No office rate
This code describes an open adductor release with obturator neurectomy. Code 27000 is for percutaneous adductor tenotomy.
On this page
CMS RVU26D · Effective 2026-10-01
27003 Adductor release Medicare reimbursement rates in Hawaii
Reports open release of hip adductor tissue with obturator neurectomy, typically to address severe adductor spasticity or contracture. Compare 27003 office and facility rates across CMS payment localities in Hawaii.
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 27003 in Hawaii?
Hawaii 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
$584.58
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 27003: Open adductor release with neurectomy
Reports open release of hip adductor tissue with obturator neurectomy, typically to address severe adductor spasticity or contracture.
This operation releases hip adductor tissue through an open approach and includes obturator neurectomy to reduce the nerve input driving adductor tightness. It is most often used for substantial hip adductor spasticity or contracture, including in patients with cerebral palsy or other neurologic conditions. An orthopedic surgeon, often a pediatric orthopedic surgeon, may perform it in a hospital or other operative setting when less extensive management is not sufficient.
Report the code when the operative service includes both the adductor release and obturator neurectomy; an adductor tenotomy alone is represented by a different code. The operative report should identify the treated side, the adductor tissue released, and the neurectomy performed. CMS assigns a 90-day global period, including 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 other procedures at 50%. Modifier 50 identifies bilateral performance and is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 27003
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.61 · 44%
- Practice expense (office) RVU7.87 · 46%
- Malpractice RVU1.63 · 10%
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.
27003 compared with similar codes
Office rates for Hawaii, from the same CMS release.
Compare 27003 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
$584.58
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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 27003 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,711
- Code
- 27003
- Physician work
- 7.61
- Practice expense
- 7.87
- Malpractice
- 1.63
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.61 | × 1.000 | 7.6100 |
| Practice expense | 7.87 | × 1.137 | 8.9482 |
| Malpractice | 1.63 | × 0.579 | 0.9438 |
| Total RVUs | 17.5020 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$584.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.61 | 1 |
| Practice expense | 7.87 | 1.137 |
| Malpractice | 1.63 | 0.579 |
(7.61 × 1 + 7.87 × 1.137 + 1.63 × 0.579) × $33.4009 = $584.58
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.
27003 billing questions
When should this code be chosen over 27001?
Use this code when the open adductor release is performed with obturator neurectomy. Code 27001 represents open adductor tenotomy without that neurectomy.
Can the obturator neurectomy be billed separately?
The neurectomy is part of this combined service. Document it as performed in the operative report rather than treating it as a separate service within the same operation.
What documentation supports reporting this code?
Document the adductor release, the obturator neurectomy, the side treated, and the clinical contracture or spasticity prompting surgery.
How is bilateral performance reported?
Report modifier 50 for bilateral performance. CMS pays bilateral procedures at 150%.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,70826992,,Drainage of bone lesion,A,,13.14,12.28,NA,12.28,,2.87,28.29,28.29,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70927000,,Tenotomy adductor hip perq,A,,5.60,4.67,NA,4.67,,0.58,10.85,10.85,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71027001,,Tenotomy adductor hip open,A,,6.96,6.96,NA,6.96,,1.47,15.39,15.39,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71127003,,Tnot adductr subq opn neurct,A,,7.61,7.87,NA,7.87,,1.63,17.11,17.11,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71227005,,Tenotomy hip flexor open,A,,9.82,8.35,NA,8.35,,2.01,20.18,20.18,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71327006,,Tenotomy abductor&/xtnsr hip,A,,9.86,8.20,NA,8.20,,1.48,19.54,19.54,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71427025,,Fasciotomy hip/thigh any typ,A,,12.57,11.10,NA,11.10,,2.65,26.32,26.32,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,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