No office rate
Use 27390 for open tenotomy of a single hamstring tendon. This code describes open adductor tendon incision.
On this page
CMS RVU26D · Effective 2026-10-01
27392 Tendon incision Medicare reimbursement rates in Colorado
Reports open incision of a thigh adductor tendon, such as release for a contracture that limits hip movement or positioning. Compare 27392 office and facility rates across CMS payment localities in Colorado.
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 27392 in Colorado?
Colorado 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
$681.60
1 of 1 localities have a supported rate.
Payment area: Colorado
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 27392: Open adductor tendon incision
Reports open incision of a thigh adductor tendon, such as release for a contracture that limits hip movement or positioning.
This code describes an open tenotomy of a thigh adductor tendon to release tightness or contracture. An orthopedic surgeon may perform it when adductor tightness restricts hip motion or positioning, including in a patient with cerebral palsy and hip adduction contracture. The operative report should identify the tendon treated, the side or sides, the release performed, and the clinical condition prompting surgery.
Report the code for the open adductor tendon incision, rather than for hamstring tenotomy or tendon lengthening. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27392
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU9.39 · 47%
- Practice expense (office) RVU8.78 · 44%
- Malpractice RVU2.00 · 10%
14
Medicare services in 2024 · #6093 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.
27392 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
Use 27391 for open tenotomy of multiple hamstring tendons. This code describes an adductor tendon incision, not a multiple-hamstring procedure.
No office rate
27393 describes thigh tendon lengthening. This code applies when the surgeon incises or releases an adductor tendon instead.
Compare 27392 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
Colorado →
Office / nonfacility
Unavailable
Facility
$681.60
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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 27392 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
2,868
- Code
- 27392
- Physician work
- 9.39
- Practice expense
- 8.78
- Malpractice
- 2.00
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.39 | × 1.012 | 9.5027 |
| Practice expense | 8.78 | × 1.064 | 9.3419 |
| Malpractice | 2.00 | × 0.781 | 1.5620 |
| Total RVUs | 20.4066 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$681.60
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.39 | 1.012 |
| Practice expense | 8.78 | 1.064 |
| Malpractice | 2 | 0.781 |
(9.39 × 1.012 + 8.78 × 1.064 + 2 × 0.781) × $33.4009 = $681.60
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.
27392 billing questions
How is this code different from 27390 or 27391?
This code is for an open adductor tendon incision. Codes 27390 and 27391 describe open hamstring tenotomy, distinguishing a single tendon from multiple tendons.
Should this code be reported for tendon lengthening?
No. It describes an incision or tenotomy, not a lengthening procedure. Select a lengthening code when the surgeon lengthens the tendon rather than releasing it by incision.
Does modifier 50 increase payment when both sides are treated?
No. CMS prices this code as bilateral, and modifier 50 does not increase payment.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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.
2,86527386,,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
2,87027394,,Lengthening of thigh tendons,A,,8.57,8.15,NA,8.15,,1.82,18.54,18.54,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87127395,,Lengthening of thigh tendons,A,,11.93,10.15,NA,10.15,,2.54,24.62,24.62,0,090,0.10,0.69,0.21,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899