Billing code 27385: Thigh muscle repairMedicare rate & RVUs in Florida
Reports operative direct repair of a torn or ruptured thigh muscle when the surgeon repairs the muscle without using a graft.
CMS doesn’t publish an office rate for 27385 in Florida.
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 27385 covers
This service involves surgically bringing together and repairing a torn or ruptured muscle in the thigh without graft material. An orthopedic surgeon commonly performs the repair in an operating room for an injury that requires operative treatment; the code describes muscle repair, rather than repair of the kneecap tendon or a thigh tendon. The operative report should identify the injured muscle and the repair performed.
Report the code when documentation supports direct repair without a graft; use the graft-repair sibling when graft material is used. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require 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.
Where 27385 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $629.62 |
| Miami | Unavailable | $671.49 |
| Rest Of Florida | Unavailable | $597.59 |
How the 27385 rate is calculated
Each of 27385’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 · 27385
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.76Practice expense 9.49Malpractice 1.37
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27385
27385 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27385
Thigh muscle 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) | 2 | Paid. |
| 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 · 27385
Thigh muscle 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
27385 without 50 · national facility
$588.52
Thigh muscle repair
27385-50 · Bilateral: 150%
$882.78
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).
27385 compared with similar codes
Compare codes
27385 vs 27386 vs 27380 vs 27381: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27386Thigh muscle repair
- This code describes direct thigh muscle repair without a graft. Choose 27386 when graft material is used in the repair.
- 27380Patellar tendon repair
- Use 27380 for repair of the kneecap tendon, not a torn or ruptured thigh muscle.
- 27381Patellar tendon repair
- This code concerns thigh muscle repair; 27381 is for a kneecap tendon repair.
27385 billing questions
When should this code be chosen over 27386?
Use this code for direct repair of a torn or ruptured thigh muscle without a graft. Use 27386 when the repair uses graft material.
Is repair of the kneecap tendon reported here?
No. This code is for a thigh muscle; patellar tendon repair is reported with the code that matches the tendon repair performed, such as 27380 or 27381.
What documentation supports the repair?
Document the injured thigh muscle, the tear or rupture, the operative repair, and whether graft material was used.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is bilateral repair handled?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule supplied 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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