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Billing code 27176: Slipped epiphysis treatmentMedicare rate & RVUs

Reports closed treatment of a slipped femoral epiphysis when the surgeon manipulates the hip to address displacement without open exposure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $856.73 for 27176 nationally in a facility.

Medicare rate · 27176

Slipped epiphysis treatment

Swap in your local Medicare rate.

Work RVUs
12.6
Total RVUs
25.65
Global days
090

National rate · 2026

$856.73

Facility setting, before claim adjustments.

See every locality for 27176 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 27176 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

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

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27176 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$774.59
Alaska*Unavailable$1,049.48
ArizonaUnavailable$833.11
ArkansasUnavailable$764.48
AtlantaUnavailable$881.53
AustinUnavailable$867.46
BakersfieldUnavailable$862.98
Baltimore/Surr. CntysUnavailable$909.97
BeaumontUnavailable$819.20
BrazoriaUnavailable$837.29

27176 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
27176 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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

Swap in your local Medicare rate.

Work 12.60Practice expense 10.37Malpractice 2.68

25.6500 adjusted RVUs×$33.4009 conversion factor=$856.73

All indexes start 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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27176

Slipped epiphysis treatment

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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

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).

When to use modifier 50

27176 compared with similar codes

Compare codes

27176 vs 27175 vs 27177 vs 27178: national Medicare rates

Swap in your local Medicare rate.

  • 27176
    Slipped epiphysis treatment · 12.6 wRVU
    —
  • 27175
    Slipped epiphysis treatment · 9.15 wRVU
    —
  • 27177
    Slipped epiphysis · 15.69 wRVU
    —
  • 27178
    SCFE surgery · 12.6 wRVU
    —

How to choose

27175Slipped epiphysis treatment
Choose 27175 for closed treatment without manipulation. Report 27176 when the operative documentation supports manipulation.
27177Slipped epiphysis
27177 describes open treatment without internal fixation. The closed approach with manipulation belongs to 27176.
27178SCFE surgery
27178 describes open treatment with internal fixation. Do not substitute it for closed treatment with manipulation.

Codes related to 27176

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

Codes related to 27176
CodeHow it relatesNational office range
Same family
27175Slipped epiphysis treatmentClosed treatment of slipped femoral epiphysis without manipulation.No office rate
27177Slipped epiphysisOpen treatment of slipped femoral epiphysis without internal fixation.No office rate
27178SCFE surgeryOpen treatment of slipped femoral epiphysis with internal fixation.No office rate

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
RVUs for 27176PPRRVU2026_Oct_nonQPP.csv, line 2,775 (RVU26D)

Open CMS sourceHow we calculate rates

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