Billing code 27675: Tendon stabilizationMedicare rate & RVUs in Texas
Reports operative stabilization of dislocating peroneal tendons at the ankle when the repair is performed without a fibular osteotomy.
CMS doesn’t publish an office rate for 27675 in Texas.
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 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.
Where 27675 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
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $476.94 |
| Beaumont | Unavailable | $449.28 |
| Brazoria | Unavailable | $461.59 |
| Dallas | Unavailable | $465.59 |
| Fort Worth | Unavailable | $464.11 |
| Galveston | Unavailable | $463.69 |
| Houston | Unavailable | $483.28 |
| Rest Of Texas | Unavailable | $455.92 |
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
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
| 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) | 2 | Paid. |
| 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 · 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.
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).
27675 compared with similar codes
Compare codes
27675 vs 27676 vs 27658 vs 27650: national Medicare rates
Swap in your local Medicare rate.
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
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