No office rate
Use 27097 for revision of a hip tendon. Use 27098 when the surgeon transfers a tendon to the pelvis.
On this page
CMS RVU26D · Effective 2026-10-01
27097 Hip tendon revision Medicare reimbursement rates in Guam
Revision of a previously treated hip tendon is reported when the surgeon operates to address a persistent or recurrent tendon problem. Compare 27097 office and facility rates across CMS payment localities in Guam.
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 27097 in Guam?
Guam 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
$655.04
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Orthopedic surgery
About 27097: Hip tendon revision surgery
Revision of a previously treated hip tendon is reported when the surgeon operates to address a persistent or recurrent tendon problem.
This code describes operative revision of a tendon at the hip. An orthopedic surgeon may revise a tendon after earlier treatment when the tendon problem persists or recurs; hip abductor tendons are one possible site. The operative report should identify the tendon and describe the revision performed. The code is distinct from moving a tendon to a new attachment site or releasing a tendon to address contracture.
Report the service when the operation actually revises the hip tendon, supported by the surgeon’s findings and procedure details. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. If 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. For bilateral reporting, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 27097
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.04 · 47%
- Practice expense (office) RVU8.32 · 43%
- Malpractice RVU1.92 · 10%
45
Medicare services in 2024 · #5413 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.
27097 compared with similar codes
Office rates for Guam, from the same CMS release.
Compare 27097 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$655.04
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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 27097 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,751
- Code
- 27097
- Physician work
- 9.04
- Practice expense
- 8.32
- Malpractice
- 1.92
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.04 | × 1.000 | 9.0400 |
| Practice expense | 8.32 | × 1.137 | 9.4598 |
| Malpractice | 1.92 | × 0.579 | 1.1117 |
| Total RVUs | 19.6115 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$655.04
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.04 | 1 |
| Practice expense | 8.32 | 1.137 |
| Malpractice | 1.92 | 0.579 |
(9.04 × 1 + 8.32 × 1.137 + 1.92 × 0.579) × $33.4009 = $655.04
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.
27097 billing questions
How is tendon revision different from tendon transfer?
Report 27097 when the hip tendon itself is revised. Code 27098 describes transferring a tendon to the pelvis, a different operative action.
Does the 90-day global period include related postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included.
How is this code paid when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
Can modifier 50 be used for bilateral hip tendon revision?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
Can an assistant participate in the surgery?
Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted under the CMS rules 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 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.
2,74827093,,Injection for hip x-ray,A,,1.27,5.54,,0.31,,0.15,6.96,1.73,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,74927095,,Injection for hip x-ray,A,,1.46,8.07,,0.41,,0.22,9.75,2.09,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75027096,,Inject sacroiliac joint,A,,1.44,3.68,,0.63,,0.14,5.26,2.21,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75127097,,Revision of hip tendon,A,,9.04,8.32,NA,8.32,,1.92,19.28,19.28,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75227098,,Transfer tendon to pelvis,A,,9.09,8.68,NA,8.68,,1.93,19.70,19.70,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75327100,,Transfer of abdominal muscle,A,,11.07,9.87,NA,9.87,,2.36,23.30,23.30,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75427105,,Transfer of spinal muscle,A,,11.74,10.09,NA,10.09,,2.50,24.33,24.33,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014