CPT code 27097: Hip tendon revision2026 Medicare rate & RVUs in Nebraska
Revision of a previously treated hip tendon is reported when the surgeon operates to address a persistent or recurrent tendon problem.
CMS doesn’t publish an office rate for 27097 in Nebraska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27097 covers
This code describes operative revision of a tendon at the hip. An orthopedic surgeon may revise a tendon after earlier treatment when the tendon problem persists or recurs; hip abductor tendons are one possible site. The operative report should identify the tendon and describe the revision performed. The code is distinct from moving a tendon to a new attachment site or releasing a tendon to address contracture.
Report the service when the operation actually revises the hip tendon, supported by the surgeon’s findings and procedure details. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. If other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. For bilateral reporting, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
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.
27097 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | Unavailable | $582.68 |
How the 27097 rate is calculated
Each of 27097’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27097
RVUs × geographic indexes × conversion factor
Work9.04
9.04 RVUs× 1.000 GPCI
Practice expense8.32
8.32 RVUs× 1.000 GPCI
Malpractice1.92
1.92 RVUs× 1.000 GPCI
Adjusted RVUs
19.2800
Conversion factor
$33.4009
Medicare rate
$643.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27097
27097 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27097
Hip tendon revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27097
Hip tendon revision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27097 without 50 · national facility
$643.97
Hip tendon revision
27097-50 · Bilateral: 150%
$965.96
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27097 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27098Tendon transfer
- Use 27097 for revision of a hip tendon. Use 27098 when the surgeon transfers a tendon to the pelvis.
- 27005Hip tenotomy
- Code 27005 describes release of a hip flexor tendon, not revision of a hip tendon.
- 27006Hip tenotomy
- Code 27006 describes release of a hip extensor tendon; 27097 is for operative tendon revision.
27097 billing questions
How is tendon revision different from tendon transfer?
Report 27097 when the hip tendon itself is revised. Code 27098 describes transferring a tendon to the pelvis, a different operative action.
Does the 90-day global period include related postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included.
How is this code paid when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
Can modifier 50 be used for bilateral hip tendon revision?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
Can an assistant participate in the surgery?
Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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