Billing code 27675: Tendon stabilizationMedicare rate & RVUs in Oklahoma

Reports operative stabilization of dislocating peroneal tendons at the ankle when the repair is performed without a fibular osteotomy.

CMS RVU26DEffective Oct 1, 20261 payment locality917 Medicare services in 2024

CMS doesn’t publish an office rate for 27675 in Oklahoma.

—Office (non-facility)
$440.55Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27675 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Oklahoma
  2. What 27675 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 27675 covers

This procedure stabilizes peroneal tendons that slip or dislocate from their normal position behind the outer ankle bone. The surgeon repairs or reconstructs the tissues that restrain the tendons, commonly after injury has disrupted the stabilizing retinaculum. It is typically performed by an orthopedic foot and ankle surgeon in an operating room for symptomatic tendon instability.

Select this code when the operative treatment addresses peroneal tendon dislocation and does not include a fibular osteotomy; use the related code for the osteotomy approach. The operative report should identify the involved tendons, the instability being treated, and the repair performed. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. 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.

27675 in Oklahoma

27675 office and facility rates by payment locality
Payment localityOfficeFacility
OklahomaUnavailable$440.55

How the 27675 rate is calculated

Each of 27675’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 · 27675

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.17Practice expense 5.81Malpractice 1.07

14.0500 adjusted RVUs×$33.4009 conversion factor=$469.28

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27675

27675 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27675

Tendon stabilization

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27675

Tendon stabilization

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27675 without 50 · national facility

$469.28

Tendon stabilization

27675-50 · Bilateral: 150%

$703.92

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).

When to use modifier 50

27675 compared with similar codes

Compare codes

27675 vs 27676 vs 27658 vs 27650: national Medicare rates

Swap in your local Medicare rate.

  • 27675
    Tendon stabilization · 7.17 wRVU
    —
  • 27676
    Peroneal tendon repair · 8.51 wRVU
    —
  • 27658
    Tendon repair · 4.99 wRVU
    —
  • 27650
    Achilles repair · 8.98 wRVU
    —

How to choose

27676Peroneal tendon repair
Both treat dislocating peroneal tendons. The distinguishing feature is whether the procedure includes fibular osteotomy.
27658Tendon repair
This code addresses peroneal tendon dislocation. Code 27658 is for primary repair of a flexor tendon injury in the leg, not tendon stabilization for dislocation.
27650Achilles repair
Code 27650 is for primary Achilles tendon repair. This code addresses peroneal tendon dislocation at the outer ankle.

27675 billing questions

How does this differ from 27676?

Both address peroneal tendon dislocation. This code is for repair without fibular osteotomy; 27676 is the related option when the procedure includes a fibular osteotomy.

Can this code be used for a peroneal tendon tear?

Use it when the procedure treats tendon dislocation or instability. A repair of a tendon injury, rather than dislocation, may fall under a tendon-repair code such as 27658 or 27659, depending on the tendon and repair circumstances.

What should the operative report document?

Document the peroneal tendon instability or dislocation, the tendons treated, the stabilizing repair performed, and whether a fibular osteotomy was part of the procedure.

How is bilateral surgery reported?

For bilateral procedures, report modifier 50; CMS payment for the bilateral procedure is 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 paid?

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
RVUs for 27675PPRRVU2026_Oct_nonQPP.csv, line 3,001 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

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