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 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$86.47
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 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 rates for Wyoming**, 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.
The same code, a different location
How does Wyoming** compare?
27692 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 27692
Office
Unavailable
Facility
$82.31
No comparable office rate is available.
Arkansas
Arkansas · 27692
Office
Unavailable
Facility
$81.44
No comparable office rate is available.
Arizona
Arizona · 27692
Office
Unavailable
Facility
$87.30
No comparable office rate is available.
Bakersfield
California · 27692
Office
Unavailable
Facility
$87.73
No comparable office rate is available.
Chico
California · 27692
Office
Unavailable
Facility
$86.76
No comparable office rate is available.
El Centro
California · 27692
Office
Unavailable
Facility
$86.82
No comparable office rate is available.
Fresno
California · 27692
Office
Unavailable
Facility
$86.76
No comparable office rate is available.
Hanford-Corcoran
California · 27692
Office
Unavailable
Facility
$86.76
No comparable office rate is available.
Madera
California · 27692
Office
Unavailable
Facility
$86.76
No comparable office rate is available.
Merced
California · 27692
Office
Unavailable
Facility
$86.76
No comparable office rate is available.
Modesto
California · 27692
Office
Unavailable
Facility
$86.76
No comparable office rate is available.
Napa
California · 27692
Office
Unavailable
Facility
$93.01
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27692
Office
Unavailable
Facility
$89.91
No comparable office rate is available.
Redding
California · 27692
Office
Unavailable
Facility
$86.76
No comparable office rate is available.
Rest Of California
California · 27692
Office
Unavailable
Facility
$86.76
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27692
Office
Unavailable
Facility
$90.53
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27692
Office
Unavailable
Facility
$89.06
No comparable office rate is available.
Salinas
California · 27692
Office
Unavailable
Facility
$88.68
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27692
Office
Unavailable
Facility
$89.32
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27692
Office
Unavailable
Facility
$95.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27692
Office
Unavailable
Facility
$95.55
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27692
Office
Unavailable
Facility
$98.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27692
Office
Unavailable
Facility
$96.68
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27692
Office
Unavailable
Facility
$87.49
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27692
Office
Unavailable
Facility
$89.03
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27692
Office
Unavailable
Facility
$88.62
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27692
Office
Unavailable
Facility
$89.80
No comparable office rate is available.
Stockton
California · 27692
Office
Unavailable
Facility
$86.76
No comparable office rate is available.
Vallejo
California · 27692
Office
Unavailable
Facility
$92.44
No comparable office rate is available.
Visalia
California · 27692
Office
Unavailable
Facility
$86.76
No comparable office rate is available.
Yuba City
California · 27692
Office
Unavailable
Facility
$86.76
No comparable office rate is available.
Colorado
Colorado · 27692
Office
Unavailable
Facility
$88.77
No comparable office rate is available.
Connecticut
Connecticut · 27692
Office
Unavailable
Facility
$94.50
No comparable office rate is available.
Delaware
Delaware · 27692
Office
Unavailable
Facility
$88.43
No comparable office rate is available.
Fort Lauderdale
Florida · 27692
Office
Unavailable
Facility
$99.18
No comparable office rate is available.
Rest Of Florida
Florida · 27692
Office
Unavailable
Facility
$94.65
No comparable office rate is available.
Atlanta
Georgia · 27692
Office
Unavailable
Facility
$92.32
No comparable office rate is available.
Rest Of Georgia
Georgia · 27692
Office
Unavailable
Facility
$89.92
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27692
Office
Unavailable
Facility
$86.93
No comparable office rate is available.
Iowa
Iowa · 27692
Office
Unavailable
Facility
$81.02
No comparable office rate is available.
Idaho
Idaho · 27692
Office
Unavailable
Facility
$81.99
No comparable office rate is available.
East St. Louis
Illinois · 27692
Office
Unavailable
Facility
$100.01
No comparable office rate is available.
Rest Of Illinois
Illinois · 27692
Office
Unavailable
Facility
$94.61
No comparable office rate is available.
Suburban Chicago
Illinois · 27692
Office
Unavailable
Facility
$99.42
No comparable office rate is available.
Indiana
Indiana · 27692
Office
Unavailable
Facility
$82.26
No comparable office rate is available.
Kansas
Kansas · 27692
Office
Unavailable
Facility
$82.08
No comparable office rate is available.
Kentucky
Kentucky · 27692
Office
Unavailable
Facility
$86.63
No comparable office rate is available.
New Orleans
Louisiana · 27692
Office
Unavailable
Facility
$90.10
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27692
Office
Unavailable
Facility
$87.06
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27692
Office
Unavailable
Facility
$94.03
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27692
Office
Unavailable
Facility
$89.02
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27692
Office
Unavailable
Facility
$94.50
No comparable office rate is available.
Rest Of Maryland
Maryland · 27692
Office
Unavailable
Facility
$89.37
No comparable office rate is available.
Rest Of Maine
Maine · 27692
Office
Unavailable
Facility
$83.73
No comparable office rate is available.
Southern Maine
Maine · 27692
Office
Unavailable
Facility
$85.05
No comparable office rate is available.
Detroit
Michigan · 27692
Office
Unavailable
Facility
$96.94
No comparable office rate is available.
Rest Of Michigan
Michigan · 27692
Office
Unavailable
Facility
$89.54
No comparable office rate is available.
