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Billing code 27724: Tibia repairMedicare rate & RVUs

Reports operative repair of a tibial nonunion or malunion using an autogenous bone graft, such as graft harvested from the iliac crest.

CMS RVU26DEffective Oct 1, 2026109 payment localities356 Medicare services in 2024

Medicare pays $1,134.63 for 27724 nationally in a facility.

Medicare rate · 27724

Tibia repair

Swap in your local Medicare rate.

Work RVUs
18.83
Total RVUs
33.97
Global days
090

National rate · 2026

$1,134.63

Facility setting, before claim adjustments.

See every locality for 27724 → · 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 27724 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 27724 covers

This service addresses a tibial fracture that has failed to unite or has healed in a position requiring operative correction. The orthopedic surgeon prepares the fracture site and uses autogenous bone graft to support healing; graft may be harvested from the iliac crest or another site. It is performed in an operating room, commonly for persistent tibial nonunion after fracture treatment. The graft-harvest work is included in this code’s service.

Select this code when the documented tibial nonunion or malunion repair uses autogenous graft, rather than a sliding graft, no graft, or the intramedullary-rod approach represented by related codes. The operative report should identify the tibial site, the nonunion or malunion, the graft type and source, and the repair performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, 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 made; co-surgeons require 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 27724 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

27724 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,030.55
Alaska*Unavailable$1,413.98
ArizonaUnavailable$1,104.01
ArkansasUnavailable$1,017.83
AtlantaUnavailable$1,169.08
AustinUnavailable$1,142.47
BakersfieldUnavailable$1,130.71
Baltimore/Surr. CntysUnavailable$1,203.30
BeaumontUnavailable$1,091.63
BrazoriaUnavailable$1,107.20

27724 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

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
27724 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 27724 rate is calculated

Each of 27724’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 · 27724

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 18.83Practice expense 11.18Malpractice 3.96

33.9700 adjusted RVUs×$33.4009 conversion factor=$1,134.63

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27724

27724 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27724

Tibia repair

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 · 27724

Tibia repair

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

27724 without 50 · national facility

$1,134.63

Tibia repair

27724-50 · Bilateral: 150%

$1,701.95

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

27724 compared with similar codes

Compare codes

27724 vs 27720 vs 27722 vs 27725: national Medicare rates

Swap in your local Medicare rate.

  • 27724
    Tibia repair · 18.83 wRVU
    —
  • 27720
    Tibia repair · 12.05 wRVU
    —
  • 27722
    Tibia repair · 12.14 wRVU
    —
  • 27725
    Tibial nonunion repair · 16.97 wRVU
    —

How to choose

27720Tibia repair
Use 27720 for tibial nonunion or malunion repair without graft; use 27724 when the repair uses autogenous bone graft.
27722Tibia repair
Use 27722 for a sliding-graft repair. This code applies when another autogenous bone graft approach is used.
27725Tibial nonunion repair
Use 27725 for tibial nonunion or malunion repair with an intramedullary rod. This code distinguishes repair using autogenous bone graft.

Codes related to 27724

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

Codes related to 27724
CodeHow it relatesNational office range
Same family
27720Tibia repairTibial nonunion or malunion repair without graft.No office rate
27722Tibia repairTibial nonunion or malunion repair using a sliding graft.No office rate
27725Tibial nonunion repairTibial nonunion or malunion repair using an intramedullary rod.No office rate

27724 billing questions

When should this code be chosen instead of 27720?

Use this code when the tibial nonunion or malunion repair includes autogenous bone graft. Code 27720 represents repair without graft.

How does this differ from 27722?

Code 27722 represents repair using a sliding graft. This code is for repair using another autogenous bone graft approach, such as graft harvested from the iliac crest.

Is graft harvesting separately reported?

The graft-harvest work is included in this code’s service. Document the graft type and source in the operative report.

What documentation supports reporting this code?

Document the tibial nonunion or malunion, its site, the repair performed, and the use and source of autogenous graft.

How are same-session procedures and bilateral cases handled?

For multiple procedures in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

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 27724PPRRVU2026_Oct_nonQPP.csv, line 3,026 (RVU26D)

Open CMS sourceHow we calculate rates

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