CPT code 27756: Fracture fixation, percutaneous tibial shaft2026 Medicare rate & RVUs in Hawaii, Guam, HI

In Hawaii, Guam, HI, Medicare pays $580.07 for 27756 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27756 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 27756 covers

An orthopedic surgeon uses a percutaneous approach to stabilize a fracture through the shaft of the tibia, typically placing fixation devices through small incisions rather than exposing the fracture for open fixation. The code can include an associated fibular fracture; the defining service is skeletal fixation of the tibial shaft fracture. These procedures are generally performed in an operating room, often with imaging guidance to position and assess the fixation.

Select this code when the tibial shaft fracture is treated with percutaneous skeletal fixation. The operative report should establish the fracture site and describe the percutaneous approach and fixation performed. CMS assigns a 90-day global period, including 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%. Bilateral reporting with modifier 50 is paid at 150%. 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 Hawaii, Guam, HI compares for 27756

Across 109 of 109 payment localities, the facility rate for 27756 runs from $501.50 in Arkansas to $687.17 in San Benito County, CA. Hawaii, Guam, HI pays $580.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27756 rates by state

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

See 27756 in every payment locality

How the 27756 rate is calculated

Each of 27756’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 27756

27756 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 27756

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

How 27756 has changed in Hawaii, Guam, HI

Price 27756 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

• Ahuimanu
• Aiea
• Ainaloa
• Anahola
• Black Sands
• Captain Cook
• Discovery Harbour
• East Honolulu

Browse all communities in Hawaii

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