No office rate
This code is for iliopsoas tenotomy, a release. Use 27111 when the operation relocates the muscle rather than simply cutting or releasing it.
On this page
CMS RVU26D · Effective 2026-10-01
27111 Muscle transfer Medicare reimbursement rates in Alabama
Reports operative relocation of the iliopsoas muscle to address selected hip muscle imbalance or deformity, rather than simply releasing the muscle. Compare 27111 office and facility rates across CMS payment localities in Alabama.
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 27111 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$759.99
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
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.
Hip surgery
About 27111: Iliopsoas muscle transfer at the hip
Reports operative relocation of the iliopsoas muscle to address selected hip muscle imbalance or deformity, rather than simply releasing the muscle.
An orthopedic surgeon surgically relocates the iliopsoas muscle to alter its effect on the hip. The procedure may be considered for selected hip deformities or muscle imbalances, including in patients with neuromuscular conditions. It is a reconstructive operation performed in an operating room, not a routine tendon release or a hip replacement. The operative report should identify the muscle transferred, the transfer performed, and the hip condition being treated.
Report 27111 when the documented operation is an iliopsoas transfer, not a release alone. Documentation should support the surgical approach and the work performed; the diagnosis and operative findings should explain the transfer’s purpose. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27111
- 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 RVU12.29 · 49%
- Practice expense (office) RVU10.27 · 41%
- Malpractice RVU2.61 · 10%
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.
27111 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
27120 addresses reconstruction of the hip socket. 27111 addresses transfer of the iliopsoas muscle.
No office rate
27125 is partial hip replacement; it is not the code for an iliopsoas transfer performed to address muscle imbalance or deformity.
No office rate
27130 reports total hip arthroplasty. 27111 reports a muscle transfer and does not describe replacement of the hip joint.
Compare 27111 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.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$759.99
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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 27111 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,756
- Code
- 27111
- Physician work
- 12.29
- Practice expense
- 10.27
- Malpractice
- 2.61
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.29 | × 1.000 | 12.2900 |
| Practice expense | 10.27 | × 0.875 | 8.9863 |
| Malpractice | 2.61 | × 0.566 | 1.4773 |
| Total RVUs | 22.7535 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$759.99
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.29 | 1 |
| Practice expense | 10.27 | 0.875 |
| Malpractice | 2.61 | 0.566 |
(12.29 × 1 + 10.27 × 0.875 + 2.61 × 0.566) × $33.4009 = $759.99
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.
27111 billing questions
How is a muscle transfer distinguished from an iliopsoas release?
The operative objective is different: 27111 describes relocation of the muscle, while a tenotomy code describes cutting or releasing it. Select the code that matches the documented operation.
Does the 90-day global period include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and related postoperative care for 90 days.
How is bilateral surgery reported?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction when performed in the same session.
What should the operative report establish?
It should identify the iliopsoas transfer actually performed and document the hip condition and findings that support relocating the muscle rather than releasing it.
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.
2,75327100,,Transfer of abdominal muscle,A,,11.07,9.87,NA,9.87,,2.36,23.30,23.30,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75427105,,Transfer of spinal muscle,A,,11.74,10.09,NA,10.09,,2.50,24.33,24.33,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75527110,,Transfer of iliopsoas muscle,A,,13.43,10.63,NA,10.63,,2.86,26.92,26.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75627111,,Transfer of iliopsoas muscle,A,,12.29,10.27,NA,10.27,,2.61,25.17,25.17,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75727120,,Reconstruction of hip socket,A,,18.77,12.65,NA,12.65,,3.99,35.41,35.41,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75827122,,Reconstruction of hip socket,A,,15.69,11.24,NA,11.24,,3.33,30.26,30.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75927125,,Partial hip replacement,A,,16.22,11.36,NA,11.36,,3.43,31.01,31.01,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515