No office rate
27306 is the percutaneous hamstring tenotomy code for a single tendon; 27307 is used when multiple tendons are released.
On this page
CMS RVU26D · Effective 2026-10-01
27307 Hamstring tenotomy Medicare reimbursement rates in Pennsylvania
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. Compare 27307 office and facility rates across CMS payment localities in Pennsylvania.
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 27307 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$361.96–$389.87
2 of 2 localities have a supported rate.
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 27307: Percutaneous multiple hamstring tenotomy
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.
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.
CMS billing rules for 27307
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.91 · 52%
- Practice expense (office) RVU4.78 · 42%
- Malpractice RVU0.57 · 5%
303
Medicare services in 2024 · #3990 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.
27307 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
27305 describes open hamstring tenotomy. Choose based on the documented surgical approach, not simply the diagnosis or treatment goal.
No office rate
27325 is hamstring neurectomy, which removes or interrupts nerve tissue; 27307 releases tendons.
Compare 27307 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$389.87
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$361.96
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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 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.
2,82927303,,Drainage of bone lesion,A,,8.41,7.93,NA,7.93,,1.74,18.08,18.08,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83027305,,Incise thigh tendon & fascia,A,,6.03,6.62,NA,6.62,,1.25,13.90,13.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83127306,,Incision of thigh tendon,A,,4.62,4.64,NA,4.64,,0.47,9.73,9.73,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83227307,,Incision of thigh tendons,A,,5.91,4.78,NA,4.78,,0.57,11.26,11.26,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83327310,,Exploration of knee joint,A,,9.75,8.83,NA,8.83,,2.05,20.63,20.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83427323,,Biopsy thigh soft tissues,A,,2.27,5.66,,2.15,,0.30,8.23,4.72,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83527324,,Biopsy thigh soft tissues,A,,4.91,6.01,NA,6.01,,1.13,12.05,12.05,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00