No office rate
Use 27475 for the distal femoral physis; 27477 identifies growth arrest at the proximal tibia and fibula.
On this page
CMS RVU26D · Effective 2026-10-01
27475 Growth arrest Medicare reimbursement rates in Ohio
Reports epiphysiodesis of the distal femur to arrest growth, typically to manage a predicted leg-length discrepancy in a skeletally immature patient. Compare 27475 office and facility rates across CMS payment localities in Ohio.
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 27475 in Ohio?
Ohio 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
$603.88
1 of 1 localities have a supported rate.
Payment area: Ohio
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 27475: Distal femoral growth arrest
Reports epiphysiodesis of the distal femur to arrest growth, typically to manage a predicted leg-length discrepancy in a skeletally immature patient.
This procedure arrests growth at the distal femoral physis, the growth plate near the knee. Pediatric orthopedic surgeons commonly perform it for a skeletally immature patient when growth prediction indicates that one leg is likely to become longer than the other. The treatment plan targets the physis of the longer limb so continued growth of the opposite leg can reduce the discrepancy. The code is specific to the distal femur; growth arrest at another site is represented by a different code.
Report the procedure for treatment of the distal femoral growth plate, supported by documentation of the treated site, laterality, indication, and growth-management plan. This major surgery 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 other procedures are subject to the standard 50% reduction. Bilateral treatment with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27475
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.71 · 46%
- Practice expense (office) RVU8.22 · 44%
- Malpractice RVU1.85 · 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.
27475 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
Use 27475 for the distal femur; 27479 identifies the distal tibia and fibula.
No office rate
This code addresses distal femoral growth arrest for growth management. Code 27485 describes hemiepiphysiodesis used to correct an angular deformity.
Compare 27475 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
Ohio →
Office / nonfacility
Unavailable
Facility
$603.88
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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 27475 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
2,910
- Code
- 27475
- Physician work
- 8.71
- Practice expense
- 8.22
- Malpractice
- 1.85
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.71 | × 1.000 | 8.7100 |
| Practice expense | 8.22 | × 0.913 | 7.5049 |
| Malpractice | 1.85 | × 1.008 | 1.8648 |
| Total RVUs | 18.0797 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$603.88
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.71 | 1 |
| Practice expense | 8.22 | 0.913 |
| Malpractice | 1.85 | 1.008 |
(8.71 × 1 + 8.22 × 0.913 + 1.85 × 1.008) × $33.4009 = $603.88
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.
27475 billing questions
How is this code distinguished from other growth-arrest codes?
This code identifies epiphysiodesis at the distal femur. Select the related code for the specific proximal or distal tibial site when that physis is treated instead.
What documentation supports reporting this procedure?
Document the distal femoral physis treated, side, clinical indication, and the growth-management plan. The record should support why arresting growth at that site is part of the patient's treatment.
Are related postoperative visits separately included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How is bilateral treatment paid?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays it at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is barred by statutory restriction. Co-surgeons are paid only when supporting documentation is provided.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
2,90727466,,Lengthening of thigh bone,A,,22.08,14.21,NA,14.21,,4.71,41.00,41.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90827470,,Repair of thigh,A,,16.71,12.23,NA,12.23,,3.55,32.49,32.49,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,90927472,,Repair/graft of thigh,A,,18.25,12.48,NA,12.48,,3.88,34.61,34.61,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91027475,,Surgery to stop leg growth,A,,8.71,8.22,NA,8.22,,1.85,18.78,18.78,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91127477,,Surgery to stop leg growth,A,,9.89,8.59,NA,8.59,,2.10,20.58,20.58,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91227479,,Surgery to stop leg growth,A,,12.83,9.87,NA,9.87,,2.73,25.43,25.43,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91327485,,Surgery to stop leg growth,A,,8.90,8.16,NA,8.16,,1.90,18.96,18.96,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703