No office rate
27100 describes transfer of an abdominal muscle. Use 27105 when the transferred muscle is the spinal-muscle type.
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CMS RVU26D · Effective 2026-10-01
27105 Muscle transfer Medicare reimbursement rates in Kansas
Reports an orthopedic operation that redirects spinal-region muscle to improve hip function, such as restoring support when hip abductors are deficient. Compare 27105 office and facility rates across CMS payment localities in Kansas.
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 27105 in Kansas?
Kansas 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
$738.87
1 of 1 localities have a supported rate.
Payment area: Kansas
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 27105: Spinal muscle transfer to the hip
Reports an orthopedic operation that redirects spinal-region muscle to improve hip function, such as restoring support when hip abductors are deficient.
The surgeon mobilizes and repositions a spinal-region muscle to improve hip mechanics. A familiar application is using the gluteus maximus to help restore abductor function when the usual hip abductors are deficient. Orthopedic surgeons typically perform the operation in a hospital or other surgical facility; the operative report should identify the transferred muscle, its new attachment, the hip side, and the condition being treated.
Select this code when the transferred muscle is the spinal-muscle type, rather than an abdominal or iliopsoas muscle. The operative details should support the donor muscle and transfer performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 27105
- 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 RVU11.74 · 48%
- Practice expense (office) RVU10.09 · 41%
- Malpractice RVU2.50 · 10%
53
Medicare services in 2024 · #5317 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.
27105 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
27110 is for iliopsoas transfer. The donor muscle, not simply the goal of improving hip function, separates it from 27105.
No office rate
27111 describes iliopsoas transfer with tendon lengthening. It is not the spinal-muscle transfer reported with 27105.
Compare 27105 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
Kansas →
Office / nonfacility
Unavailable
Facility
$738.87
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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 27105 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,754
- Code
- 27105
- Physician work
- 11.74
- Practice expense
- 10.09
- Malpractice
- 2.50
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.74 | × 1.000 | 11.7400 |
| Practice expense | 10.09 | × 0.904 | 9.1214 |
| Malpractice | 2.50 | × 0.504 | 1.2600 |
| Total RVUs | 22.1214 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$738.87
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.74 | 1 |
| Practice expense | 10.09 | 0.904 |
| Malpractice | 2.5 | 0.504 |
(11.74 × 1 + 10.09 × 0.904 + 2.5 × 0.504) × $33.4009 = $738.87
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.
27105 billing questions
How is this distinguished from an iliopsoas transfer?
Choose this code when the transferred muscle is a spinal-region muscle. Iliopsoas transfer is reported with 27110 or 27111, depending on whether tendon lengthening is performed.
What documentation supports the code?
The operative report should identify the muscle moved, its donor and recipient attachments, the side treated, and the reason for the transfer. For a gluteus maximus transfer, document the hip abductor problem being addressed.
Does the code include postoperative visits?
Yes. Medicare's 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays this code at 150% under the stated bilateral rule.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
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.
2,75127097,,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
2,75627111,,Transfer of iliopsoas muscle,A,,12.29,10.27,NA,10.27,,2.61,25.17,25.17,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,75727120,,Reconstruction of hip socket,A,,18.77,12.65,NA,12.65,,3.99,35.41,35.41,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958