of Washington
Washington · 27680
Office
Unavailable
Facility
$413.12
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27680
Office
Unavailable
Facility
$454.20
No comparable office rate is available.
Wisconsin
Wisconsin · 27680
Office
Unavailable
Facility
$378.53
No comparable office rate is available.
West Virginia
West Virginia · 27680
Office
Unavailable
Facility
$398.07
No comparable office rate is available.
Wyoming**
Wyoming · 27680
Office
Unavailable
Facility
$400.16
No comparable office rate is available.
See how rates vary across the country
27680 · 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 |
Where does this rate apply?
Vallejo is a Medicare payment area. Our Census mapping connects it to 11 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 27680 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$508.26
$462.05 × 110% = $508.26
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27680 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
3,003
- Code
- 27680
- Physician work
- 5.73
- Practice expense
- 5.54
- Malpractice
- 0.96
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.73 | × 1.063 | 6.0910 |
| Practice expense | 5.54 | × 1.318 | 7.3017 |
| Malpractice | 0.96 | × 0.459 | 0.4406 |
| Total RVUs | 13.8334 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vallejo$462.05
Open 27680 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.73 | 1.063 |
| Practice expense | 5.54 | 1.318 |
| Malpractice | 0.96 | 0.459 |
(5.73 × 1.063 + 5.54 × 1.318 + 0.96 × 0.459) × $33.4009 = $462.05
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
27680 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $462.05 | RVU26D |
| 2026-07-01 | Not available in this setting | $462.05 | RVU26C |
| 2026-04-01 | Not available in this setting | $462.05 | RVU26B |
| 2026-01-01 | Not available in this setting | $462.05 | RVU26A |
| 2025-10-01 | Not available in this setting | $479.02 | RVU25D |
| 2025-07-01 | Not available in this setting | $479.02 | RVU25C |
| 2025-04-01 | Not available in this setting | $479.02 | RVU25B |
| 2025-01-01 | Not available in this setting | $479.02 | RVU25A |
27680 billing questions
When should 27680 be chosen over 27681?
Use 27680 for release of one lower-leg or ankle tendon. When the operative service releases multiple tendons, compare the documentation with 27681, the multiple-tendon sibling.
What documentation supports reporting 27680?
The operative report should identify the flexor or extensor tendon and its leg or ankle location, describe the tethering adhesions, and explain the release performed.
Can modifier 50 be reported for bilateral tendon releases?
CMS identifies modifier 50 as inappropriate for this code; its descriptor or anatomy does not receive a bilateral adjustment.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. Co-surgeons are paid only with 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.
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
3,00527685,,Revision of lower leg tendon,A,,6.52,12.97,,5.84,,0.92,20.41,13.28,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00627686,,Revise lower leg tendons,A,,7.56,6.28,NA,6.28,,1.22,15.06,15.06,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3001182,CA,74,SANTA MARIA-SANTA BARBARA,1.028,1.166,0.536
3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536
3201112,CA,68,STOCKTON,1.017,1.096,0.536
3301112,CA,53,VALLEJO,1.063,1.318,0.459
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536