No office rate
Both represent secondary repair of a disrupted leg tendon. Choose 27659 when a free graft is used; 27658 is the counterpart without a free graft.
On this page
CMS RVU26D · Effective 2026-10-01
27659 Leg tendon repair Medicare reimbursement rates in Colorado
Report this service for secondary reconstruction of a disrupted lower-leg tendon when a free tendon graft is used to restore continuity. Compare 27659 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 27659 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
$453.77
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 27659: Secondary leg tendon repair with graft
Report this service for secondary reconstruction of a disrupted lower-leg tendon when a free tendon graft is used to restore continuity.
An orthopedic or foot-and-ankle surgeon uses this service to reconstruct a disrupted tendon in the leg when a secondary repair requires a free graft. It applies to repair of a lower-leg tendon other than the Achilles tendon, which has its own code family. The graft bridges or reinforces the tendon defect as part of restoring tendon continuity, typically during an operative repair in a hospital or ambulatory surgery center.
Report one unit for each tendon repaired, and document the tendon, the disruption, the secondary nature of the repair, and use of a free graft. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. Modifier 50 is inappropriate for this code. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27659
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU6.92 · 52%
- Practice expense (office) RVU5.46 · 41%
- Malpractice RVU0.99 · 7%
2.4K
Medicare services in 2024 · #2323 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.
27659 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
27654 is specific to secondary repair of the Achilles tendon. Use 27659 for a qualifying disrupted leg tendon other than the Achilles.
No office rate
27665 describes primary repair of a leg extensor tendon with a free graft. 27659 is for secondary repair of a disrupted leg tendon.
Compare 27659 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
$453.77
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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 27659 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
2,998
- Code
- 27659
- Physician work
- 6.92
- Practice expense
- 5.46
- Malpractice
- 0.99
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.92 | × 1.012 | 7.0030 |
| Practice expense | 5.46 | × 1.064 | 5.8094 |
| Malpractice | 0.99 | × 0.781 | 0.7732 |
| Total RVUs | 13.5857 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$453.77
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.92 | 1.012 |
| Practice expense | 5.46 | 1.064 |
| Malpractice | 0.99 | 0.781 |
(6.92 × 1.012 + 5.46 × 1.064 + 0.99 × 0.781) × $33.4009 = $453.77
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.
27659 billing questions
How does this differ from 27658?
27659 is for secondary repair of a disrupted leg tendon using a free graft. 27658 describes the corresponding secondary repair without a free graft.
Can this code be used for a secondary Achilles repair?
No. Achilles tendon repairs are represented by the Achilles-specific codes, including 27654 for secondary repair. Use 27659 for a qualifying non-Achilles leg tendon.
How many units should be reported?
The code is reported for each tendon repaired. Document the specific tendon treated and the graft used for each repair.
Should modifier 50 be appended for repairs on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What assistant or co-surgeon billing rules apply?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,99527654,,Repair of achilles tendon,A,,10.27,8.35,NA,8.35,,1.62,20.24,20.24,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99627656,,Repair leg fascia defect,A,,4.59,10.72,,4.41,,0.61,15.92,9.61,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99727658,,Repair of leg tendon each,A,,4.99,4.94,NA,4.94,,0.76,10.69,10.69,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99827659,,Repair of leg tendon each,A,,6.92,5.46,NA,5.46,,0.99,13.37,13.37,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99927664,,Repair of leg tendon each,A,,4.61,4.98,NA,4.98,,0.71,10.30,10.30,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00027665,,Repair of leg tendon each,A,,5.43,5.66,NA,5.66,,0.87,11.96,11.96,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00127675,,Repair lower leg tendons,A,,7.17,5.81,NA,5.81,,1.07,14.05,14.05,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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