No office rate
Choose 27175 for closed treatment without manipulation. Report 27176 when the operative documentation supports manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27176 Slipped epiphysis treatment Medicare reimbursement rates in New Jersey
Reports closed treatment of a slipped femoral epiphysis when the surgeon manipulates the hip to address displacement without open exposure. Compare 27176 office and facility rates across CMS payment localities in New Jersey.
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 27176 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$914.12–$944.75
2 of 2 localities have a supported rate.
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 27176: Closed slipped femoral epiphysis treatment with manipulation
Reports closed treatment of a slipped femoral epiphysis when the surgeon manipulates the hip to address displacement without open exposure.
This service covers closed treatment of a slipped femoral epiphysis, commonly encountered in adolescents with displacement at the proximal femoral growth plate. The orthopedic surgeon manipulates the hip to address the slip without surgically exposing the physis. The operative report should make clear that manipulation was performed and that treatment was closed; the diagnosis alone does not establish the work represented by this code.
Report 27176 when the documented treatment includes manipulation, rather than closed treatment without manipulation or an open procedure. Record the clinical indication, reduction or manipulation performed, and operative approach. CMS assigns 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 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-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27176
- 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 RVU12.60 · 49%
- Practice expense (office) RVU10.37 · 40%
- Malpractice RVU2.68 · 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.
27176 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
27177 describes open treatment without internal fixation. The closed approach with manipulation belongs to 27176.
No office rate
27178 describes open treatment with internal fixation. Do not substitute it for closed treatment with manipulation.
Compare 27176 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$944.75
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$914.12
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27176 billing questions
How does 27176 differ from 27175?
27176 represents closed treatment with manipulation. Use 27175 when the documented closed treatment is performed without manipulation.
Does an open approach fit 27176?
No. This code represents closed treatment. An operative report describing open exposure should be evaluated against the open-treatment codes, including 27177 and 27178.
What documentation supports reporting 27176?
The record should identify the slipped femoral epiphysis and describe the manipulation performed and the closed approach. The diagnosis by itself does not show that manipulation occurred.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care through 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted under the CMS rules for this code.
How is bilateral treatment handled?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays it at 150%.
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.
2,77227165,,Incision/fixation of femur,A,,19.78,13.72,NA,13.72,,4.21,37.71,37.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77327170,,Repair/graft femur head/neck,A,,17.17,11.07,NA,11.07,,3.65,31.89,31.89,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77427175,,Treat slipped epiphysis,A,,9.15,7.49,NA,7.49,,1.95,18.59,18.59,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77527176,,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
2,77627177,,Treat slipped epiphysis,A,,15.69,11.70,NA,11.70,,3.34,30.73,30.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77727178,,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