Billing code 27652: Achilles repairMedicare rate & RVUs in Delaware
Reports primary surgical repair of a ruptured Achilles tendon when a graft is used to reinforce or bridge the repair.
CMS doesn’t publish an office rate for 27652 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 27652 covers
An orthopedic surgeon repairs a ruptured Achilles tendon as a primary procedure and uses a graft to reinforce the repair or address a defect. The tendon is exposed and reconstructed surgically; the graft material and technique depend on the operative findings. This procedure is typically performed in a hospital outpatient department or ambulatory surgery center for an injury requiring operative repair.
Report this code when the operative record supports a primary Achilles tendon repair with graft use; distinguish it from primary repair without graft and from secondary repair. Document the rupture, repair approach, graft use, and relevant findings. The code has 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%. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is 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.
27652 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $611.02 |
How the 27652 rate is calculated
Each of 27652’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 · 27652
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.51Practice expense 6.56Malpractice 1.39
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27652
27652 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27652
Achilles repair
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 27652
Achilles repair
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
27652 without 50 · national facility
$616.58
Achilles repair
27652-50 · Bilateral: 150%
$924.87
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).
27652 compared with similar codes
Compare codes
27652 vs 27650 vs 27654 vs 27658: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27650Achilles repair
- Both describe primary repair of a ruptured Achilles tendon. Choose 27652 when a graft is used; 27650 describes primary repair without a graft.
- 27654Achilles repair
- 27654 describes secondary Achilles repair. Choose 27652 when the documented procedure is a primary repair with graft.
- 27658Tendon repair
- 27658 covers primary repair of a leg tendon other than the Achilles tendon. The tendon site, not simply the use of a graft, distinguishes it from 27652.
27652 billing questions
How does this differ from 27650?
27652 is for primary Achilles tendon repair with a graft. 27650 is the primary repair code when a graft is not used.
When is 27654 a better fit?
Use 27654 for secondary Achilles tendon repair, rather than a primary repair with graft. The operative documentation should support the secondary nature of the reconstruction.
What documentation supports 27652?
The operative report should identify the Achilles rupture, describe the primary repair, and document that a graft was used.
Is related postoperative care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral repairs paid?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays at 150%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is provided.
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
Fee sheets
Put 27652 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →