No office rate
Both codes address dislocating peroneal tendons. Choose 27676 when a fibular osteotomy is performed as part of the repair; choose 27675 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
27676 Peroneal tendon repair Medicare reimbursement rates in Missouri
Stabilizes recurrently dislocating peroneal tendons at the ankle when the surgeon also performs a fibular osteotomy as part of the repair. Compare 27676 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 27676 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
$539.69–$562.72
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 27676 pays more and less in Missouri
Orthopedic surgery
About 27676: Peroneal tendon stabilization with fibular osteotomy
Stabilizes recurrently dislocating peroneal tendons at the ankle when the surgeon also performs a fibular osteotomy as part of the repair.
This operation addresses peroneal tendons that repeatedly slip out of their normal position behind the outer ankle bone. The surgeon stabilizes the tendons and performs an osteotomy of the fibula as part of the procedure. It is typically performed by an orthopedic foot and ankle surgeon or podiatric surgeon in an operating room for symptomatic tendon instability that warrants surgical treatment.
Report 27676 when the operative record supports repair of dislocating peroneal tendons and documents the fibular osteotomy. The code is distinguished from 27675 by the osteotomy, not simply by the presence of tendon instability. Medicare classifies this as major surgery with 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% multiple-procedure reduction. For bilateral surgery reported with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 27676
- 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 RVU8.51 · 50%
- Practice expense (office) RVU7.20 · 42%
- Malpractice RVU1.48 · 9%
395
Medicare services in 2024 · #3747 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.
27676 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
27695 is for primary ankle ligament repair, not stabilization of dislocating peroneal tendons. Report it only when a separate ligament repair is performed.
No office rate
27698 addresses secondary repair of an ankle ligament. It is not a substitute for peroneal tendon stabilization with fibular osteotomy.
Compare 27676 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
$558.35
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$562.72
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$539.69
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27676 billing questions
How does 27676 differ from 27675?
Both address dislocating peroneal tendons. Use 27676 when the repair includes a fibular osteotomy; 27675 is the corresponding repair without one.
What documentation supports reporting 27676?
The operative report should describe the recurrent peroneal tendon displacement, the stabilization or repair performed, and the fibular osteotomy.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can 27676 be reported bilaterally?
For bilateral procedures, CMS payment is 150% when reported with modifier 50.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
How does a same-session procedure affect payment?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
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.
2,99927664,,Repair of leg tendon each,A,,4.61,4.98,NA,4.98,,0.71,10.30,10.30,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00027665,,Repair of leg tendon each,A,,5.43,5.66,NA,5.66,,0.87,11.96,11.96,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00127675,,Repair lower leg tendons,A,,7.17,5.81,NA,5.81,,1.07,14.05,14.05,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00227676,,Repair lower leg tendons,A,,8.51,7.20,NA,7.20,,1.48,17.19,17.19,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00327680,,Release of lower leg tendon,A,,5.73,5.54,NA,5.54,,0.96,12.23,12.23,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00427681,,Release of lower leg tendons,A,,6.87,6.55,NA,6.55,,1.24,14.66,14.66,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00527685,,Revision of lower leg tendon,A,,6.52,12.97,,5.84,,0.92,20.41,13.28,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00