No office rate
Use 27690 for the primary superficial single-tendon transfer; use 27692 for an additional tendon transferred with the primary service.
On this page
CMS RVU26D · Effective 2026-10-01
27692 Tendon transfer Medicare reimbursement rates in Virginia
Reports an additional lower-leg or ankle tendon transfer performed with a primary tendon-transfer procedure to redirect another tendon for functional correction. Compare 27692 office and facility rates across CMS payment localities in Virginia.
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 27692 in Virginia?
Virginia 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
$85.79–$97.15
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 27692: Additional lower-leg tendon transfer
Reports an additional lower-leg or ankle tendon transfer performed with a primary tendon-transfer procedure to redirect another tendon for functional correction.
Code 27692 represents transfer or transplantation of an additional tendon in the leg or ankle during an operation that also transfers a primary tendon. The surgeon reroutes the additional tendon and secures it at a new attachment to improve movement or balance. Orthopedic surgeons, often in foot-and-ankle or lower-extremity reconstructive surgery, use it when the operative plan includes more than one tendon transfer.
Report 27692 only with the qualifying primary tendon-transfer service, such as 27690 or 27691, and only for tendon work beyond the primary tendon. The operative note should identify each tendon transferred and describe the additional transfer. CMS classifies 27692 as an add-on code: it is not reported alone, and its payment falls within the primary procedure’s global period.
CMS billing rules for 27692
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.82 · 68%
- Practice expense (office) RVU0.51 · 19%
- Malpractice RVU0.35 · 13%
483
Medicare services in 2024 · #3599 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.
27692 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Use 27691 for the primary deep single-tendon transfer; 27692 represents an additional transferred tendon, not the primary tendon.
No office rate
27686 applies to additional tendon lengthening or shortening. Choose 27692 when the additional tendon is transferred to a new attachment.
Compare 27692 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$97.15
Virginia →
Office / nonfacility
Unavailable
Facility
$85.79
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27692 billing questions
Can 27692 be reported by itself?
No. It is an add-on for an additional tendon transfer and must be billed with a qualifying primary tendon-transfer procedure, such as 27690 or 27691.
How does 27692 differ from 27690 and 27691?
Codes 27690 and 27691 report the primary single-tendon transfer, distinguished by the tendon’s depth. Code 27692 reports each additional tendon transferred during the procedure.
What should the operative note identify?
Document the tendon or tendons transferred, the work performed, and which transfer is additional to the primary procedure.
Is 27692 reported for tendon lengthening?
No. It describes an additional tendon transfer or transplant. Tendon lengthening or shortening is represented by a different code family, including 27685 and 27686.
How does the global period affect payment?
CMS treats 27692 as an add-on paid within the primary procedure’s global period. It is not a separately reported stand-alone service.
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.
3,00727687,,Revision of calf tendon,A,,6.25,5.77,NA,5.77,,0.98,13.00,13.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00827690,,Revise lower leg tendon,A,,8.94,7.91,NA,7.91,,1.36,18.21,18.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,00927691,,Revise lower leg tendon,A,,10.23,9.04,NA,9.04,,1.76,21.03,21.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01027692,,Revise additional leg tendon,A,,1.82,0.51,NA,0.51,,0.35,2.68,2.68,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01127695,,Repair of ankle ligament,A,,6.53,6.34,NA,6.34,,1.07,13.94,13.94,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01227696,,Repair of ankle ligaments,A,,8.37,5.79,NA,5.79,,1.12,15.28,15.28,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01327698,,Repair of ankle ligament,A,,9.37,7.00,NA,7.00,,1.50,17.87,17.87,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00