No office rate
Use this code for excision of an existing growth-plate bridge. Code 27475 describes open epiphysiodesis, which intentionally arrests growth.
On this page
CMS RVU26D · Effective 2026-10-01
20150 Growth plate surgery Medicare reimbursement rates in Delaware
Reports surgical removal of a bony bridge across a growth plate, typically to address partial growth arrest after injury in a growing patient. Compare 20150 office and facility rates across CMS payment localities in Delaware.
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 20150 in Delaware?
Delaware 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
$908.91
1 of 1 localities have a supported rate.
Payment area: Delaware
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 20150: Excision of an epiphyseal growth bar
Reports surgical removal of a bony bridge across a growth plate, typically to address partial growth arrest after injury in a growing patient.
An orthopedic surgeon removes a bony bridge, or bar, that has formed across a growth plate and is restricting growth. This procedure is most often considered in a growing child after a fracture or other injury causes partial physeal arrest, sometimes with developing limb-length discrepancy or angular deformity. The affected physis may be in a long bone such as the distal femur or proximal tibia. Imaging may be used to locate the bridge and guide its removal.
Report the service when the operative record supports excision of an existing epiphyseal bar, rather than a procedure intended to stop or redirect growth. Documentation should identify the affected bone and physis, the growth disturbance, and the work performed to remove the bar. CMS assigns a 90-day global period, including the day before surgery and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 20150
- 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 RVU14.38 · 52%
- Practice expense (office) RVU10.14 · 37%
- Malpractice RVU3.05 · 11%
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.
20150 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Code 27477 is for percutaneous epiphysiodesis to arrest growth; it does not represent surgical removal of an epiphyseal bar.
No office rate
Code 27485 describes hemiepiphysiodesis to guide growth for angular correction. Use 20150 when the operative target is excision of an existing bar.
Compare 20150 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
Delaware →
Office / nonfacility
Unavailable
Facility
$908.91
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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 20150 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
1,722
- Code
- 20150
- Physician work
- 14.38
- Practice expense
- 10.14
- Malpractice
- 3.05
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.38 | × 1.005 | 14.4519 |
| Practice expense | 10.14 | × 0.988 | 10.0183 |
| Malpractice | 3.05 | × 0.899 | 2.7420 |
| Total RVUs | 27.2122 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$908.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.38 | 1.005 |
| Practice expense | 10.14 | 0.988 |
| Malpractice | 3.05 | 0.899 |
(14.38 × 1.005 + 10.14 × 0.988 + 3.05 × 0.899) × $33.4009 = $908.91
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.
20150 billing questions
How is bar excision different from epiphysiodesis?
Bar excision removes an existing bridge that is restricting growth. Epiphysiodesis intentionally arrests growth to manage growth or limb-length problems.
What documentation supports reporting this code?
Document the affected bone and physis, the bar and resulting growth disturbance, and the operative steps used to excise it.
Does the code have a postoperative global period?
Yes. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%.
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.
1,71920103,,Expl pentrg wound extremity,A,,5.21,11.49,,3.24,,1.03,17.73,9.48,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,7202010F,,Vital signs recorded,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,7212014F,,Mental status assess,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,72220150,,Excision epiphyseal bar,A,,14.38,10.14,NA,10.14,,3.05,27.57,27.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,7232015F,,Asthma impairment assessed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,7242016F,,Asthma risk assessed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,7252018F,,Hydration status assess,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503