Billing code 27734: Growth plate repairMedicare rate & RVUs in Oklahoma
Surgical repair of an epiphyseal separation in the lower leg, reported when the growth-plate injury requires operative reduction or stabilization.
CMS doesn’t publish an office rate for 27734 in Oklahoma.
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 27734 covers
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.
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 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $579.36 |
How the 27734 rate is calculated
Each of 27734’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 · 27734
RVUs × geographic indexes × conversion factor
Work8.61
8.61 RVUs× 1.000 GPCI
Practice expense8.19
8.19 RVUs× 1.000 GPCI
Malpractice1.83
1.83 RVUs× 1.000 GPCI
Adjusted RVUs
18.6300
Conversion factor
$33.4009
Medicare rate
$622.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27734
27734 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27734
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) | 1 | Not paid (statutory restriction). |
| 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 · 27734
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
27734 without 50 · national facility
$622.26
Growth plate repair
27734-50 · Bilateral: 150%
$933.39
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).
27734 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27730Epiphysis repair
- Use 27730 when the repair is limited to the distal tibial epiphysis; 27734 describes lower-leg epiphyseal repair.
- 27732Epiphyseal repair
- Use 27732 when the repair is limited to the distal fibular epiphysis; 27734 describes lower-leg epiphyseal repair.
- 27720Tibia repair
- 27720 is for repair of the tibia, while 27734 concerns an epiphyseal separation rather than a tibial shaft repair.
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 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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