No office rate
Both address tibial nonunion or malunion, but 27722 is for a repair using a sliding graft; 27720 is for repair without graft.
On this page
CMS RVU26D · Effective 2026-10-01
27720 Tibia repair Medicare reimbursement rates in Arkansas
Surgical repair of an established tibial nonunion or malunion without bone graft, such as correction using compression or fixation techniques. Compare 27720 office and facility rates across CMS payment localities in Arkansas.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27720 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$725.97
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 27720: Tibial nonunion or malunion repair without graft
Surgical repair of an established tibial nonunion or malunion without bone graft, such as correction using compression or fixation techniques.
This procedure repairs a tibia that has failed to unite or has healed in an unsatisfactory position. An orthopedic surgeon typically performs it in an operating room, using a technique such as compression and fixation to address the bone-healing or alignment problem without a bone graft. The operative approach depends on the condition of the fracture and the repair plan.
Report this code when the documented repair is of the tibia and does not use a graft; graft-based methods and intramedullary nailing have distinct codes. The operative report should identify the bone and side, the nonunion or malunion, and the repair method, including whether graft was used. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgery requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27720
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.05 · 50%
- Practice expense (office) RVU9.83 · 40%
- Malpractice RVU2.41 · 10%
603
Medicare services in 2024 · #3390 by national volume
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.
27720 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
Use 27724 when the tibial repair uses iliac or another autograft. This code describes repair without graft.
No office rate
This code describes tibial nonunion or malunion repair by intramedullary nailing; 27720 is the without-graft repair category that is not identified by that method.
$347.39
27750 is for closed treatment of a tibial shaft fracture. Use 27720 for operative repair of an established tibial nonunion or malunion.
Compare 27720 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
Unavailable
Facility
$725.97
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27720 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
3,024
- Code
- 27720
- Physician work
- 12.05
- Practice expense
- 9.83
- Malpractice
- 2.41
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.05 | × 1.000 | 12.0500 |
| Practice expense | 9.83 | × 0.859 | 8.4440 |
| Malpractice | 2.41 | × 0.515 | 1.2412 |
| Total RVUs | 21.7351 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$725.97
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.05 | 1 |
| Practice expense | 9.83 | 0.859 |
| Malpractice | 2.41 | 0.515 |
(12.05 × 1 + 9.83 × 0.859 + 2.41 × 0.515) × $33.4009 = $725.97
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27720 billing questions
When should I report this instead of a graft-repair code?
Use 27720 for tibial nonunion or malunion repair without graft. If the documented repair uses a sliding graft or iliac or other autograft, consider 27722 or 27724, respectively.
Is this code for treatment of an acute tibial fracture?
No. It describes repair of an established nonunion or malunion; acute fracture treatment is reported with the code matching the fracture treatment and method.
What documentation supports reporting 27720?
The operative report should establish the tibial nonunion or malunion, identify the side, describe the repair technique, and support that no graft was used.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are bilateral repairs and additional procedures handled?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,02127712,,Osteot mlt relignmt imed rod,A,,15.47,11.68,NA,11.68,,3.29,30.44,30.44,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02227713,,Osteot tibia imed lngth dev,A,,28.00,19.31,NA,19.31,,5.20,52.51,52.51,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02327715,,Ostpl tibfib lngth/shrt,A,,21.94,14.16,NA,14.16,,4.68,40.78,40.78,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02427720,,Repair of tibia,A,,12.05,9.83,NA,9.83,,2.41,24.29,24.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02527722,,Repair/graft of tibia,A,,12.14,10.22,NA,10.22,,2.59,24.95,24.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02627724,,Repair/graft of tibia,A,,18.83,11.18,NA,11.18,,3.96,33.97,33.97,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02727725,,Repair of lower leg,A,,16.97,13.06,NA,13.06,,3.61,33.64,33.64,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541