Billing code 27307: Hamstring tenotomyMedicare rate & RVUs in Oregon
Percutaneous multiple-tendon hamstring release in the thigh is reported when the surgeon divides more than one tendon through a percutaneous approach to address contracture.
CMS doesn’t publish an office rate for 27307 in Oregon.
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 27307 covers
This code represents percutaneous release of multiple hamstring tendons in the thigh. An orthopedic surgeon, often treating a patient with hamstring tightness or contracture, makes small skin openings and divides the selected tendons without an open exposure. The procedure is typically performed in a surgical or procedure setting; the operative report should identify the tendons treated and describe the percutaneous technique.
Select this code when the documented procedure involves multiple tendons and a percutaneous approach. Use the single-tendon code when only one tendon is released, and distinguish open release by the operative approach. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed 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 requires documented medical necessity, and co-surgeon payment requires supporting documentation; 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.
Where 27307 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $392.10 |
| Rest Of Oregon | Unavailable | $369.80 |
How the 27307 rate is calculated
Each of 27307’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 · 27307
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.91Practice expense 4.78Malpractice 0.57
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27307
27307 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27307
Hamstring 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) | 0 | Not paid without supporting documentation. |
| 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 · 27307
Hamstring 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
27307 without 50 · national facility
$376.09
Hamstring tenotomy
27307-50 · Bilateral: 150%
$564.13
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).
27307 compared with similar codes
Compare codes
27307 vs 27306 vs 27305 vs 27325: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27306Hamstring tenotomy
- 27306 is the percutaneous hamstring tenotomy code for a single tendon; 27307 is used when multiple tendons are released.
- 27305Thigh fasciotomy
- 27305 describes open hamstring tenotomy. Choose based on the documented surgical approach, not simply the diagnosis or treatment goal.
- 27325Hamstring neurectomy
- 27325 is hamstring neurectomy, which removes or interrupts nerve tissue; 27307 releases tendons.
27307 billing questions
When should 27307 be selected instead of 27306?
Use 27307 for percutaneous release of multiple hamstring tendons. The related single-tendon procedure is reported with 27306.
How does 27307 differ from 27305?
The approach distinguishes them: 27307 describes percutaneous release of multiple tendons, while 27305 is an open hamstring tenotomy.
What documentation supports reporting 27307?
The operative report should establish the hamstring tendons released, that more than one tendon was treated, and that the approach was percutaneous.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document the treated sides and the procedures performed.
Is related postoperative care separately included?
The code has a 90-day global period, which 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 requires documentation of medical necessity. Co-surgeon payment requires supporting documentation, and 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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