No office rate
Choose 27390 when one hip adductor tendon is released through an open approach; 27391 is for multiple adductor tendons.
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CMS RVU26D · Effective 2026-10-01
27390 Adductor tendon release Medicare reimbursement rates in Alabama
Reports open division of one hip adductor tendon, commonly to address contracture or excessive muscle tightness affecting hip positioning. Compare 27390 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 27390 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
$379.91
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.
Orthopedic surgery
About 27390: Open single adductor tendon release
Reports open division of one hip adductor tendon, commonly to address contracture or excessive muscle tightness affecting hip positioning.
This operation releases one adductor tendon at the hip through an open surgical approach. Orthopedic surgeons commonly perform it when adductor tightness or contracture limits hip positioning, including in patients with spasticity. The operative report should identify the adductor tendon treated and establish that the surgeon used an open approach; a percutaneous release is coded differently.
Report this code for one tendon, not a multiple-tendon release or a hamstring procedure. Documentation should describe the operative site, tendon released, approach, and reason for the release. CMS classifies the service as major surgery with 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%. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons and team surgery are not permitted.
CMS billing rules for 27390
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.39 · 43%
- Practice expense (office) RVU6.16 · 49%
- Malpractice RVU1.05 · 8%
128
Medicare services in 2024 · #4678 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.
27390 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
Both address hip adductor tenotomy, but 27000 describes a percutaneous approach; 27390 is the open procedure.
No office rate
27392 is an open hamstring tendon-release code. Use 27390 for an open release of a hip adductor tendon.
Compare 27390 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
$379.91
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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 27390 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,866
- Code
- 27390
- Physician work
- 5.39
- Practice expense
- 6.16
- Malpractice
- 1.05
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.39 | × 1.000 | 5.3900 |
| Practice expense | 6.16 | × 0.875 | 5.3900 |
| Malpractice | 1.05 | × 0.566 | 0.5943 |
| Total RVUs | 11.3743 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$379.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.39 | 1 |
| Practice expense | 6.16 | 0.875 |
| Malpractice | 1.05 | 0.566 |
(5.39 × 1 + 6.16 × 0.875 + 1.05 × 0.566) × $33.4009 = $379.91
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.
27390 billing questions
When should this code be chosen over 27391?
Use this code for an open release of one hip adductor tendon. Code 27391 is the multiple-tendon counterpart.
Does this code cover a percutaneous adductor release?
No. This code represents an open release; percutaneous hip adductor tenotomy is reported with 27000.
What operative details support reporting this code?
Document the open approach, the specific hip adductor tendon released, and the clinical reason for the release. The record should make clear that one tendon was treated.
How is bilateral surgery reported?
Report modifier 50 for a bilateral procedure. CMS pays bilateral procedures at 150% under this code's payment rule.
Can an assistant surgeon be reported?
CMS permits assistant-at-surgery payment for this procedure. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
2,86327381,,Repair/graft kneecap tendon,A,,10.49,10.53,NA,10.53,,2.19,23.21,23.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86427385,,Repair of thigh muscle,A,,6.76,9.49,NA,9.49,,1.37,17.62,17.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86527386,,Repair/graft of thigh muscle,A,,10.85,11.10,NA,11.10,,2.22,24.17,24.17,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86627390,,Incision of thigh tendon,A,,5.39,6.16,NA,6.16,,1.05,12.60,12.60,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86727391,,Incision of thigh tendons,A,,7.30,7.70,NA,7.70,,1.52,16.52,16.52,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86827392,,Incision of thigh tendons,A,,9.39,8.78,NA,8.78,,2.00,20.17,20.17,0,090,0.10,0.69,0.21,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86927393,,Lengthening of thigh tendon,A,,6.43,6.58,NA,6.58,,1.27,14.28,14.28,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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