CPT code 27177: Slipped epiphysis, acute, open treatment2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $1,029.03 for 27177 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27177 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 27177 covers

An orthopedic surgeon reports this service for open treatment of an acute slipped capital femoral epiphysis (SCFE), a displacement at the growing end of the femur near the hip. The operation addresses the acute slip through an open approach; internal fixation may be used. This is distinct from closed treatment and from open treatment of a chronic slip.

Select the code based on the documented acute condition and open operative approach, not simply the presence of a hip pin or the diagnosis of SCFE. The operative report should establish the acute slip and describe the open treatment and any fixation. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 identifies bilateral treatment and is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons are paid only with supporting documentation. 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.

How Puerto Rico compares for 27177

Across 109 of 109 payment localities, the facility rate for 27177 runs from $917.20 in Arkansas to $1,263.75 in Alaska. Puerto Rico pays $1,029.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27177 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 27177 in every payment locality

How the 27177 rate is calculated

Each of 27177’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.

Payment rules and modifiers for 27177

27177 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 27177

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 27177 has changed in Puerto Rico

Price 27177 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates