CPT code 27725: Tibial nonunion repair2026 Medicare rate & RVUs in Delaware
Reports operative repair of a tibial nonunion or malunion using intramedullary fixation to stabilize the bone and address failed or faulty healing.
CMS doesn’t publish an office rate for 27725 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 27725 covers
An orthopedic surgeon reports this service when operating on a tibial fracture that has failed to unite or has healed in a malaligned position and uses an intramedullary implant for fixation. The procedure is generally performed in an operating room, commonly in a hospital or ambulatory surgical setting. The operative report should identify the tibial site and describe the nonunion or malunion and the intramedullary fixation used.
Select this code for the repair technique, rather than a tibial repair code describing a different fixation or graft approach. Documentation should support the healing problem, the bone treated, and the work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; 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.
27725 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $1,109.03 |
How the 27725 rate is calculated
Each of 27725’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 · 27725
RVUs × geographic indexes × conversion factor
Work16.97
16.97 RVUs× 1.000 GPCI
Practice expense13.06
13.06 RVUs× 1.000 GPCI
Malpractice3.61
3.61 RVUs× 1.000 GPCI
Adjusted RVUs
33.6400
Conversion factor
$33.4009
Medicare rate
$1,123.61
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27725
27725 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27725
Tibial nonunion 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 · 27725
Tibial nonunion 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
27725 without 50 · national facility
$1,123.61
Tibial nonunion repair
27725-50 · Bilateral: 150%
$1,685.41
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).
27725 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27720Tibia repair
- 27720 describes tibial nonunion or malunion repair without graft, including compression technique. Use 27725 when the repair uses intramedullary fixation.
- 27724Tibia repair
- 27724 is the tibial repair option involving iliac or other autograft. Code 27725 distinguishes repair using intramedullary fixation.
- 27726Fibula repair
- 27726 addresses repair of fibular nonunion or malunion. Code 27725 is for tibial repair using intramedullary fixation.
27725 billing questions
How does this differ from 27720?
Use 27725 when the tibial nonunion or malunion repair uses intramedullary fixation. Code 27720 describes repair without a graft, such as by compression technique.
When would 27724 be more appropriate?
27724 describes tibial nonunion or malunion repair with iliac or other autograft. Choose based on the documented repair approach, not simply because an intramedullary implant is present.
Can 27725 be reported with another procedure performed in the same session?
It may be reported with another distinct procedure when both are performed and documented. Medicare applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50%.
What does the 90-day global period include?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation.
How is bilateral repair handled?
For bilateral procedures reported with modifier 50, Medicare pays at 150%.
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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