No office rate
Use 27713 when the tibial osteotomy is performed for lengthening through an intramedullary device. Code 27705 describes tibial osteotomy without that specific lengthening method.
On this page
CMS RVU26D · Effective 2026-10-01
27713 Tibial lengthening Medicare reimbursement rates in Kansas
Reports tibial osteotomy performed to lengthen the bone using an intramedullary device, such as for a clinically significant leg-length discrepancy. Compare 27713 office and facility rates across CMS payment localities in Kansas.
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 27713 in Kansas?
Kansas 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
$1605.82
1 of 1 localities have a supported rate.
Payment area: Kansas
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 27713: Tibial osteotomy with intramedullary lengthening
Reports tibial osteotomy performed to lengthen the bone using an intramedullary device, such as for a clinically significant leg-length discrepancy.
An orthopedic surgeon cuts the tibia and uses an intramedullary lengthening device to gradually increase the bone’s length. The procedure may address a leg-length discrepancy or another condition requiring tibial lengthening. It is generally performed in an operating room, with the operative report identifying the tibia treated, the osteotomy, and the device-based lengthening approach.
Report this code when the documented service includes tibial osteotomy with lengthening through an intramedullary device, rather than a tibial osteotomy for another purpose or a different lengthening method. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For other procedures 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%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27713
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU28.00 · 53%
- Practice expense (office) RVU19.31 · 37%
- Malpractice RVU5.20 · 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.
27713 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Code 27712 concerns tibial realignment with intramedullary rodding. This code is for lengthening the tibia through an intramedullary device.
No office rate
Code 27715 describes lengthening or shortening involving the tibia and fibula by osteoplasty. This code focuses on tibial lengthening using an intramedullary device.
Compare 27713 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
Kansas →
Office / nonfacility
Unavailable
Facility
$1605.82
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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 27713 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
3,022
- Code
- 27713
- Physician work
- 28.00
- Practice expense
- 19.31
- Malpractice
- 5.20
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.00 | × 1.000 | 28.0000 |
| Practice expense | 19.31 | × 0.904 | 17.4562 |
| Malpractice | 5.20 | × 0.504 | 2.6208 |
| Total RVUs | 48.0770 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1605.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 28 | 1 |
| Practice expense | 19.31 | 0.904 |
| Malpractice | 5.2 | 0.504 |
(28 × 1 + 19.31 × 0.904 + 5.2 × 0.504) × $33.4009 = $1605.82
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.
27713 billing questions
What distinguishes this code from a tibial osteotomy without lengthening?
This code describes tibial osteotomy with lengthening using an intramedullary device. A tibial osteotomy performed without that lengthening method may fit a different code, depending on its purpose and technique.
How does this differ from tibial realignment with an intramedullary rod?
The key distinction is the documented objective and method: this code is for lengthening through an intramedullary device, while 27712 describes tibial realignment with intramedullary rodding.
What documentation supports reporting this code?
The operative report should identify the tibia, the osteotomy, and the intramedullary device-based lengthening performed. It should also describe the clinical reason for lengthening.
How is bilateral surgery reported?
CMS lists this as a bilateral procedure payable at 150% when reported with modifier 50. The operative documentation should support treatment of both sides.
How does the multiple-procedure reduction affect same-session services?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%.
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.
3,01927707,,Osteotomy fibula,A,,4.66,6.20,NA,6.20,,0.89,11.75,11.75,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02027709,,Osteotomy tibia & fibula,A,,17.04,11.06,NA,11.06,,3.37,31.47,31.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02127712,,Osteot mlt relignmt imed rod,A,,15.47,11.68,NA,11.68,,3.29,30.44,30.44,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02227713,,Osteot tibia imed lngth dev,A,,28.00,19.31,NA,19.31,,5.20,52.51,52.51,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02327715,,Ostpl tibfib lngth/shrt,A,,21.94,14.16,NA,14.16,,4.68,40.78,40.78,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02427720,,Repair of tibia,A,,12.05,9.83,NA,9.83,,2.41,24.29,24.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02527722,,Repair/graft of tibia,A,,12.14,10.22,NA,10.22,,2.59,24.95,24.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958