Billing code 27727: Lower-leg repairMedicare rate & RVUs in Florida
Reports operative repair of a tibial and fibular nonunion or malunion when an intramedullary rod is inserted as part of the reconstruction.
CMS doesn’t publish an office rate for 27727 in Florida.
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 27727 covers
This service addresses a tibial and fibular fracture that has failed to unite or healed in a position requiring operative correction. The surgeon repairs both lower-leg bones and inserts an intramedullary rod as part of the reconstruction. It is typically performed by an orthopedic surgeon in a hospital or ambulatory surgical setting; the operative report should identify the affected bones, the nonunion or malunion, and the rod insertion.
Select this code when the repair involves both the tibia and fibula and includes intramedullary rod insertion; a tibia-only repair or fibula-only repair points to a different code. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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 payment may be available; co-surgeons require 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.
Where 27727 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,045.36 |
| Miami | Unavailable | $1,129.48 |
| Rest Of Florida | Unavailable | $992.96 |
How the 27727 rate is calculated
Each of 27727’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 · 27727
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.47Practice expense 11.15Malpractice 3.06
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27727
27727 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27727
Lower-leg 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 · 27727
Lower-leg 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
27727 without 50 · national facility
$957.94
Lower-leg repair
27727-50 · Bilateral: 150%
$1,436.91
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).
27727 compared with similar codes
Compare codes
27727 vs 27725 vs 27726 vs 27724: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27725Tibial nonunion repair
- Use 27725 when the repair with intramedullary rod insertion is limited to the tibia. This code is for repair involving both the tibia and fibula.
- 27726Fibula repair
- Use 27726 for a fibula-only nonunion or malunion repair. This code involves both lower-leg bones and includes rod insertion.
- 27724Tibia repair
- 27724 applies to a tibia-only repair using iliac or other autograft. This code describes repair of both the tibia and fibula with rod insertion.
27727 billing questions
When should I choose this code instead of 27725?
Use this code when the nonunion or malunion repair involves both the tibia and fibula and includes intramedullary rod insertion. Code 27725 describes a tibia-only repair with rod insertion.
Is the intramedullary rod part of the service?
Yes. Rod insertion is part of the repair described by this code; document it in the operative report.
Can this code be reported bilaterally?
For bilateral procedures, CMS payment is 150% when modifier 50 is used. Document the service on both sides.
How does the multiple-procedure reduction affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
What documentation supports reporting this code?
The operative report should establish nonunion or malunion involving both the tibia and fibula and describe the repair and intramedullary rod insertion.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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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