CPT code 27176: Slipped epiphysis treatment, closed, with manipulation2026 Medicare rate & RVUs in Missouri
Reports closed treatment of a slipped femoral epiphysis when the surgeon manipulates the hip to address displacement without open exposure.
CMS doesn’t publish an office rate for 27176 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 9 sections
What 27176 covers
This service covers closed treatment of a slipped femoral epiphysis, commonly encountered in adolescents with displacement at the proximal femoral growth plate. The orthopedic surgeon manipulates the hip to address the slip without surgically exposing the physis. The operative report should make clear that manipulation was performed and that treatment was closed; the diagnosis alone does not establish the work represented by this code.
Report 27176 when the documented treatment includes manipulation, rather than closed treatment without manipulation or an open procedure. Record the clinical indication, reduction or manipulation performed, and operative approach. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery 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 27176 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $833.55 |
| Metropolitan St. Louis, MO | Unavailable | $840.29 |
| Rest of Missouri | Unavailable | $806.61 |
How the 27176 rate is calculated
Each of 27176’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 · 27176
RVUs × geographic indexes × conversion factor
Work12.60
12.60 RVUs× 1.000 GPCI
Practice expense10.37
10.37 RVUs× 1.000 GPCI
Malpractice2.68
2.68 RVUs× 1.000 GPCI
Adjusted RVUs
25.6500
Conversion factor
$33.4009
Medicare rate
$856.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27176
27176 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27176
Slipped epiphysis treatment, closed, with 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) | 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 · 27176
Slipped epiphysis treatment, closed, with 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
27176 without 50 · national facility
$856.73
Slipped epiphysis treatment, closed, with manipulation
27176-50 · Bilateral: 150%
$1,285.10
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).
27176 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27175Slipped epiphysis treatmentWithout manipulation
- Choose 27175 for closed treatment without manipulation. Report 27176 when the operative documentation supports manipulation.
- 27177Slipped epiphysisAcute, open treatment
- 27177 describes open treatment without internal fixation. The closed approach with manipulation belongs to 27176.
- 27178SCFE surgeryOsteotomy with fixation
- 27178 describes open treatment with internal fixation. Do not substitute it for closed treatment with manipulation.
27176 billing questions
How does 27176 differ from 27175?
27176 represents closed treatment with manipulation. Use 27175 when the documented closed treatment is performed without manipulation.
Does an open approach fit 27176?
No. This code represents closed treatment. An operative report describing open exposure should be evaluated against the open-treatment codes, including 27177 and 27178.
What documentation supports reporting 27176?
The record should identify the slipped femoral epiphysis and describe the manipulation performed and the closed approach. The diagnosis by itself does not show that manipulation occurred.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care through 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted under the CMS rules for this code.
How is bilateral treatment handled?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays it at 150%.
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
Fee sheets · Coming soon
Put 27176 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist