No office rate
Both are primary repairs of a ruptured Achilles tendon. Choose 27652 when the primary repair includes a graft; 27650 represents repair without a graft.
On this page
CMS RVU26D · Effective 2026-10-01
27650 Achilles repair Medicare reimbursement rates in Rhode Island
Reports primary surgical repair of a ruptured Achilles tendon, such as direct repair of a complete rupture by an orthopedic surgeon or podiatrist. Compare 27650 office and facility rates across CMS payment localities in Rhode Island.
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 27650 in Rhode Island?
Rhode Island 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
No supported rate
Facility setting
$633.84
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 27650: Primary Achilles tendon rupture repair
Reports primary surgical repair of a ruptured Achilles tendon, such as direct repair of a complete rupture by an orthopedic surgeon or podiatrist.
This service repairs a ruptured Achilles tendon by bringing the tendon ends together, using an open or percutaneous approach. Orthopedic surgeons and podiatrists commonly perform it in an operating room for a complete rupture when primary repair is selected. The operative report should identify the Achilles tendon and describe the rupture and repair performed.
Select this code for primary repair, not a secondary repair or a primary repair that uses a graft. The documented procedure should distinguish it from the graft repair and secondary repair codes. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. When performed bilaterally with modifier 50, CMS pays at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27650
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.98 · 48%
- Practice expense (office) RVU8.26 · 44%
- Malpractice RVU1.45 · 8%
3.7K
Medicare services in 2024 · #2048 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.
27650 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
27654 is for secondary Achilles repair, with or without a graft. 27650 is for primary repair.
No office rate
27658 concerns primary repair of a leg extensor tendon, not the Achilles tendon. Use 27650 when the repaired structure is the Achilles.
Compare 27650 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$633.84
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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 27650 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
2,993
- Code
- 27650
- Physician work
- 8.98
- Practice expense
- 8.26
- Malpractice
- 1.45
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.98 | × 1.019 | 9.1506 |
| Practice expense | 8.26 | × 1.033 | 8.5326 |
| Malpractice | 1.45 | × 0.892 | 1.2934 |
| Total RVUs | 18.9766 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$633.84
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.98 | 1.019 |
| Practice expense | 8.26 | 1.033 |
| Malpractice | 1.45 | 0.892 |
(8.98 × 1.019 + 8.26 × 1.033 + 1.45 × 0.892) × $33.4009 = $633.84
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.
27650 billing questions
How does this differ from 27652?
27650 is for primary Achilles repair without a graft. Use 27652 when the primary repair includes a graft.
When is 27654 more appropriate?
27654 describes secondary Achilles repair, with or without a graft. Choose based on the documented repair type rather than treating all Achilles repairs as primary.
Can 27650 and 27652 be reported for the same tendon?
They represent different primary repair approaches. Select the code supported by the operative report rather than reporting both for one repair.
What does the 90-day global period include?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is bilateral Achilles repair handled?
CMS lists bilateral reporting with modifier 50 and payment at 150%. The operative documentation should support repair on both sides.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with 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 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.
2,99027646,,Resect fibula tumor,A,,22.63,14.16,NA,14.16,,4.82,41.61,41.61,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99127647,,Resect talus/calcaneus tum,A,,19.75,5.73,NA,5.73,,1.68,27.16,27.16,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99227648,,Injection for ankle x-ray,A,,0.94,5.11,,0.23,,0.14,6.19,1.31,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99327650,,Repair achilles tendon,A,,8.98,8.26,NA,8.26,,1.45,18.69,18.69,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99427652,,Repair/graft achilles tendon,A,,10.51,6.56,NA,6.56,,1.39,18.46,18.46,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99527654,,Repair of achilles tendon,A,,10.27,8.35,NA,8.35,,1.62,20.24,20.24,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,99627656,,Repair leg fascia defect,A,,4.59,10.72,,4.41,,0.61,15.92,9.61,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537