Minnesota
Minnesota · 27692
Office
Unavailable
Facility
$81.78
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27692
Office
Unavailable
Facility
$88.21
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27692
Office
Unavailable
Facility
$88.72
No comparable office rate is available.
Rest Of Missouri
Missouri · 27692
Office
Unavailable
Facility
$86.86
No comparable office rate is available.
Mississippi
Mississippi · 27692
Office
Unavailable
Facility
$84.10
No comparable office rate is available.
Montana**
Montana · 27692
Office
Unavailable
Facility
$89.49
No comparable office rate is available.
North Carolina
North Carolina · 27692
Office
Unavailable
Facility
$84.15
No comparable office rate is available.
North Dakota**
North Dakota · 27692
Office
Unavailable
Facility
$82.57
No comparable office rate is available.
Nebraska
Nebraska · 27692
Office
Unavailable
Facility
$80.93
No comparable office rate is available.
New Hampshire
New Hampshire · 27692
Office
Unavailable
Facility
$88.75
No comparable office rate is available.
Northern Nj
New Jersey · 27692
Office
Unavailable
Facility
$96.86
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27692
Office
Unavailable
Facility
$94.65
No comparable office rate is available.
New Mexico
New Mexico · 27692
Office
Unavailable
Facility
$90.45
No comparable office rate is available.
Nevada**
Nevada · 27692
Office
Unavailable
Facility
$87.58
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27692
Office
Unavailable
Facility
$106.64
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27692
Office
Unavailable
Facility
$96.32
No comparable office rate is available.
Queens
New York · 27692
Office
Unavailable
Facility
$101.67
No comparable office rate is available.
Rest Of New York
New York · 27692
Office
Unavailable
Facility
$85.19
No comparable office rate is available.
Ohio
Ohio · 27692
Office
Unavailable
Facility
$88.13
No comparable office rate is available.
Oklahoma
Oklahoma · 27692
Office
Unavailable
Facility
$85.08
No comparable office rate is available.
Portland
Oregon · 27692
Office
Unavailable
Facility
$89.39
No comparable office rate is available.
Rest Of Oregon
Oregon · 27692
Office
Unavailable
Facility
$85.97
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27692
Office
Unavailable
Facility
$93.56
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27692
Office
Unavailable
Facility
$87.47
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27692
Office
Unavailable
Facility
$89.53
No comparable office rate is available.
Rhode Island
Rhode Island · 27692
Office
Unavailable
Facility
$89.97
No comparable office rate is available.
South Carolina
South Carolina · 27692
Office
Unavailable
Facility
$86.47
No comparable office rate is available.
South Dakota**
South Dakota · 27692
Office
Unavailable
Facility
$81.75
No comparable office rate is available.
Tennessee
Tennessee · 27692
Office
Unavailable
Facility
$82.55
No comparable office rate is available.
Austin
Texas · 27692
Office
Unavailable
Facility
$89.29
No comparable office rate is available.
Beaumont
Texas · 27692
Office
Unavailable
Facility
$87.15
No comparable office rate is available.
Brazoria
Texas · 27692
Office
Unavailable
Facility
$87.28
No comparable office rate is available.
Dallas
Texas · 27692
Office
Unavailable
Facility
$88.33
No comparable office rate is available.
Fort Worth
Texas · 27692
Office
Unavailable
Facility
$88.31
No comparable office rate is available.
Galveston
Texas · 27692
Office
Unavailable
Facility
$87.87
No comparable office rate is available.
Houston
Texas · 27692
Office
Unavailable
Facility
$94.28
No comparable office rate is available.
Rest Of Texas
Texas · 27692
Office
Unavailable
Facility
$87.51
No comparable office rate is available.
Utah
Utah · 27692
Office
Unavailable
Facility
$87.30
No comparable office rate is available.
Virginia
Virginia · 27692
Office
Unavailable
Facility
$85.79
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27692
Office
Unavailable
Facility
$89.53
No comparable office rate is available.
Vermont
Vermont · 27692
Office
Unavailable
Facility
$83.57
No comparable office rate is available.
Rest Of Washington
Washington · 27692
Office
Unavailable
Facility
$88.41
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27692
Office
Unavailable
Facility
$94.28
No comparable office rate is available.
Wisconsin
Wisconsin · 27692
Office
Unavailable
Facility
$80.71
No comparable office rate is available.
West Virginia
West Virginia · 27692
Office
Unavailable
Facility
$92.32
No comparable office rate is available.
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 |
Where does this rate apply?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 27692 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$95.12
$86.47 × 110% = $95.12
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 27692 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,010
- Code
- 27692
- Physician work
- 1.82
- Practice expense
- 0.51
- Malpractice
- 0.35
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.82 | × 1.000 | 1.8200 |
| Practice expense | 0.51 | × 1.000 | 0.5100 |
| Malpractice | 0.35 | × 0.740 | 0.2590 |
| Total RVUs | 2.5890 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$86.47
Open 27692 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.82 | 1 |
| Practice expense | 0.51 | 1 |
| Malpractice | 0.35 | 0.74 |
(1.82 × 1 + 0.51 × 1 + 0.35 × 0.74) × $33.4009 = $86.47
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
27692 · 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 | $86.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $86.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $86.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $86.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $96.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $96.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $96.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $96.52 | RVU25A |
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,