No office rate
27000 concerns percutaneous tenotomy of a hip adductor. 27005 is an open release of a hip flexor.
On this page
CMS RVU26D · Effective 2026-10-01
27005 Hip tenotomy Medicare reimbursement rates in Alaska
Open hip flexor tenotomy releases a tight tendon, commonly for a fixed hip-flexion contracture or excessive muscle pull in a neuromuscular condition. Compare 27005 office and facility rates across CMS payment localities in Alaska.
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 27005 in Alaska?
Alaska 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
$826.01
1 of 1 localities have a supported rate.
Payment area: Alaska*
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 27005: Open hip flexor tendon release
Open hip flexor tenotomy releases a tight tendon, commonly for a fixed hip-flexion contracture or excessive muscle pull in a neuromuscular condition.
An orthopedic surgeon makes an incision to reach and divide a hip-flexor tendon, reducing excessive tension or a fixed flexion contracture. The iliopsoas is a typical target. The procedure may be performed for contracture associated with neuromuscular conditions, including cerebral palsy, in an operating-room setting. The open approach distinguishes this service from a percutaneous release.
Report 27005 when the operative work is an open release of a hip flexor, not an adductor, abductor, or extensor tendon. The operative note should identify the treated tendon, side, open approach, and clinical reason for release. CMS assigns a 90-day global period, including 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27005
- 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 RVU9.82 · 49%
- Practice expense (office) RVU8.35 · 41%
- Malpractice RVU2.01 · 10%
247
Medicare services in 2024 · #4148 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.
27005 compared with similar codes
Office rates for Alaska, from the same CMS release.
Compare 27005 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
Alaska* →
Office / nonfacility
Unavailable
Facility
$826.01
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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 27005 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
2,712
- Code
- 27005
- Physician work
- 9.82
- Practice expense
- 8.35
- Malpractice
- 2.01
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.82 | × 1.500 | 14.7300 |
| Practice expense | 8.35 | × 1.065 | 8.8927 |
| Malpractice | 2.01 | × 0.551 | 1.1075 |
| Total RVUs | 24.7303 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$826.01
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.82 | 1.5 |
| Practice expense | 8.35 | 1.065 |
| Malpractice | 2.01 | 0.551 |
(9.82 × 1.5 + 8.35 × 1.065 + 2.01 × 0.551) × $33.4009 = $826.01
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.
27005 billing questions
How is 27005 distinguished from 27001?
27005 is for open release of a hip flexor tendon. 27001 is for open tenotomy of a hip adductor.
When should 27005 be chosen over 27000?
Choose 27005 for an open hip-flexor tendon release. 27000 describes a percutaneous hip-adductor tenotomy, a different muscle group and approach.
What should the operative note identify?
Document the hip-flexor tendon treated, laterality, open approach, and the contracture or other clinical problem prompting the release.
How is bilateral 27005 reported under CMS rules?
Use modifier 50 for a bilateral procedure; CMS pays it at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation, and 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.
2,70927000,,Tenotomy adductor hip perq,A,,5.60,4.67,NA,4.67,,0.58,10.85,10.85,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71027001,,Tenotomy adductor hip open,A,,6.96,6.96,NA,6.96,,1.47,15.39,15.39,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71127003,,Tnot adductr subq opn neurct,A,,7.61,7.87,NA,7.87,,1.63,17.11,17.11,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71227005,,Tenotomy hip flexor open,A,,9.82,8.35,NA,8.35,,2.01,20.18,20.18,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71327006,,Tenotomy abductor&/xtnsr hip,A,,9.86,8.20,NA,8.20,,1.48,19.54,19.54,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71427025,,Fasciotomy hip/thigh any typ,A,,12.57,11.10,NA,11.10,,2.65,26.32,26.32,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71527027,,Dcmprn fasct pel compartment,A,,12.71,8.90,NA,8.90,,2.63,24.24,24.24,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609