Billing code 27306: Hamstring tenotomyMedicare rate & RVUs in Guam
Reports percutaneous release of one hamstring tendon, commonly to address a fixed contracture or deformity requiring surgical correction.
CMS doesn’t publish an office rate for 27306 in Guam.
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 27306 covers
This service involves a percutaneous incision and release of one hamstring tendon, rather than an open tendon lengthening or a release of multiple tendons. Orthopedic surgeons commonly perform it for a fixed hamstring contracture, including contracture contributing to restricted knee extension. It may be performed in a surgical setting, with the specific tendon, side, indication, and operative approach documented.
Report this code when the procedure addresses one hamstring tendon; release of multiple hamstring tendons is represented by a different code. The operative note should identify the tendon and describe the release performed. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. 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-surgeons and team surgery are 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.
27306 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $339.61 |
How the 27306 rate is calculated
Each of 27306’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 · 27306
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.62Practice expense 4.64Malpractice 0.47
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27306
27306 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27306
Hamstring tenotomy
| 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) | 0 | Not permitted. |
| 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 · 27306
Hamstring tenotomy
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
27306 without 50 · national facility
$324.99
Hamstring tenotomy
27306-50 · Bilateral: 150%
$487.49
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).
27306 compared with similar codes
Compare codes
27306 vs 27307 vs 27305 vs 27325: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27307Hamstring tenotomy
- 27306 is for one hamstring tendon; 27307 is for percutaneous release of multiple hamstring tendons.
- 27305Thigh fasciotomy
- 27305 concerns a different thigh tendon and fascia release. Choose based on the structure and work documented, not simply the thigh location.
- 27325Hamstring neurectomy
- 27325 is a hamstring neurectomy, which treats a nerve rather than releasing a hamstring tendon.
27306 billing questions
When should 27306 be chosen over 27307?
Use 27306 for a percutaneous release involving one hamstring tendon. The multiple-tendon code, 27307, applies when more than one hamstring tendon is released.
What documentation supports reporting one tendon?
The operative report should identify the hamstring tendon released, the side, and the percutaneous work performed. Documentation of the contracture or other indication supports the medical context.
How is bilateral reporting handled?
CMS lists this as a bilateral procedure; modifier 50 is paid at 150%. The record should support that the procedure was performed on both sides.
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 surgeon be paid?
CMS permits assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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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