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Billing code 27742: Epiphyseal repairMedicare rate & RVUs

Reports operative repair involving leg epiphyses, the growth-plate regions at the ends of lower-leg bones, when the documented procedure meets this code’s definition.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $730.48 for 27742 nationally in a facility.

Medicare rate · 27742

Epiphyseal repair

Swap in your local Medicare rate.

Work RVUs
10.36
Total RVUs
21.87
Global days
090

National rate · 2026

$730.48

Facility setting, before claim adjustments.

See every locality for 27742 → · 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 27742 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 27742 covers

billing code 27742 represents operative repair involving leg epiphyses, the growth-plate regions near the ends of the lower-leg bones. An orthopedic surgeon typically performs the procedure in an operating room to address an epiphyseal problem requiring surgical repair. The operative report should identify the affected bone or bones, the epiphyseal site, the reason for repair, and the work performed. The CMS short descriptor is abbreviated, so code selection should follow the full current billing code descriptor and operative details rather than the abbreviated label alone.

This is a major procedure with a 90-day global period: payment includes the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays 150%. An assistant at surgery may be paid; co-surgeons are paid only with 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 27742 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

27742 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$659.72
Alaska*Unavailable$890.71
ArizonaUnavailable$710.26
ArkansasUnavailable$650.99
AtlantaUnavailable$751.26
AustinUnavailable$740.83
BakersfieldUnavailable$738.17
Baltimore/Surr. CntysUnavailable$776.13
BeaumontUnavailable$697.27
BrazoriaUnavailable$714.28

27742 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
27742 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 27742 rate is calculated

Each of 27742’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 · 27742

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 10.36Practice expense 9.31Malpractice 2.20

21.8700 adjusted RVUs×$33.4009 conversion factor=$730.48

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

Payment rules and modifiers for 27742

27742 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27742

Epiphyseal 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 · 27742

Epiphyseal 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

27742 without 50 · national facility

$730.48

Epiphyseal repair

27742-50 · Bilateral: 150%

$1,095.72

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

27742 compared with similar codes

Compare codes

27742 vs 27730 vs 27732 vs 27734 vs 27720: national Medicare rates

Swap in your local Medicare rate.

  • 27742
    Epiphyseal repair · 10.36 wRVU
    —
  • 27730
    Epiphysis repair · 7.51 wRVU
    —
  • 27732
    Epiphyseal repair · 5.32 wRVU
    —
  • 27734
    Growth plate repair · 8.61 wRVU
    —
  • 27720
    Tibia repair · 12.05 wRVU
    —

How to choose

27730Epiphysis repair
Use 27730 for repair identified as involving the tibial epiphysis. For 27742, verify that the operative service instead matches its full descriptor.
27732Epiphyseal repair
Use 27732 for repair identified as involving the fibular epiphysis. Do not rely on the shared abbreviated wording to select 27742.
27734Growth plate repair
27734 is the related code for lower-leg epiphyses. Compare the full descriptors and documented operative work when distinguishing it from 27742.
27720Tibia repair
27720 describes repair of tibial nonunion or malunion, whereas 27742 concerns leg epiphyses. The documented condition and procedure determine which applies.

Codes related to 27742

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

Codes related to 27742
CodeHow it relatesNational office range
Same family
27730Epiphysis repairRelated epiphyseal repair code specifically identified with the tibia.No office rate
27732Epiphyseal repairRelated epiphyseal repair code specifically identified with the fibula.No office rate
27734Growth plate repairRelated repair code for lower-leg epiphyses.No office rate
27740Growth plate repairNearby code with the same abbreviated CMS description; verify the full billing code descriptor.No office rate

27742 billing questions

How should 27742 be distinguished from 27730, 27732, or 27734?

Those neighboring codes describe repair of the tibial epiphysis, fibular epiphysis, or lower-leg epiphyses. Select 27742 only when the operative service matches its full billing code descriptor; the abbreviated CMS label alone may not establish the distinction.

What documentation supports reporting 27742?

The operative report should identify the epiphyseal site and affected bone or bones, the clinical reason for repair, and the surgical work performed.

Does the 90-day global period include postoperative visits?

It includes the day-before preoperative visit and 90 days of related postoperative care.

How is 27742 handled when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

How is bilateral 27742 reported?

For a bilateral procedure reported with modifier 50, CMS pays 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 27742PPRRVU2026_Oct_nonQPP.csv, line 3,034 (RVU26D)

Open CMS sourceHow we calculate rates

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