CPT code 27175: Slipped epiphysis treatment, without manipulation2026 Medicare rate & RVUs in Florida
Reports closed treatment of a slipped capital femoral epiphysis without manipulation, typically stabilizing the adolescent hip in situ.
CMS doesn’t publish an office rate for 27175 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 27175 covers
This code represents closed treatment of a slipped capital femoral epiphysis when the surgeon does not manipulate the displaced femoral head. Orthopedic surgeons commonly use it for in-situ stabilization, often with percutaneous fixation, in an adolescent with a stable slip. The service is performed in an operative setting; the key distinction is treatment without manipulation, not a particular slip severity or implant choice.
Select this code when the operative record supports closed treatment without manipulation, and document the diagnosis, affected side, approach, and whether manipulation was performed. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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 27175 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $676.80 |
| Miami, FL | Unavailable | $730.77 |
| Rest of Florida | Unavailable | $642.68 |
How the 27175 rate is calculated
Each of 27175’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 · 27175
RVUs × geographic indexes × conversion factor
Work9.15
9.15 RVUs× 1.000 GPCI
Practice expense7.49
7.49 RVUs× 1.000 GPCI
Malpractice1.95
1.95 RVUs× 1.000 GPCI
Adjusted RVUs
18.5900
Conversion factor
$33.4009
Medicare rate
$620.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27175
27175 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27175
Slipped epiphysis treatment, without manipulation
| 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 27175
Slipped epiphysis treatment, without manipulation
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
27175 without 50 · national facility
$620.92
Slipped epiphysis treatment, without manipulation
27175-50 · Bilateral: 150%
$931.38
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).
27175 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27176Slipped epiphysis treatmentClosed, with manipulation
- Both describe closed treatment of slipped femoral epiphysis. Choose 27175 when no manipulation is performed; choose 27176 when manipulation is performed.
- 27177Slipped epiphysisAcute, open treatment
- 27177 is for open treatment. Use 27175 for closed treatment without manipulation.
- 27178SCFE surgeryOsteotomy with fixation
- 27178 describes open treatment with osteotomy. It is distinct from closed treatment without manipulation reported with 27175.
27175 billing questions
How does this differ from 27176?
27175 is for closed treatment without manipulation. Use 27176 when the surgeon manipulates the slipped epiphysis.
When is 27177 a better fit?
27177 describes open treatment. This code is for closed treatment without manipulation, such as in-situ stabilization.
Can internal fixation be part of this service?
Yes. In-situ fixation may be used to stabilize the slip; the code selection turns on closed treatment without manipulation.
What should the operative note establish?
Document the slipped femoral epiphysis, side, closed approach, and whether the surgeon manipulated the epiphysis. Record fixation details when performed.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
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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