Billing code 27105: Muscle transferMedicare rate & RVUs in Delaware
Reports an orthopedic operation that redirects spinal-region muscle to improve hip function, such as restoring support when hip abductors are deficient.
CMS doesn’t publish an office rate for 27105 in Delaware.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27105 covers
The surgeon mobilizes and repositions a spinal-region muscle to improve hip mechanics. A familiar application is using the gluteus maximus to help restore abductor function when the usual hip abductors are deficient. Orthopedic surgeons typically perform the operation in a hospital or other surgical facility; the operative report should identify the transferred muscle, its new attachment, the hip side, and the condition being treated.
Select this code when the transferred muscle is the spinal-muscle type, rather than an abdominal or iliopsoas muscle. The operative details should support the donor muscle and transfer performed. 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 multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
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.
27105 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $802.13 |
How the 27105 rate is calculated
Each of 27105’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27105
RVUs × geographic indexes × conversion factor
Work11.74
11.74 RVUs× 1.000 GPCI
Practice expense10.09
10.09 RVUs× 1.000 GPCI
Malpractice2.50
2.50 RVUs× 1.000 GPCI
Adjusted RVUs
24.3300
Conversion factor
$33.4009
Medicare rate
$812.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27105
27105 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27105
Muscle transfer
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27105
Muscle transfer
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27105 without 50 · national facility
$812.64
Muscle transfer
27105-50 · Bilateral: 150%
$1,218.96
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27105 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27100Muscle transfer
- 27100 describes transfer of an abdominal muscle. Use 27105 when the transferred muscle is the spinal-muscle type.
- 27110Iliopsoas transfer
- 27110 is for iliopsoas transfer. The donor muscle, not simply the goal of improving hip function, separates it from 27105.
- 27111Muscle transfer
- 27111 describes iliopsoas transfer with tendon lengthening. It is not the spinal-muscle transfer reported with 27105.
27105 billing questions
How is this distinguished from an iliopsoas transfer?
Choose this code when the transferred muscle is a spinal-region muscle. Iliopsoas transfer is reported with 27110 or 27111, depending on whether tendon lengthening is performed.
What documentation supports the code?
The operative report should identify the muscle moved, its donor and recipient attachments, the side treated, and the reason for the transfer. For a gluteus maximus transfer, document the hip abductor problem being addressed.
Does the code include postoperative visits?
Yes. Medicare's 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays this code at 150% under the stated bilateral rule.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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