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CMS RVU26D · Effective 2026-10-01

27675 Tendon stabilization Medicare reimbursement rates in Delaware

Reports operative stabilization of dislocating peroneal tendons at the ankle when the repair is performed without a fibular osteotomy. Compare 27675 office and facility rates across CMS payment localities in Delaware.

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 27675 in Delaware?

Delaware 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

$464.54

1 of 1 localities have a supported rate.

Payment area: Delaware

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.

Find 27675 in your payment locality →

Orthopedic surgery

About 27675: Peroneal tendon instability repair

Reports operative stabilization of dislocating peroneal tendons at the ankle when the repair is performed without a fibular osteotomy.

This procedure stabilizes peroneal tendons that slip or dislocate from their normal position behind the outer ankle bone. The surgeon repairs or reconstructs the tissues that restrain the tendons, commonly after injury has disrupted the stabilizing retinaculum. It is typically performed by an orthopedic foot and ankle surgeon in an operating room for symptomatic tendon instability.

Select this code when the operative treatment addresses peroneal tendon dislocation and does not include a fibular osteotomy; use the related code for the osteotomy approach. The operative report should identify the involved tendons, the instability being treated, and the repair performed. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 27675

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 RVU7.17 · 51%
  • Practice expense (office) RVU5.81 · 41%
  • Malpractice RVU1.07 · 8%

917

Medicare services in 2024 · #3032 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.

27675 compared with similar codes

Office rates for Delaware, from the same CMS release.

27676

Peroneal tendon repair

With fibular osteotomy

No office rate

Both treat dislocating peroneal tendons. The distinguishing feature is whether the procedure includes fibular osteotomy.

27658

Tendon repair

Secondary, no graft, each tendon

No office rate

This code addresses peroneal tendon dislocation. Code 27658 is for primary repair of a flexor tendon injury in the leg, not tendon stabilization for dislocation.

27650

Achilles repair

Primary rupture repair

No office rate

Code 27650 is for primary Achilles tendon repair. This code addresses peroneal tendon dislocation at the outer ankle.

Compare 27675 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

Office and facility base rates · shared scale starting at $0

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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 27675 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,001

Code
27675
Physician work
7.17
Practice expense
5.81
Malpractice
1.07

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 27675 in Delaware
ComponentRVULocality factorAdjusted
Physician work7.17× 1.0057.2058
Practice expense5.81× 0.9885.7403
Malpractice1.07× 0.8990.9619
Total RVUs13.9081
Conversion factor× 33.4009

Facility rate, Delaware$464.54

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.171.005
Practice expense5.810.988
Malpractice1.070.899

(7.17 × 1.005 + 5.81 × 0.988 + 1.07 × 0.899) × $33.4009 = $464.54

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.

27675 billing questions

How does this differ from 27676?

Both address peroneal tendon dislocation. This code is for repair without fibular osteotomy; 27676 is the related option when the procedure includes a fibular osteotomy.

Can this code be used for a peroneal tendon tear?

Use it when the procedure treats tendon dislocation or instability. A repair of a tendon injury, rather than dislocation, may fall under a tendon-repair code such as 27658 or 27659, depending on the tendon and repair circumstances.

What should the operative report document?

Document the peroneal tendon instability or dislocation, the tendons treated, the stabilizing repair performed, and whether a fibular osteotomy was part of the procedure.

How is bilateral surgery reported?

For bilateral procedures, report modifier 50; CMS payment for the bilateral procedure is 150%.

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 paid?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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.

RVUs for 27675PPRRVU2026_Oct_nonQPP.csv, line 3,001 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)