No office rate
Use 27705 for a tibial osteotomy without the realignment and intramedullary rod elements specified for 27712.
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CMS RVU26D · Effective 2026-10-01
27712 Tibial osteotomy Medicare reimbursement rates in Colorado
Corrective tibial osteotomy with intramedullary rod fixation is reported when the surgeon realigns a tibial deformity, with fibular osteotomy included when performed. Compare 27712 office and facility rates across CMS payment localities in Colorado.
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 27712 in Colorado?
Colorado 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
$1023.83
1 of 1 localities have a supported rate.
Payment area: Colorado
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 27712: Tibial realignment osteotomy with rod
Corrective tibial osteotomy with intramedullary rod fixation is reported when the surgeon realigns a tibial deformity, with fibular osteotomy included when performed.
An orthopedic surgeon cuts the tibia to correct a deformity, restores alignment, and stabilizes the correction with an intramedullary rod. The fibula may also be cut when needed to achieve the realignment. Typical situations include corrective surgery for a tibial malunion or angular deformity when rod fixation is part of the procedure. The service is performed in an operating room, generally in a hospital or ambulatory surgical setting.
Choose this code when the operative work includes tibial osteotomy, realignment, and intramedullary rod fixation; the presence of a rod alone is not enough. Document the deformity, osteotomy and alignment work, rod placement, and whether the fibula was also treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 27712
- 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 RVU15.47 · 51%
- Practice expense (office) RVU11.68 · 38%
- Malpractice RVU3.29 · 11%
17
Medicare services in 2024 · #6000 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.
27712 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
Use 27709 for osteotomy of both the tibia and fibula when the operation does not meet 27712's rod-assisted realignment description.
No office rate
Use 27713 when the tibial osteotomy is performed for lengthening with an intramedullary device, rather than the realignment service represented by 27712.
Compare 27712 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
Colorado →
Office / nonfacility
Unavailable
Facility
$1023.83
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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 27712 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
3,021
- Code
- 27712
- Physician work
- 15.47
- Practice expense
- 11.68
- Malpractice
- 3.29
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.47 | × 1.012 | 15.6556 |
| Practice expense | 11.68 | × 1.064 | 12.4275 |
| Malpractice | 3.29 | × 0.781 | 2.5695 |
| Total RVUs | 30.6527 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$1023.83
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.47 | 1.012 |
| Practice expense | 11.68 | 1.064 |
| Malpractice | 3.29 | 0.781 |
(15.47 × 1.012 + 11.68 × 1.064 + 3.29 × 0.781) × $33.4009 = $1023.83
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.
27712 billing questions
When should this be chosen over 27705?
Choose 27712 when the tibial osteotomy corrects alignment and is stabilized with an intramedullary rod. Code 27705 describes a tibial osteotomy without those specified features.
Is a fibular osteotomy separately reported when performed with this service?
The code includes fibular osteotomy when performed as part of the tibial realignment. Do not separately report 27707 for that same fibular work.
How is bilateral surgery reported?
Use modifier 50 for a bilateral procedure. CMS pays the bilateral service at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What documentation supports assistant or co-surgeon billing?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and CMS does not permit team surgery for this code.
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.
3,01827705,,Osteotomy tibia,A,,10.59,8.19,NA,8.19,,1.96,20.74,20.74,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01927707,,Osteotomy fibula,A,,4.66,6.20,NA,6.20,,0.89,11.75,11.75,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02027709,,Osteotomy tibia & fibula,A,,17.04,11.06,NA,11.06,,3.37,31.47,31.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02127712,,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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899