Billing code 27003: Adductor releaseMedicare rate & RVUs in Washington
Reports open release of hip adductor tissue with obturator neurectomy, typically to address severe adductor spasticity or contracture.
CMS doesn’t publish an office rate for 27003 in Washington.
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 27003 covers
This operation releases hip adductor tissue through an open approach and includes obturator neurectomy to reduce the nerve input driving adductor tightness. It is most often used for substantial hip adductor spasticity or contracture, including in patients with cerebral palsy or other neurologic conditions. An orthopedic surgeon, often a pediatric orthopedic surgeon, may perform it in a hospital or other operative setting when less extensive management is not sufficient.
Report the code when the operative service includes both the adductor release and obturator neurectomy; an adductor tenotomy alone is represented by a different code. The operative report should identify the treated side, the adductor tissue released, and the neurectomy performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 identifies bilateral performance and is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment 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 27003 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $575.71 |
| Seattle (King Cnty) | Unavailable | $633.91 |
How the 27003 rate is calculated
Each of 27003’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 · 27003
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.61Practice expense 7.87Malpractice 1.63
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27003
27003 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27003
Adductor release
| 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 · 27003
Adductor release
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
27003 without 50 · national facility
$571.49
Adductor release
27003-50 · Bilateral: 150%
$857.24
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).
27003 compared with similar codes
Compare codes
27003 vs 27000 vs 27001 vs 27005: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27000Hip tenotomy
- This code describes an open adductor release with obturator neurectomy. Code 27000 is for percutaneous adductor tenotomy.
- 27001Adductor tenotomy
- Both involve open adductor tenotomy, but 27001 does not include obturator neurectomy.
- 27005Hip tenotomy
- Code 27005 treats hip flexor tissue. This code is for adductor release with obturator neurectomy.
27003 billing questions
When should this code be chosen over 27001?
Use this code when the open adductor release is performed with obturator neurectomy. Code 27001 represents open adductor tenotomy without that neurectomy.
Can the obturator neurectomy be billed separately?
The neurectomy is part of this combined service. Document it as performed in the operative report rather than treating it as a separate service within the same operation.
What documentation supports reporting this code?
Document the adductor release, the obturator neurectomy, the side treated, and the clinical contracture or spasticity prompting surgery.
How is bilateral performance reported?
Report modifier 50 for bilateral performance. CMS pays bilateral procedures at 150%.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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