27097
No office rateHip tendon revision
The supplied CMS descriptor identifies 27097 as revision of a hip tendon. Choose 27098 when the operation transfers a tendon or muscle attachment to the pelvis.
On this page
CMS RVU26D · Effective 2026-10-01
27098 Tendon transfer Medicare reimbursement rates in Guam
Reports an operation that redirects a tendon or muscle attachment to the pelvis to change its pull and address a documented hip or pelvic functional problem. Compare 27098 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 27098 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
$670.58
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 27098: Pelvic tendon or muscle transfer
Reports an operation that redirects a tendon or muscle attachment to the pelvis to change its pull and address a documented hip or pelvic functional problem.
An orthopedic surgeon performs this operation to redirect a tendon or muscle attachment to the pelvis, changing the direction of its pull to address a functional problem around the hip or pelvis. It may be considered for selected patients with muscle imbalance, weakness, or deformity when the treatment plan calls for a transfer rather than a release or revision. The operative report should identify the structure transferred, its original and new attachment sites, and the reason for the reconstruction.
Report the code when the documented operation is a tendon or muscle transfer to the pelvis. The record should support the procedure performed and the treated side; do not select it for a tendon release or a revision merely because those procedures involve the hip. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 27098
- 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 RVU9.09 · 46%
- Practice expense (office) RVU8.68 · 44%
- Malpractice RVU1.93 · 10%
12
Medicare services in 2024 · #6141 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.
27098 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
This code describes a tendon transfer in the thigh, such as a transfer to the knee. Use 27098 when the transfer is to the pelvis.
No office rate
This code describes an adductor tenotomy, a tendon release at the hip. It is distinct from transferring a tendon or muscle attachment to the pelvis.
Compare 27098 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
$670.58
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 27098 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,752
- Code
- 27098
- Physician work
- 9.09
- Practice expense
- 8.68
- Malpractice
- 1.93
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.09 | × 1.000 | 9.0900 |
| Practice expense | 8.68 | × 1.137 | 9.8692 |
| Malpractice | 1.93 | × 0.579 | 1.1175 |
| Total RVUs | 20.0766 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$670.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.09 | 1 |
| Practice expense | 8.68 | 1.137 |
| Malpractice | 1.93 | 0.579 |
(9.09 × 1 + 8.68 × 1.137 + 1.93 × 0.579) × $33.4009 = $670.58
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.
27098 billing questions
How is this different from revising a hip tendon?
Use this code for a tendon or muscle transfer to the pelvis. Code 27097 is identified as revision of a hip tendon; it describes revision work rather than a new transfer.
Does the 90-day global include related postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in this major-surgery global period.
How should bilateral pelvic transfers be reported?
Report the bilateral procedure with modifier 50. CMS pays bilateral procedures at 150%.
How does CMS pay when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are not permitted.
What documentation supports reporting a transfer?
Document the tendon or muscle moved, its original and new attachment sites, the operative work, and the clinical reason for changing its pull.
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.
2,74927095,,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
2,75527110,,Transfer of iliopsoas muscle,A,,13.43,10.63,NA,10.63,,2.86,26.92,26.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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