27725 Tibial nonunion repair Medicare reimbursement rates in Indiana

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.