No office rate
Use 27730 for repair of the tibial epiphysis and 27732 when the repaired epiphysis is in the fibula.
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CMS RVU26D · Effective 2026-10-01
27730 Epiphysis repair Medicare reimbursement rates in Arkansas
Reports operative repair of a separated tibial growth plate, typically when a surgeon restores alignment and stability of the epiphysis. Compare 27730 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 27730 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
$498.88
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 27730: Tibial epiphysis repair
Reports operative repair of a separated tibial growth plate, typically when a surgeon restores alignment and stability of the epiphysis.
This code describes operative repair of a separation involving the tibial epiphysis, the growth region at the end of the bone. An orthopedic surgeon typically performs the procedure for a displaced or unstable growth-plate injury when surgical restoration of alignment and stability is needed. The operative approach may include fixation, as documented for the individual case.
Report the code for the tibial epiphyseal repair actually performed, not for treatment of a tibial shaft fracture or a repair involving another bone. The operative report should identify the tibial epiphysis, the separation or injury, the repair performed, and laterality. Medicare 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 services are restricted by statute; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27730
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.51 · 45%
- Practice expense (office) RVU7.68 · 46%
- Malpractice RVU1.61 · 10%
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.
27730 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
This code is specific to tibial epiphyseal repair; 27734 is the related lower-leg epiphysis option when the documented repair involves the sites covered by that code.
No office rate
27720 concerns repair of tibial nonunion or malunion. Choose this code for operative repair of a tibial epiphyseal separation instead.
$347.39
27750 is a tibial fracture-treatment code, while this code is for operative repair of the tibial epiphysis.
Compare 27730 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
$498.88
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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 27730 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
3,030
- Code
- 27730
- Physician work
- 7.51
- Practice expense
- 7.68
- Malpractice
- 1.61
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.51 | × 1.000 | 7.5100 |
| Practice expense | 7.68 | × 0.859 | 6.5971 |
| Malpractice | 1.61 | × 0.515 | 0.8292 |
| Total RVUs | 14.9363 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$498.88
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.51 | 1 |
| Practice expense | 7.68 | 0.859 |
| Malpractice | 1.61 | 0.515 |
(7.51 × 1 + 7.68 × 0.859 + 1.61 × 0.515) × $33.4009 = $498.88
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.
27730 billing questions
How is this code distinguished from repair of a fibular epiphysis?
Use this code when the repaired epiphysis is in the tibia. The fibular epiphysis is described by 27732.
Does this code describe routine fracture treatment?
It describes operative repair of a tibial epiphyseal separation. A tibial fracture treated without that epiphyseal repair may fall under a fracture-treatment code instead.
What documentation supports reporting it?
Document the tibial epiphyseal injury or separation, the side, and the operative steps used to restore the epiphysis. The record should distinguish the growth-plate repair from treatment of a shaft fracture.
How does Medicare treat bilateral reporting?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
3,02727725,,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
3,02827726,,Repair fibula nonunion,A,,13.98,9.46,NA,9.46,,2.76,26.20,26.20,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02927727,,Repair of lower leg,A,,14.47,11.15,NA,11.15,,3.06,28.68,28.68,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03027730,,Repair of tibia epiphysis,A,,7.51,7.68,NA,7.68,,1.61,16.80,16.80,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03127732,,Repair of fibula epiphysis,A,,5.32,6.77,NA,6.77,,1.14,13.23,13.23,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03227734,,Repair lower leg epiphyses,A,,8.61,8.19,NA,8.19,,1.83,18.63,18.63,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03327740,,Repair of leg epiphyses,A,,9.37,8.62,NA,8.62,,1.99,19.98,19.98,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,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