No office rate
Both address prophylactic stabilization before fracture, but 27495 is for the femur and 27745 is for the tibia.
On this page
CMS RVU26D · Effective 2026-10-01
27745 Tibial stabilization Medicare reimbursement rates in Kentucky
Reports surgical stabilization of a tibia at risk of fracture before a fracture is present, with or without use of bone cement. Compare 27745 office and facility rates across CMS payment localities in Kentucky.
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 27745 in Kentucky?
Kentucky 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
$642.96
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 27745: Prophylactic tibial stabilization
Reports surgical stabilization of a tibia at risk of fracture before a fracture is present, with or without use of bone cement.
An orthopedic surgeon uses this service to reinforce a tibia at risk of breaking even though no fracture is present. A common situation is a weakened tibial bone lesion, such as one associated with metastatic disease, where the surgeon stabilizes the bone to reduce fracture risk. The procedure may include fixation with or without methylmethacrylate. It is generally performed in an operating room rather than as routine fracture care.
Report the code when the operative documentation supports prophylactic tibial stabilization and establishes that the tibia was not fractured. Document the treated bone and side, the reason the bone was considered at risk, and the stabilization performed, including whether cement was used. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27745
- 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 RVU10.23 · 50%
- Practice expense (office) RVU8.18 · 40%
- Malpractice RVU1.91 · 9%
778
Medicare services in 2024 · #3181 by national volume
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.
27745 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$364.36
27750 describes closed treatment of an existing tibial shaft fracture without manipulation; 27745 is prophylactic stabilization when no fracture is present.
No office rate
27759 is used for treatment of a tibial shaft fracture with an intramedullary implant. Choose 27745 for prophylactic tibial stabilization without a fracture.
No office rate
27720 addresses repair of a tibial nonunion or malunion. It is not the prophylactic stabilization service described by 27745.
Compare 27745 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$642.96
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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 27745 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
3,035
- Code
- 27745
- Physician work
- 10.23
- Practice expense
- 8.18
- Malpractice
- 1.91
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.23 | × 1.000 | 10.2300 |
| Practice expense | 8.18 | × 0.889 | 7.2720 |
| Malpractice | 1.91 | × 0.915 | 1.7476 |
| Total RVUs | 19.2497 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$642.96
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.23 | 1 |
| Practice expense | 8.18 | 0.889 |
| Malpractice | 1.91 | 0.915 |
(10.23 × 1 + 8.18 × 0.889 + 1.91 × 0.915) × $33.4009 = $642.96
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.
27745 billing questions
How is this different from tibial fracture treatment?
Use 27745 when the tibia is stabilized prophylactically and no fracture is present. Fracture treatment codes describe care for an existing tibial fracture.
Does the code include use of methylmethacrylate?
The procedure may be performed with or without methylmethacrylate. Document whether cement was used as part of the stabilization.
What documentation supports reporting 27745?
Document the absence of a fracture, the tibia and side treated, the clinical reason for prophylactic stabilization, and the procedure performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are bilateral and multiple procedures handled?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%.
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 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.
3,03227734,,Repair lower leg epiphyses,A,,8.61,8.19,NA,8.19,,1.83,18.63,18.63,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03327740,,Repair of leg epiphyses,A,,9.37,8.62,NA,8.62,,1.99,19.98,19.98,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03427742,,Repair of leg epiphyses,A,,10.36,9.31,NA,9.31,,2.20,21.87,21.87,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03527745,,Reinforce tibia,A,,10.23,8.18,NA,8.18,,1.91,20.32,20.32,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03627750,,Treatment of tibia fracture,A,,3.29,7.87,,6.02,,0.68,11.84,9.99,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03727752,,Treatment of tibia fracture,A,,6.11,10.76,,7.54,,1.34,18.21,14.99,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03827756,,Treatment of tibia fracture,A,,7.26,8.11,NA,8.11,,1.53,16.90,16.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631