Billing code 27726: Fibula repairMedicare rate & RVUs in Oregon
Reports operative repair of a fibular nonunion or malunion using internal fixation, such as fixation of a fracture that has failed to unite.
CMS doesn’t publish an office rate for 27726 in Oregon.
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 27726 covers
An orthopedic surgeon repairs a fibular fracture that has failed to heal or has healed in a deformity, using internal fixation to stabilize the bone. The operation may involve exposing the affected fibula, preparing the nonunion or malunion site, correcting alignment, and securing the repair with fixation. It is typically performed in a hospital or ambulatory surgery setting. This code describes repair of the fibula; a tibial nonunion repair or a procedure addressing both bones requires code selection based on the work performed and applicable billing code descriptors.
Report this code when the operative documentation supports fibular nonunion or malunion repair with internal fixation and the repair does not include bone grafting; bone grafting directs selection to the related graft code. Document the affected fibula, the nonunion or malunion, the repair performed, and the fixation used. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is 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.
Where 27726 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $894.05 |
| Rest Of Oregon | Unavailable | $846.46 |
How the 27726 rate is calculated
Each of 27726’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 · 27726
RVUs × geographic indexes × conversion factor
Work13.98
13.98 RVUs× 1.000 GPCI
Practice expense9.46
9.46 RVUs× 1.000 GPCI
Malpractice2.76
2.76 RVUs× 1.000 GPCI
Adjusted RVUs
26.2000
Conversion factor
$33.4009
Medicare rate
$875.10
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27726
27726 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27726
Fibula 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) | 1 | Permitted with supporting documentation. |
| 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 · 27726
Fibula 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
27726 without 50 · national facility
$875.10
Fibula repair
27726-50 · Bilateral: 150%
$1,312.65
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).
27726 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27727Lower-leg repair
- Both address fibular nonunion or malunion. Select 27727 when bone grafting is part of the repair; this code applies to repair with internal fixation without grafting.
- 27720Tibia repair
- This code is for fibular repair; 27720 is used for a tibial nonunion or malunion repair.
- 27707Fibular osteotomy
- 27707 describes fibular osteotomy, a corrective bone-cutting procedure. This code is for repair of a fibular nonunion or malunion with internal fixation.
27726 billing questions
How is this code distinguished from 27727?
This code reports fibular nonunion or malunion repair with internal fixation without bone grafting. Use 27727 when the repair includes bone grafting.
Can this code be reported for a tibial nonunion?
No. This code is for repair of the fibula. A tibial nonunion repair is reported from the tibia repair codes, such as 27720 or 27724, according to the procedure performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Report separate services only when they are separately identifiable and meet applicable coding rules.
How is bilateral repair handled?
CMS lists this as a bilateral procedure; modifier 50 is paid at 150% when both sides are treated.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is subject to a statutory restriction. 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 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
Fee sheets
Put 27726 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →