No office rate
Choose 27380 for primary repair of the patellar tendon. Choose 27381 when the repair is secondary, with or without graft.
On this page
CMS RVU26D · Effective 2026-10-01
27381 Patellar tendon repair Medicare reimbursement rates in Indiana
Reports secondary repair or reconstruction of a disrupted patellar tendon, including chronic rupture or a defect requiring graft, rather than primary repair. Compare 27381 office and facility rates across CMS payment localities in Indiana.
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 27381 in Indiana?
Indiana 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
$711.96
1 of 1 localities have a supported rate.
Payment area: Indiana
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 27381: Secondary patellar tendon repair or reconstruction
Reports secondary repair or reconstruction of a disrupted patellar tendon, including chronic rupture or a defect requiring graft, rather than primary repair.
An orthopedic surgeon uses this service to restore continuity of the patellar tendon when the disruption requires secondary repair, such as a chronic rupture or a failed earlier repair. The operation may use the patient’s tissue or a graft to bridge or reinforce the tendon defect. It is typically performed in a hospital or ambulatory surgery facility for an injury that affects the knee’s extensor mechanism.
Select this code for secondary repair, whether or not a graft is used; use 27380 when the tendon is repaired primarily. The operative report should identify the tendon, the nature of the disruption, why secondary repair was performed, and any graft used. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. 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% reduction. Modifier 50 identifies bilateral surgery, paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27381
- 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 RVU10.49 · 45%
- Practice expense (office) RVU10.53 · 45%
- Malpractice RVU2.19 · 9%
731
Medicare services in 2024 · #3225 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.
27381 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
This code concerns repair of a thigh muscle. Code 27381 is for secondary repair of the patellar tendon.
No office rate
This code concerns thigh muscle repair with graft; 27381 concerns secondary patellar tendon repair, with or without graft.
Compare 27381 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
Indiana →
Office / nonfacility
Unavailable
Facility
$711.96
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 27381 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
2,863
- Code
- 27381
- Physician work
- 10.49
- Practice expense
- 10.53
- Malpractice
- 2.19
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.49 | × 1.000 | 10.4900 |
| Practice expense | 10.53 | × 0.927 | 9.7613 |
| Malpractice | 2.19 | × 0.486 | 1.0643 |
| Total RVUs | 21.3157 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$711.96
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.49 | 1 |
| Practice expense | 10.53 | 0.927 |
| Malpractice | 2.19 | 0.486 |
(10.49 × 1 + 10.53 × 0.927 + 2.19 × 0.486) × $33.4009 = $711.96
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.
27381 billing questions
How does 27381 differ from 27380?
Use 27381 for secondary patellar tendon repair, with or without graft. Code 27380 describes primary repair.
Does 27381 require a graft?
No. Secondary repair may be performed with or without a graft; the operative report should describe the repair and any graft material used.
Can modifier 50 be reported for bilateral repair?
Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
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 or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with 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.
2,86027369,,Njx cntrst kne arthg/ct/mri,A,,0.75,4.61,,0.19,,0.08,5.44,1.02,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86127372,,Removal of foreign body,A,,5.08,12.98,,5.57,,1.07,19.13,11.72,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86227380,,Repair of kneecap tendon,A,,7.26,9.14,NA,9.14,,1.50,17.90,17.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86327381,,Repair/graft kneecap tendon,A,,10.49,10.53,NA,10.53,,2.19,23.21,23.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86427385,,Repair of thigh muscle,A,,6.76,9.49,NA,9.49,,1.37,17.62,17.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86527386,,Repair/graft of thigh muscle,A,,10.85,11.10,NA,11.10,,2.22,24.17,24.17,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,86627390,,Incision of thigh tendon,A,,5.39,6.16,NA,6.16,,1.05,12.60,12.60,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915