No office rate
Choose 27325 for the nerve target supplying a hamstring muscle. Choose 27326 when the operative target is the popliteal nerve.
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CMS RVU26D · Effective 2026-10-01
27325 Hamstring neurectomy Medicare reimbursement rates in Vermont
Surgical excision of nerve tissue supplying a hamstring muscle, generally reported when treating spasticity-related muscle overactivity through a targeted nerve procedure. Compare 27325 office and facility rates across CMS payment localities in Vermont.
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 27325 in Vermont?
Vermont 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
$513.44
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Peripheral nerve surgery
About 27325: Hamstring motor nerve neurectomy
Surgical excision of nerve tissue supplying a hamstring muscle, generally reported when treating spasticity-related muscle overactivity through a targeted nerve procedure.
This operation excises targeted nerve tissue supplying a hamstring muscle to reduce unwanted muscle overactivity. It is most often considered for a patient with spasticity when hamstring overactivity limits knee extension or affects gait. An orthopedic surgeon or neurosurgeon typically performs the procedure in an operating room, commonly in a hospital or ambulatory surgical facility.
Report this code when the operative work targets the hamstring’s nerve supply; a tendon or fascia release, or a neurectomy at a different nerve site, is a different service. The operative report should identify the nerve target, side, indication, and work performed. CMS classifies the service as major surgery: 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 27325
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.02 · 43%
- Practice expense (office) RVU7.68 · 47%
- Malpractice RVU1.48 · 9%
19
Medicare services in 2024 · #5938 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.
27325 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
27305 describes an incision involving thigh tendon and fascia; 27325 describes nerve excision. Base code selection on the procedure actually performed.
No office rate
27306 is for incision of a thigh tendon. It is not the appropriate code for excising nerve tissue supplying a hamstring.
Compare 27325 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
Vermont →
Office / nonfacility
Unavailable
Facility
$513.44
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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 27325 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,836
- Code
- 27325
- Physician work
- 7.02
- Practice expense
- 7.68
- Malpractice
- 1.48
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.02 | × 1.000 | 7.0200 |
| Practice expense | 7.68 | × 0.990 | 7.6032 |
| Malpractice | 1.48 | × 0.506 | 0.7489 |
| Total RVUs | 15.3721 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$513.44
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.02 | 1 |
| Practice expense | 7.68 | 0.99 |
| Malpractice | 1.48 | 0.506 |
(7.02 × 1 + 7.68 × 0.99 + 1.48 × 0.506) × $33.4009 = $513.44
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.
27325 billing questions
How is this different from a popliteal neurectomy?
This code is for nerve tissue supplying a hamstring muscle. Code 27326 applies when the operative target is the popliteal nerve.
Can a hamstring tendon release be reported as this procedure?
No. This code describes nerve excision, not an incision or release of a hamstring tendon or fascia. Select the code that matches the operative work.
What documentation supports reporting this code?
The operative report should identify the treated side, nerve target, indication, and procedure performed. It should distinguish the nerve work from any separately performed tendon or other procedure.
How should bilateral surgery be reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document the work performed on each side.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted for this code under the CMS rules provided.
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.
2,83327310,,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
2,83627325,,Neurectomy hamstring,A,,7.02,7.68,NA,7.68,,1.48,16.18,16.18,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83727326,,Neurectomy popliteal,A,,6.31,7.46,NA,7.46,,1.33,15.10,15.10,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83827327,,Exc thigh/knee les sc < 3 cm,A,,3.86,11.42,,4.52,,0.87,16.15,9.25,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,83927328,,Exc thigh/knee tum deep <5cm,A,,8.63,7.08,NA,7.08,,1.96,17.67,17.67,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817