Billing code 27006: Hip tenotomyMedicare rate & RVUs in Oklahoma
Open release of hip abductor and/or extensor tendons for contracture, commonly performed by an orthopedic surgeon to improve hip positioning or motion.
CMS doesn’t publish an office rate for 27006 in Oklahoma.
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 27006 covers
This procedure releases one or more hip abductor and/or extensor tendons through an open approach. Orthopedic surgeons may perform it for contracture that limits hip positioning or movement, including contractures associated with cerebral palsy or other neuromuscular conditions. The operative documentation should identify the treated tendon or muscle group, the open approach, and the contracture or functional problem addressed.
Report the service when the surgeon performs the open tenotomy of hip abductor and/or extensor muscles; a release of hip flexors or adductors is described by a different code. The 90-day global period includes 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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.
27006 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $612.32 |
How the 27006 rate is calculated
Each of 27006’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 · 27006
RVUs × geographic indexes × conversion factor
Work9.86
9.86 RVUs× 1.000 GPCI
Practice expense8.20
8.20 RVUs× 1.000 GPCI
Malpractice1.48
1.48 RVUs× 1.000 GPCI
Adjusted RVUs
19.5400
Conversion factor
$33.4009
Medicare rate
$652.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27006
27006 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27006
Hip tenotomy
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 27006
Hip tenotomy
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
27006 without 50 · national facility
$652.65
Hip tenotomy
27006-50 · Bilateral: 150%
$978.98
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).
27006 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27005Hip tenotomy
- Choose 27006 for open release of hip abductor and/or extensor tendons; 27005 describes open tenotomy of hip flexor muscles.
- 27000Hip tenotomy
- 27000 describes percutaneous tenotomy of hip adductors. The muscle group and approach differ from the open abductor/extensor release in 27006.
- 27001Adductor tenotomy
- 27001 is an open hip adductor tenotomy. Use 27006 when the released tendons are hip abductors and/or extensors instead.
- 27036Hip capsule surgery
- 27036 concerns the hip joint capsule; 27006 is for open tenotomy of hip abductor and/or extensor tendons.
27006 billing questions
How does this differ from an open hip flexor tenotomy?
Report 27006 for an open release of hip abductor and/or extensor tendons. Use 27005 when the released structure is a hip flexor.
Should this be reported for an adductor tendon release?
No. Hip adductor tenotomy is described by 27000 for a percutaneous approach or 27001 for an open approach.
What documentation supports reporting 27006?
Document the hip abductor or extensor tendon or muscle group released, the open approach, and the contracture or functional limitation treated.
How is bilateral treatment reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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 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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