Billing code 27722: Tibia repairMedicare rate & RVUs in Delaware
Reports operative repair of a tibial nonunion or malunion using a sliding bone graft to promote union at the deformity or fracture site.
CMS doesn’t publish an office rate for 27722 in Delaware.
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 9 sections
What 27722 covers
This procedure repairs a tibial fracture that has failed to unite or healed in an unacceptable position, using a sliding graft fashioned from the tibia. The orthopedic surgeon prepares the nonunion or malunion site and mobilizes a segment of cortical bone to bridge or support it. It is typically performed in an operating room when the documented problem and chosen technique call for this graft-based reconstruction.
Report 27722 when the operative documentation supports tibial nonunion or malunion repair with a sliding graft; distinguish it from repair without graft or repair using a separately obtained autograft. The record should identify the tibial site, the nonunion or malunion, and the graft technique performed. 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires 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.
27722 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $822.55 |
How the 27722 rate is calculated
Each of 27722’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 · 27722
RVUs × geographic indexes × conversion factor
Work12.14
12.14 RVUs× 1.000 GPCI
Practice expense10.22
10.22 RVUs× 1.000 GPCI
Malpractice2.59
2.59 RVUs× 1.000 GPCI
Adjusted RVUs
24.9500
Conversion factor
$33.4009
Medicare rate
$833.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27722
27722 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27722
Tibia repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27722
Tibia 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27722 without 50 · national facility
$833.35
Tibia repair
27722-50 · Bilateral: 150%
$1,250.03
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).
27722 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27720Tibia repair
- Both address tibial nonunion or malunion, but 27720 is repair without graft; 27722 requires a sliding graft.
- 27724Tibia repair
- 27724 is used when repair involves an iliac or other autograft, including obtaining it; 27722 describes a sliding graft technique.
- 27725Tibial nonunion repair
- 27725 describes related lower-leg nonunion or malunion repair with intramedullary rod insertion, rather than the sliding graft method specified by 27722.
- 27726Fibula repair
- 27726 concerns nonunion or malunion repair of the fibula. Use 27722 when the repaired bone is the tibia and a sliding graft is used.
27722 billing questions
When should 27722 be chosen over 27720?
Use 27722 when the surgeon repairs a tibial nonunion or malunion with a sliding graft. 27720 describes repair without graft.
How does 27722 differ from 27724?
27722 identifies a sliding graft technique. 27724 is for repair using an iliac or other autograft, including obtaining the graft.
What documentation supports reporting 27722?
The operative report should identify the tibial nonunion or malunion and describe the sliding graft used to repair it.
How are additional procedures in the same session paid?
Under the CMS multiple procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can 27722 be reported bilaterally?
For bilateral procedures reported with modifier 50, CMS pays 150%.
How does the global period affect follow-up billing?
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 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
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