Billing code 27216Medicare rate & RVUs in Texas

Compare 27216 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 20268 payment localities

CMS doesn’t publish an office rate for 27216 in Texas.

—Office (non-facility)
—Hospital 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 27216 for the payment locality that covers the ZIP.

On this page 5 sections
  1. Rate in Texas
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

Where 27216 pays more and less in Texas

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

8 of 8 payment localities

27216 office and facility rates by payment locality
Payment localityOfficeFacility
AustinUnavailableUnavailable
BeaumontUnavailableUnavailable
BrazoriaUnavailableUnavailable
DallasUnavailableUnavailable
Fort WorthUnavailableUnavailable
GalvestonUnavailableUnavailable
HoustonUnavailableUnavailable
Rest Of TexasUnavailableUnavailable

How the 27216 rate is calculated

Each of 27216’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 · 27216

RVUs × geographic indexes × conversion factor

Work15.34

15.34 RVUs× 1.000 GPCI

Practice expense6.89

6.89 RVUs× 1.000 GPCI

Malpractice1.63

1.63 RVUs× 1.000 GPCI

Adjusted RVUs

23.8600

Conversion factor

$33.4009

Medicare rate

$796.95

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 27216

27216 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27216

Code 27216

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures9The concept doesn’t apply.
Bilateral (modifier 50)9The concept doesn’t apply.
Assistant at surgery (80/81/82/AS)9The concept doesn’t apply.
Co-surgeons (62)9The concept doesn’t apply.
Team surgery (66)9The concept doesn’t apply.
Professional/technical9The concept doesn’t apply.
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 · 27216

Code 27216

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.

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

Pre-op dayGlobal period

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

Open CMS sourceHow we calculate rates

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