No office rate
Both describe primary repair of a ruptured Achilles tendon. Choose 27652 when a graft is used; 27650 describes primary repair without a graft.
On this page
CMS RVU26D · Effective 2026-10-01
27652 Achilles repair Medicare reimbursement rates in Michigan
Reports primary surgical repair of a ruptured Achilles tendon when a graft is used to reinforce or bridge the repair. Compare 27652 office and facility rates across CMS payment localities in Michigan.
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 27652 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$603.51–$640.76
2 of 2 localities have a supported rate.
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 27652: Primary Achilles tendon repair with graft
Reports primary surgical repair of a ruptured Achilles tendon when a graft is used to reinforce or bridge the repair.
An orthopedic surgeon repairs a ruptured Achilles tendon as a primary procedure and uses a graft to reinforce the repair or address a defect. The tendon is exposed and reconstructed surgically; the graft material and technique depend on the operative findings. This procedure is typically performed in a hospital outpatient department or ambulatory surgery center for an injury requiring operative repair.
Report this code when the operative record supports a primary Achilles tendon repair with graft use; distinguish it from primary repair without graft and from secondary repair. Document the rupture, repair approach, graft use, and relevant findings. The code has 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27652
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.51 · 57%
- Practice expense (office) RVU6.56 · 36%
- Malpractice RVU1.39 · 8%
246
Medicare services in 2024 · #4152 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.
27652 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
27654 describes secondary Achilles repair. Choose 27652 when the documented procedure is a primary repair with graft.
No office rate
27658 covers primary repair of a leg tendon other than the Achilles tendon. The tendon site, not simply the use of a graft, distinguishes it from 27652.
Compare 27652 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
Unavailable
Facility
$640.76
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$603.51
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27652 billing questions
How does this differ from 27650?
27652 is for primary Achilles tendon repair with a graft. 27650 is the primary repair code when a graft is not used.
When is 27654 a better fit?
Use 27654 for secondary Achilles tendon repair, rather than a primary repair with graft. The operative documentation should support the secondary nature of the reconstruction.
What documentation supports 27652?
The operative report should identify the Achilles rupture, describe the primary repair, and document that a graft was used.
Is related postoperative care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral repairs paid?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays at 150%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is provided.
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.
2,99127647,,Resect talus/calcaneus tum,A,,19.75,5.73,NA,5.73,,1.68,27.16,27.16,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99227648,,Injection for ankle x-ray,A,,0.94,5.11,,0.23,,0.14,6.19,1.31,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99327650,,Repair achilles tendon,A,,8.98,8.26,NA,8.26,,1.45,18.69,18.69,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99427652,,Repair/graft achilles tendon,A,,10.51,6.56,NA,6.56,,1.39,18.46,18.46,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99527654,,Repair of achilles tendon,A,,10.27,8.35,NA,8.35,,1.62,20.24,20.24,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99627656,,Repair leg fascia defect,A,,4.59,10.72,,4.41,,0.61,15.92,9.61,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99727658,,Repair of leg tendon each,A,,4.99,4.94,NA,4.94,,0.76,10.69,10.69,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00