No office rate
27175 represents closed treatment of a slipped femoral epiphysis without manipulation. Use 27185 for surgical revision to correct epiphyseal malalignment, not for that closed treatment.
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CMS RVU26D · Effective 2026-10-01
27185 Femoral revision Medicare reimbursement rates in Indiana
Corrective surgery realigns a deformed femoral epiphysis, including residual proximal femoral deformity after a slipped capital femoral epiphysis. Compare 27185 office and facility rates across CMS payment localities in Indiana.
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 27185 in Indiana?
Indiana 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
$620.85
1 of 1 localities have a supported rate.
Payment area: Indiana
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 27185: Femoral epiphyseal realignment revision
Corrective surgery realigns a deformed femoral epiphysis, including residual proximal femoral deformity after a slipped capital femoral epiphysis.
An orthopedic surgeon uses this service to correct persistent or residual malalignment of the femoral epiphysis, commonly in a patient with deformity after a slipped capital femoral epiphysis. The correction may involve an osteotomy or another realignment method. The operative report should identify the epiphyseal deformity, the corrective work performed, and the resulting alignment; the code is for surgical revision, not simply an evaluation of hip pain or imaging of the growth plate.
Report the code when the procedure revises the femoral epiphysis, rather than treating an active slip by a method represented by the slipped-epiphysis treatment codes. Documentation should describe the indication, operative approach, and specific correction. 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 other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 27185
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.55 · 47%
- Practice expense (office) RVU8.68 · 43%
- Malpractice RVU2.04 · 10%
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.
27185 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
27178 represents open treatment of a slipped femoral epiphysis with internal fixation. Distinguish treatment of the slip from revision of residual deformity.
No office rate
27179 concerns revision of the femoral head or neck. Select 27185 when the operative work revises the femoral epiphysis; follow the documented target and procedure.
Compare 27185 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
Indiana →
Office / nonfacility
Unavailable
Facility
$620.85
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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 27185 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
2,780
- Code
- 27185
- Physician work
- 9.55
- Practice expense
- 8.68
- Malpractice
- 2.04
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.55 | × 1.000 | 9.5500 |
| Practice expense | 8.68 | × 0.927 | 8.0464 |
| Malpractice | 2.04 | × 0.486 | 0.9914 |
| Total RVUs | 18.5878 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$620.85
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.55 | 1 |
| Practice expense | 8.68 | 0.927 |
| Malpractice | 2.04 | 0.486 |
(9.55 × 1 + 8.68 × 0.927 + 2.04 × 0.486) × $33.4009 = $620.85
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.
27185 billing questions
How is this different from treatment of a slipped femoral epiphysis?
This code describes revision to correct epiphyseal malalignment. Select a slipped-epiphysis treatment code when the service treats the slip itself using the method represented by that code.
Does the code include routine postoperative visits?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS handle bilateral reporting?
When the procedure is performed on both sides and reported with modifier 50, CMS pays at 150%.
Can an assistant-at-surgery or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons are paid only when supporting documentation is provided.
What should the operative note support?
Document the femoral epiphyseal deformity, why revision was required, and the corrective method and realignment performed.
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.
2,77727178,,Treat slipped epiphysis,A,,12.60,10.37,NA,10.37,,2.68,25.65,25.65,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77827179,,Revise head/neck of femur,A,,13.62,10.53,NA,10.53,,2.91,27.06,27.06,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77927181,,Treat slipped epiphysis,A,,15.78,11.78,NA,11.78,,3.35,30.91,30.91,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78027185,,Revision of femur epiphysis,A,,9.55,8.68,NA,8.68,,2.04,20.27,20.27,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78127187,,Reinforce hip bones,A,,13.87,10.73,NA,10.73,,2.94,27.54,27.54,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78227197,,Clsd tx pelvic ring fx,A,,1.49,1.91,NA,1.91,,0.30,3.70,3.70,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78327198,,Clsd tx pelvic ring fx,A,,4.63,2.89,NA,2.89,,0.99,8.51,8.51,0,000,0.00,0.00,0.00,2,0,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915