No office rate
27705 describes tibial osteotomy work. Use 27715 when the documented procedure includes lengthening or shortening both the tibia and fibula.
On this page
CMS RVU26D · Effective 2026-10-01
27715 Bone length correction Medicare reimbursement rates in Oregon
Reports operative lengthening or shortening of both the tibia and fibula to correct a lower-leg length discrepancy or related bony deformity. Compare 27715 office and facility rates across CMS payment localities in Oregon.
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 27715 in Oregon?
Oregon 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
$1313.77–$1386.30
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 27715: Tibial and fibular length correction
Reports operative lengthening or shortening of both the tibia and fibula to correct a lower-leg length discrepancy or related bony deformity.
An orthopedic surgeon reports this service when surgically lengthening or shortening both lower-leg bones—the tibia and fibula. A typical clinical reason is correction of a leg-length discrepancy involving the lower leg. The operative report should identify both bones treated and describe the planned length correction; the code is not for work limited to one bone or for fracture repair alone. These procedures are generally performed in a hospital or ambulatory surgery center.
This major surgery has a 90-day global period, which includes 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-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27715
- 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 RVU21.94 · 54%
- Practice expense (office) RVU14.16 · 35%
- Malpractice RVU4.68 · 11%
70
Medicare services in 2024 · #5143 by national volume
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.
27715 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
Both codes involve the tibia and fibula, but 27715 represents length correction of both bones. Select based on the operative service documented.
No office rate
27713 is the tibia-focused osteotomy service involving an intramedullary lengthening device; 27715 concerns lengthening or shortening both lower-leg bones.
Compare 27715 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
Portland →
Office / nonfacility
Unavailable
Facility
$1386.30
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$1313.77
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27715 billing questions
How does this differ from 27709?
27715 is for lengthening or shortening both the tibia and fibula. Consider 27709 when the documented service is an osteotomy of both bones without the length-correction service described by 27715.
Can 27715 be reported when only the tibia is treated?
No. The service represented by 27715 involves both the tibia and fibula. For tibia-only osteotomy work, compare the operative details with 27705 or the applicable tibial lengthening code.
What documentation supports reporting 27715?
Document the indication for length correction, the tibia and fibula treated, and the operative work performed to achieve the planned lengthening or shortening.
How should bilateral procedures be reported?
CMS identifies this as a bilateral procedure; reporting with modifier 50 is paid at 150%. The operative record should support treatment of both sides.
Are postoperative visits included?
Related postoperative care for 90 days is included in the global period, along with the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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.
3,02027709,,Osteotomy tibia & fibula,A,,17.04,11.06,NA,11.06,,3.37,31.47,31.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02127712,,Osteot mlt relignmt imed rod,A,,15.47,11.68,NA,11.68,,3.29,30.44,30.44,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02227713,,Osteot tibia imed lngth dev,A,,28.00,19.31,NA,19.31,,5.20,52.51,52.51,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02327715,,Ostpl tibfib lngth/shrt,A,,21.94,14.16,NA,14.16,,4.68,40.78,40.78,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02427720,,Repair of tibia,A,,12.05,9.83,NA,9.83,,2.41,24.29,24.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02527722,,Repair/graft of tibia,A,,12.14,10.22,NA,10.22,,2.59,24.95,24.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02627724,,Repair/graft of tibia,A,,18.83,11.18,NA,11.18,,3.96,33.97,33.97,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00