No office rate
Choose 27001 for an open adductor tendon release and 27000 when the release is performed percutaneously.
On this page
CMS RVU26D · Effective 2026-10-01
27001 Adductor tenotomy Medicare reimbursement rates in Missouri
Open adductor tenotomy releases a contracted or spastic hip adductor tendon to improve hip movement, commonly in patients with neuromuscular conditions. Compare 27001 office and facility rates across CMS payment localities in Missouri.
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 27001 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$480.68–$502.98
3 of 3 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.
Where 27001 pays more and less in Missouri
Orthopedic surgery
About 27001: Open adductor hip tenotomy
Open adductor tenotomy releases a contracted or spastic hip adductor tendon to improve hip movement, commonly in patients with neuromuscular conditions.
An orthopedic surgeon makes an open approach to release an adductor tendon at the hip when tightness or spasticity limits hip motion or positioning. A common setting is operative treatment of adductor contracture in a patient with cerebral palsy. The procedure is generally performed in a hospital or ambulatory surgery setting; the operative report should identify the treated tendon and side and document the clinical reason for the release.
Report this code for the open adductor release, rather than a percutaneous release or an operation on hip flexors, abductors, or extensors. Document the approach, treated side, findings, and extent of the release. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 27001
- 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 RVU6.96 · 45%
- Practice expense (office) RVU6.96 · 45%
- Malpractice RVU1.47 · 10%
523
Medicare services in 2024 · #3518 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.
27001 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
27003 includes obturator neurectomy with adductor tenotomy; 27001 describes the open adductor tenotomy without that added nerve procedure.
No office rate
27005 addresses open tenotomy of hip flexors. Use 27001 when the released tendon is an adductor.
Compare 27001 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$498.73
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$502.98
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$480.68
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27001 billing questions
How does this differ from 27000?
This code is for an open approach to the adductor tendon. Code 27000 describes a percutaneous approach.
When would 27003 be considered instead?
Code 27003 describes adductor tenotomy with obturator neurectomy. The operative report must support that additional nerve procedure.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
How is bilateral surgery reported?
Use modifier 50 for a bilateral procedure; CMS pays this code at 150% under the supplied fee schedule rule.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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.
2,70726991,,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
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