Billing code 27740: Growth plate repairMedicare rate & RVUs in Ohio
Surgical repair of a leg growth-plate injury, reported when the surgeon operates to restore the affected epiphysis rather than provide fracture treatment alone.
CMS doesn’t publish an office rate for 27740 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27740 covers
This code represents surgery to repair an epiphysis in the lower leg, the growth-plate region at the end of a bone. It is associated with operative management of a growth-plate injury, such as a physeal separation. An orthopedic surgeon typically performs the service in a hospital or ambulatory surgical setting. The operative report should make clear which epiphysis was repaired and what surgical work was performed.
Choose the code that matches the documented bone and extent of repair; nearby codes separately identify tibial, fibular, and lower-leg epiphyseal repairs. Documentation should support the injury, operative findings, repair performed, and laterality. Medicare 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 multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
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.
27740 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $642.83 |
How the 27740 rate is calculated
Each of 27740’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27740
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 9.37Practice expense 8.62Malpractice 1.99
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27740
27740 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27740
Growth plate repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27740
Growth plate repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27740 without 50 · national facility
$667.35
Growth plate repair
27740-50 · Bilateral: 150%
$1,001.03
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27740 compared with similar codes
Compare codes
27740 vs 27730 vs 27732 vs 27734 vs 27742: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27730Epiphysis repair
- This code is specific to repair of the tibial epiphysis. Select it when the operative documentation identifies the tibia rather than relying on a broader leg description.
- 27732Epiphyseal repair
- This code identifies repair of the fibular epiphysis. Use it when the operative report specifies the fibula.
- 27734Growth plate repair
- This code describes repair of lower-leg epiphyses. Compare the documented site and extent of repair with the more specific tibial or fibular options.
- 27742Epiphyseal repair
- Both codes concern leg epiphysis repair. Review the full operative details and code-set descriptor to determine which procedure applies.
27740 billing questions
How does this code differ from the tibial epiphysis repair code?
Use the tibial-specific code when the operative report identifies repair of the tibial epiphysis. This code is for the leg epiphysis service described by the documentation rather than a more specific tibial repair.
What should the operative report document?
Document the injured epiphysis and bone, laterality, operative findings, and the repair performed. The record should establish that the surgeon repaired the growth-plate region.
Does the 90-day global period include postoperative visits?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How is bilateral repair reported?
For a bilateral procedure, report modifier 50; CMS pays the service at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code under the CMS facts provided.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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