No office rate
27393 is for lengthening a single thigh tendon. This code is for lengthening multiple tendons.
On this page
CMS RVU26D · Effective 2026-10-01
27394 Tendon lengthening Medicare reimbursement rates in Georgia
Surgical lengthening of multiple thigh tendons, commonly hamstrings, is reported when several tendons are treated to improve a contracture or restricted motion. Compare 27394 office and facility rates across CMS payment localities in Georgia.
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 27394 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$601.52–$636.69
2 of 2 localities have a supported rate.
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 27394: Multiple hamstring tendon lengthening
Surgical lengthening of multiple thigh tendons, commonly hamstrings, is reported when several tendons are treated to improve a contracture or restricted motion.
This operation lengthens multiple thigh tendons to reduce excessive tension and improve joint motion. It is commonly performed by an orthopedic surgeon, including a pediatric orthopedic surgeon, for conditions such as hamstring tightness associated with knee flexion contracture or spasticity. The procedure is generally performed in a hospital operating room or ambulatory surgery setting. The operative report should identify the tendons treated and the lengthening performed.
Select this code for multiple tendons; the single-tendon service is the key neighboring distinction. Document the clinical problem, treated tendons, side or sides, and operative work so the record supports the multiple-tendon service. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other 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. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 27394
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.57 · 46%
- Practice expense (office) RVU8.15 · 44%
- Malpractice RVU1.82 · 10%
1.3K
Medicare services in 2024 · #2775 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.
27394 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
Both are in the thigh-tendon lengthening code range, but the exact procedure and descriptor must support the selected code. Do not choose solely by the general term “lengthening.”
No office rate
27396 describes tendon transfer or transplantation, which changes tendon routing or attachment; 27394 describes lengthening multiple tendons.
No office rate
27397 describes transfer or transplantation of multiple tendons, not surgical lengthening of multiple tendons.
Compare 27394 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$636.69
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$601.52
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27394 billing questions
How does this code differ from 27393?
27393 describes lengthening a single thigh tendon. Use 27394 when multiple tendons are lengthened, with the operative report identifying the tendons treated.
What documentation supports reporting multiple tendon lengthening?
Document the contracture or motion problem, the tendons treated, and the lengthening work performed. The record should make clear that more than one tendon was treated.
Should modifier 50 be appended when both legs are treated?
No. CMS identifies bilateral adjustment as inapplicable to this code and modifier 50 as inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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.
2,86727391,,Incision of thigh tendons,A,,7.30,7.70,NA,7.70,,1.52,16.52,16.52,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86827392,,Incision of thigh tendons,A,,9.39,8.78,NA,8.78,,2.00,20.17,20.17,0,090,0.10,0.69,0.21,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86927393,,Lengthening of thigh tendon,A,,6.43,6.58,NA,6.58,,1.27,14.28,14.28,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87027394,,Lengthening of thigh tendons,A,,8.57,8.15,NA,8.15,,1.82,18.54,18.54,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87127395,,Lengthening of thigh tendons,A,,11.93,10.15,NA,10.15,,2.54,24.62,24.62,0,090,0.10,0.69,0.21,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87227396,,Transplant of thigh tendon,A,,7.95,7.98,NA,7.98,,1.69,17.62,17.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87327397,,Transplants of thigh tendons,A,,12.34,10.68,NA,10.68,,2.62,25.64,25.64,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00