No office rate
Choose 27396 for a single transferred thigh tendon and 27397 when multiple thigh tendons are transferred.
On this page
CMS RVU26D · Effective 2026-10-01
27396 Tendon transfer Medicare reimbursement rates in Wyoming
Reports surgical redirection of one thigh tendon to change its pull and improve movement or stability when the operative plan transfers a single tendon. Compare 27396 office and facility rates across CMS payment localities in Wyoming.
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 27396 in Wyoming?
Wyoming 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
$573.85
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Orthopedic surgery
About 27396: Single thigh tendon transfer
Reports surgical redirection of one thigh tendon to change its pull and improve movement or stability when the operative plan transfers a single tendon.
An orthopedic surgeon redirects one tendon in the thigh by moving its attachment to a different site, changing the direction of its pull to improve movement or stability. This may be part of reconstructive surgery for a functional imbalance or loss of muscle action. The procedure is generally performed in a hospital or ambulatory surgery center; Medicare recorded facility services for this code in 2024 and no office services.
Select this code when the operative report supports transfer or transplantation of one thigh tendon; a transfer involving multiple tendons is distinguished by the multiple-tendon code. Documentation should identify the tendon, the original and new attachment sites, the reason for redirecting its action, and the work performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures 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.
CMS billing rules for 27396
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.95 · 45%
- Practice expense (office) RVU7.98 · 45%
- Malpractice RVU1.69 · 10%
59
Medicare services in 2024 · #5252 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.
27396 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Code 27393 describes lengthening a thigh tendon, not redirecting its attachment as in a tendon transfer.
No office rate
Code 27386 concerns repair or grafting of a thigh tendon; use 27396 when the documented procedure transfers one tendon to a new attachment.
Compare 27396 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$573.85
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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 27396 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,872
- Code
- 27396
- Physician work
- 7.95
- Practice expense
- 7.98
- Malpractice
- 1.69
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.95 | × 1.000 | 7.9500 |
| Practice expense | 7.98 | × 1.000 | 7.9800 |
| Malpractice | 1.69 | × 0.740 | 1.2506 |
| Total RVUs | 17.1806 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$573.85
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.95 | 1 |
| Practice expense | 7.98 | 1 |
| Malpractice | 1.69 | 0.74 |
(7.95 × 1 + 7.98 × 1 + 1.69 × 0.74) × $33.4009 = $573.85
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.
27396 billing questions
How does this differ from 27397?
This code is for transfer of one thigh tendon. Code 27397 is for transfer of multiple thigh tendons.
How does a tendon transfer differ from tendon lengthening?
A transfer changes where a tendon acts by redirecting its attachment. Lengthening changes tendon length rather than transferring its attachment.
What should the operative report document?
Document the tendon transferred, its original and new attachment sites, the clinical reason for redirection, and the procedure performed.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 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.
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.
2,86927393,,Lengthening of thigh tendon,A,,6.43,6.58,NA,6.58,,1.27,14.28,14.28,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87027394,,Lengthening of thigh tendons,A,,8.57,8.15,NA,8.15,,1.82,18.54,18.54,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87127395,,Lengthening of thigh tendons,A,,11.93,10.15,NA,10.15,,2.54,24.62,24.62,0,090,0.10,0.69,0.21,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87227396,,Transplant of thigh tendon,A,,7.95,7.98,NA,7.98,,1.69,17.62,17.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87327397,,Transplants of thigh tendons,A,,12.34,10.68,NA,10.68,,2.62,25.64,25.64,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87427400,,Revise thigh muscles/tendons,A,,9.10,8.69,NA,8.69,,1.94,19.73,19.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,87527403,,Repair of knee cartilage,A,,8.40,8.12,NA,8.12,,1.76,18.28,18.28,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,