No office rate
Use 27385 for primary repair of a quadriceps or hamstring rupture. This code describes a shortening procedure, not repair of a fresh rupture.
On this page
CMS RVU26D · Effective 2026-10-01
27400 Thigh muscle procedure Medicare reimbursement rates in Missouri
Reports an operative reconstructive procedure that shortens a thigh muscle or tendon to correct an existing muscle-tendon problem. Compare 27400 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 27400 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
$617.26–$645.20
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 27400 pays more and less in Missouri
Orthopedic surgery
About 27400: Thigh muscle-tendon shortening procedure
Reports an operative reconstructive procedure that shortens a thigh muscle or tendon to correct an existing muscle-tendon problem.
This operation surgically shortens a thigh muscle or tendon as a reconstructive correction. An orthopedic surgeon typically performs it in an operating room when the treatment plan calls for changing the length of the muscle-tendon unit, rather than repairing a newly ruptured structure. The operative report should identify the treated muscle or tendon, side, reason for shortening, and the work performed.
Select this code when the surgeon performs the thigh muscle or tendon shortening procedure, not a primary or secondary repair of a rupture. The record should make the shortening procedure and its anatomic target clear. It has a 90-day global period, including the day-before preoperative visit and 90 days of 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27400
- 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 RVU9.10 · 46%
- Practice expense (office) RVU8.69 · 44%
- Malpractice RVU1.94 · 10%
25
Medicare services in 2024 · #5781 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.
27400 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Use 27386 for secondary repair of a quadriceps or hamstring rupture. This code is for shortening the thigh muscle or tendon instead.
No office rate
27430 describes quadricepsplasty, generally performed to address restricted knee motion. This code is for a thigh muscle or tendon shortening procedure.
Compare 27400 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
$639.80
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$645.20
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$617.26
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27400 billing questions
How is this different from a thigh tendon rupture repair?
This code is for a planned shortening procedure. Use a primary or secondary rupture-repair code when the surgeon is repairing a torn quadriceps or hamstring muscle or tendon.
What should the operative report document?
Document the side, specific thigh muscle or tendon, reason for shortening, and the procedure performed so the record supports the service reported.
Does this code have a global period?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral reporting handled?
CMS lists bilateral reporting with modifier 50, paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires 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.
2,87127395,,Lengthening of thigh tendons,A,,11.93,10.15,NA,10.15,,2.54,24.62,24.62,0,090,0.10,0.69,0.21,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87227396,,Transplant of thigh tendon,A,,7.95,7.98,NA,7.98,,1.69,17.62,17.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87327397,,Transplants of thigh tendons,A,,12.34,10.68,NA,10.68,,2.62,25.64,25.64,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87427400,,Revise thigh muscles/tendons,A,,9.10,8.69,NA,8.69,,1.94,19.73,19.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87527403,,Repair of knee cartilage,A,,8.40,8.12,NA,8.12,,1.76,18.28,18.28,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87627405,,Repair of knee ligament,A,,8.85,8.43,NA,8.43,,1.80,19.08,19.08,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87727407,,Repair of knee ligament,A,,10.58,9.57,NA,9.57,,2.25,22.40,22.40,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00