CPT 27100
Global 090 ActiveTransfer of abdominal muscle
CPT 27100 Billing & Documentation Guide
CPT code 27100 (Transfer of abdominal muscle) is classified under Surgery (Musculoskeletal) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 11.07, a non-facility practice expense RVU of 9.87, and a malpractice RVU of 2.36, a total non-facility RVU of 23.3 and facility RVU of 23.3. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $788.83, though rates vary from $693.53 to $949.15 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 27100, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 27100 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 27100 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 27100
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 11.07 | 11.07 |
| Practice Expense RVU | 9.87 | 9.87 |
| Malpractice RVU | 2.36 | 2.36 |
| Total RVU | 23.3 | 23.3 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 27100
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $815.83 | $815.83 | $779.6 - $928.05 | 29 |
| Florida | $853.96 | $853.96 | $803.39 - $912.28 | 3 |
| Georgia | $779.12 | $779.12 | $757.77 - $800.47 | 2 |
| Illinois | $840.22 | $840.22 | $793.94 - $884.56 | 4 |
| Michigan | $790.26 | $790.26 | $759.73 - $820.78 | 2 |
| North Carolina | $727.7 | $727.7 | $727.7 - $727.7 | 1 |
| New York | $862.22 | $862.22 | $738.35 - $931.77 | 5 |
| Ohio | $750.19 | $750.19 | $750.19 - $750.19 | 1 |
| Pennsylvania | $780.25 | $780.25 | $746.87 - $813.63 | 2 |
| Texas | $769.56 | $769.56 | $742.97 - $808.53 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 27100
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 27100 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 27100
What does CPT code 27100 mean? +
CPT code 27100 represents: Transfer of abdominal muscle. It's in the Surgery (Musculoskeletal) category with a global period of 090.
What is the Medicare reimbursement for CPT 27100? +
The 2026 Medicare national average non-facility payment for CPT 27100 is $788.83. Rates range from $693.53 to $949.15 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 27100? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 27100? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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