No office rate
Use 27730 when the repair is limited to the distal tibial epiphysis; 27734 describes lower-leg epiphyseal repair.
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CMS RVU26D · Effective 2026-10-01
27734 Growth plate repair Medicare reimbursement rates in New Jersey
Surgical repair of an epiphyseal separation in the lower leg, reported when the growth-plate injury requires operative reduction or stabilization. Compare 27734 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 27734 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
$664.86–$688.30
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 27734: Lower-leg epiphyseal separation repair
Surgical repair of an epiphyseal separation in the lower leg, reported when the growth-plate injury requires operative reduction or stabilization.
This code describes operative repair of an epiphyseal separation involving the lower leg. An orthopedic surgeon typically performs the procedure for a growth-plate injury that needs surgical reduction or stabilization, rather than treatment of a fracture confined to the tibial or fibular shaft. The operative work may include restoring alignment and stabilizing the injured epiphysis. The record should identify the injury and site, describe the reduction and any fixation, and support why operative repair was performed.
Report the code for the lower-leg epiphyseal repair performed; distinguish it from codes for repair limited to the distal tibial or distal fibular epiphysis. CMS 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 are subject to the standard 50% reduction. For bilateral surgery, modifier 50 corresponds to payment at 150%. CMS does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
CMS billing rules for 27734
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.61 · 46%
- Practice expense (office) RVU8.19 · 44%
- Malpractice RVU1.83 · 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.
27734 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
Use 27732 when the repair is limited to the distal fibular epiphysis; 27734 describes lower-leg epiphyseal repair.
No office rate
27720 is for repair of the tibia, while 27734 concerns an epiphyseal separation rather than a tibial shaft repair.
Compare 27734 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
$688.30
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$664.86
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27734 billing questions
When should this code be chosen instead of 27730 or 27732?
Use 27734 for repair involving lower-leg epiphyses. Codes 27730 and 27732 describe repair limited to the distal tibial and distal fibular epiphysis, respectively.
Does the 90-day global period include routine related follow-up?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported under the CMS facts?
Report modifier 50 for a bilateral procedure; CMS payment is at 150%.
Can an assistant surgeon or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What documentation supports reporting this repair?
Document the epiphyseal injury site, the operative reduction or stabilization performed, and the clinical basis for surgical repair.
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.
3,02927727,,Repair of lower leg,A,,14.47,11.15,NA,11.15,,3.06,28.68,28.68,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03027730,,Repair of tibia epiphysis,A,,7.51,7.68,NA,7.68,,1.61,16.80,16.80,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03127732,,Repair of fibula epiphysis,A,,5.32,6.77,NA,6.77,,1.14,13.23,13.23,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03227734,,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