CPT code 27178: SCFE surgery, osteotomy with fixation2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $951.23 for 27178 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27178 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 27178 covers

This code is for open surgery to treat slipped capital femoral epiphysis (SCFE) that includes a corrective osteotomy of the proximal femur. The operation is generally performed by an orthopedic surgeon, often for an adolescent whose femoral head has displaced at the growth plate and requires operative correction. The operative report should make clear that treatment included the osteotomy, not just closed reduction or a different open treatment approach.

Report the code when the documented procedure matches that osteotomy-based treatment; include the affected side and describe the correction and any fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral procedures reported with modifier 50, CMS pays at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. An assistant at surgery may be paid. 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.

How Washington, DC area compares for 27178

Across 109 of 109 payment localities, the facility rate for 27178 runs from $764.48 in Arkansas to $1,049.48 in Alaska. Washington, DC area pays $951.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27178 rates by state

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

See 27178 in every payment locality

How the 27178 rate is calculated

Each of 27178’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 27178

27178 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 27178

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

How 27178 has changed in Washington, DC area

Price 27178 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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