No office rate
Both address hip adductor tightness, but 27000 describes a percutaneous release and 27001 an open tenotomy.
On this page
CMS RVU26D · Effective 2026-10-01
27000 Hip tenotomy Medicare reimbursement rates in Minnesota
Reports percutaneous release of a hip adductor tendon to address contracture or restricted hip abduction, including in patients with neuromuscular spasticity. Compare 27000 office and facility rates across CMS payment localities in Minnesota.
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 27000 in Minnesota?
Minnesota 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
$353.28
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 27000: Percutaneous adductor hip tenotomy
Reports percutaneous release of a hip adductor tendon to address contracture or restricted hip abduction, including in patients with neuromuscular spasticity.
An orthopedic surgeon releases a hip adductor tendon through a small percutaneous approach to reduce tightness limiting hip abduction. The procedure may be considered for adductor contracture associated with neuromuscular spasticity, such as in a patient with cerebral palsy, when the treatment plan calls for tendon release rather than an open operation. It is generally performed as a surgical procedure, with the operative record identifying the treated side and the tendon or adductor structures addressed.
Report this code when the adductor release is performed percutaneously; an open release is represented by a different code. Documentation should establish the contracture or functional restriction, laterality, approach, and work performed. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When performed bilaterally and reported with modifier 50, Medicare pays 150% of the unilateral amount. In a same-session group of procedures, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27000
- 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 RVU5.60 · 52%
- Practice expense (office) RVU4.67 · 43%
- Malpractice RVU0.58 · 5%
624
Medicare services in 2024 · #3356 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.
27000 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
27003 describes an open subcutaneous adductor tenotomy performed with obturator neurectomy; 27000 is the percutaneous adductor release.
No office rate
27005 is an open tenotomy of hip flexor structures. Choose 27000 when the treated structures are the hip adductors and the release is percutaneous.
Compare 27000 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$353.28
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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 27000 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
2,709
- Code
- 27000
- Physician work
- 5.60
- Practice expense
- 4.67
- Malpractice
- 0.58
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.60 | × 1.000 | 5.6000 |
| Practice expense | 4.67 | × 1.029 | 4.8054 |
| Malpractice | 0.58 | × 0.296 | 0.1717 |
| Total RVUs | 10.5771 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$353.28
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.6 | 1 |
| Practice expense | 4.67 | 1.029 |
| Malpractice | 0.58 | 0.296 |
(5.6 × 1 + 4.67 × 1.029 + 0.58 × 0.296) × $33.4009 = $353.28
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.
27000 billing questions
How is 27000 different from 27001?
27000 is for a percutaneous adductor tendon release. Use 27001 when the adductor tenotomy is performed through an open approach.
Can 27000 be reported bilaterally?
Yes. For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150% of the unilateral amount.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50% under the standard multiple procedure reduction.
May 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; 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.
2,70626990,,Drainage of pelvis lesion,A,,7.75,10.35,NA,10.35,,1.68,19.78,19.78,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70726991,,Drainage of pelvis bursa,A,,6.88,14.01,,6.43,,1.41,22.30,14.72,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,70826992,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002