No office rate
This is a related thigh tendon-lengthening code. Choose between the codes based on the specific procedure and tendon scope documented, not simply the presence of a contracture.
On this page
CMS RVU26D · Effective 2026-10-01
27395 Tendon lengthening Medicare reimbursement rates in Guam
Surgical lengthening of thigh tendons, commonly for a fixed hamstring contracture that limits knee extension or alters gait. Compare 27395 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 27395 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
$833.06
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 27395: Thigh tendon lengthening
Surgical lengthening of thigh tendons, commonly for a fixed hamstring contracture that limits knee extension or alters gait.
This operation surgically lengthens tendons in the thigh to reduce fixed tightness and improve movement. A typical clinical setting is an operating room, where an orthopedic surgeon treats a contracture affecting knee extension or walking, including hamstring tightness associated with a neuromuscular condition. The operative report should identify the tendons treated and the lengthening performed; a tendon release or transfer is a different service.
Report the code when the documented procedure supports thigh tendon lengthening. CMS assigns a major-surgery global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27395
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.93 · 48%
- Practice expense (office) RVU10.15 · 41%
- Malpractice RVU2.54 · 10%
39
Medicare services in 2024 · #5515 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.
27395 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
This is another related thigh tendon-lengthening code. The operative report must support the particular scope assigned to the selected code.
No office rate
This code describes incision of a thigh tendon. Use it when the documented procedure is an incision or release rather than tendon lengthening.
No office rate
This code describes thigh tendon transplantation. It represents tendon transfer, not surgical lengthening.
Compare 27395 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
$833.06
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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 27395 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,871
- Code
- 27395
- Physician work
- 11.93
- Practice expense
- 10.15
- Malpractice
- 2.54
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.93 | × 1.000 | 11.9300 |
| Practice expense | 10.15 | × 1.137 | 11.5405 |
| Malpractice | 2.54 | × 0.579 | 1.4707 |
| Total RVUs | 24.9412 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$833.06
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.93 | 1 |
| Practice expense | 10.15 | 1.137 |
| Malpractice | 2.54 | 0.579 |
(11.93 × 1 + 10.15 × 1.137 + 2.54 × 0.579) × $33.4009 = $833.06
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.
27395 billing questions
How is this distinguished from codes 27393 and 27394?
Compare the operative report with the specific tendon, extent, and procedure represented by each code. Do not select among these related lengthening codes from the diagnosis alone.
Is a tendon release reported as a lengthening?
Not solely because both procedures address tightness. Codes 27390 and 27391 describe thigh tendon incision procedures; report this code when the documented work is tendon lengthening.
Should modifier 50 be appended for bilateral work?
CMS prices this code as bilateral, and modifier 50 does not increase payment.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
2,86827392,,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
2,87427400,,Revise thigh muscles/tendons,A,,9.10,8.69,NA,8.69,,1.94,19.73,19.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,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