No office rate
Both codes describe percutaneous Achilles tenotomy; 27605 is for local anesthesia, while 27606 is for general anesthesia.
On this page
CMS RVU26D · Effective 2026-10-01
27605 Achilles tenotomy Medicare reimbursement rates in Ohio
Reports a percutaneous Achilles tendon release performed under local anesthesia, commonly to address equinus contracture or support correction of clubfoot. Compare 27605 office and facility rates across CMS payment localities in Ohio.
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 27605 in Ohio?
Ohio 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
$316.86
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$167.44
1 of 1 localities have a supported rate.
Payment area: Ohio
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 27605: Percutaneous Achilles tendon release
Reports a percutaneous Achilles tendon release performed under local anesthesia, commonly to address equinus contracture or support correction of clubfoot.
The clinician makes a small percutaneous incision to release the Achilles tendon, typically to improve a fixed equinus position. An orthopedic surgeon or podiatrist may perform the procedure in an office or surgical setting. A familiar clinical context is Achilles tenotomy during staged correction of idiopathic clubfoot. This code represents a tendon release, not repair of a ruptured Achilles tendon or open tendon lengthening.
Select 27605 when the documented percutaneous Achilles tenotomy is performed under local anesthesia; the general-anesthesia counterpart is 27606. The operative note should identify the tendon, indication, percutaneous technique, and anesthesia. CMS assigns a 10-day global period, so related postoperative visits during that period are included. For bilateral work, modifier 50 is paid at 150%. In a same-session multiple-procedure scenario, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 27605
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.85 · 28%
- Practice expense (office) RVU6.96 · 69%
- Malpractice RVU0.28 · 3%
648
Medicare services in 2024 · #3332 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.
27605 compared with similar codes
Office rates for Ohio, from the same CMS release.
$644.27
27685 describes open lengthening or shortening of a single lower-leg or ankle tendon. Use 27605 for a percutaneous Achilles release under local anesthesia.
No office rate
27650 is for primary repair of a ruptured Achilles tendon. 27605 releases the tendon rather than repairing a rupture.
Compare 27605 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
Ohio →
Office / nonfacility
$316.86
Facility
$167.44
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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 27605 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
2,967
- Code
- 27605
- Physician work
- 2.85
- Practice expense
- 6.96
- Malpractice
- 0.28
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.85 | × 1.000 | 2.8500 |
| Practice expense | 6.96 | × 0.913 | 6.3545 |
| Malpractice | 0.28 | × 1.008 | 0.2822 |
| Total RVUs | 9.4867 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$316.86
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.85 | 1 |
| Practice expense | 6.96 | 0.913 |
| Malpractice | 0.28 | 1.008 |
(2.85 × 1 + 6.96 × 0.913 + 0.28 × 1.008) × $33.4009 = $316.86
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.85 | 1 |
| Practice expense | 2.06 | 0.913 |
| Malpractice | 0.28 | 1.008 |
(2.85 × 1 + 2.06 × 0.913 + 0.28 × 1.008) × $33.4009 = $167.44
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.
27605 billing questions
How do I choose between 27605 and 27606?
Both report percutaneous Achilles tenotomy. Use 27605 for local anesthesia and 27606 when the procedure is performed under general anesthesia.
Does 27605 include repair of a ruptured Achilles tendon?
No. It reports release of the tendon, not repair of a rupture. A primary Achilles tendon repair is represented by 27650.
Can I report modifier 50 when both Achilles tendons are released?
Yes. CMS identifies 27605 as bilateral, with modifier 50 paid at 150% when the procedure is performed bilaterally.
Are related postoperative visits separately paid during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
What should the operative note support?
Document the Achilles tendon treated, the reason for release, the percutaneous technique, and use of local anesthesia. These details distinguish 27605 from the general-anesthesia code and from tendon repair.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted for 27605.
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.
2,96427602,,Decompression of lower leg,A,,7.62,3.79,NA,3.79,,1.88,13.29,13.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96527603,,Drain lower leg lesion,A,,5.10,10.29,,5.10,,0.92,16.31,11.12,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96627604,,Drain lower leg bursa,A,,4.48,9.00,,4.18,,0.82,14.30,9.48,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96727605,,Incision of achilles tendon,A,,2.85,6.96,,2.06,,0.28,10.09,5.19,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96827606,,Incision of achilles tendon,A,,4.08,2.90,NA,2.90,,0.65,7.63,7.63,0,010,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96927607,,Treat lower leg bone lesion,A,,8.40,6.93,NA,6.93,,1.65,16.98,16.98,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,97027610,,Explore/treat ankle joint,A,,8.90,7.71,NA,7.71,,1.64,18.25,18.25,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703