Billing code 27745: Tibial stabilizationMedicare rate & RVUs in Oregon
Reports surgical stabilization of a tibia at risk of fracture before a fracture is present, with or without use of bone cement.
CMS doesn’t publish an office rate for 27745 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 27745 covers
An orthopedic surgeon uses this service to reinforce a tibia at risk of breaking even though no fracture is present. A common situation is a weakened tibial bone lesion, such as one associated with metastatic disease, where the surgeon stabilizes the bone to reduce fracture risk. The procedure may include fixation with or without methylmethacrylate. It is generally performed in an operating room rather than as routine fracture care.
Report the code when the operative documentation supports prophylactic tibial stabilization and establishes that the tibia was not fractured. Document the treated bone and side, the reason the bone was considered at risk, and the stabilization performed, including whether cement was used. The code 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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 27745 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $698.17 |
| Rest Of Oregon | Unavailable | $658.67 |
How the 27745 rate is calculated
Each of 27745’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 · 27745
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.23Practice expense 8.18Malpractice 1.91
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27745
27745 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27745
Tibial stabilization
| 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) | 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 · 27745
Tibial stabilization
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
27745 without 50 · national facility
$678.71
Tibial stabilization
27745-50 · Bilateral: 150%
$1,018.07
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).
27745 compared with similar codes
Compare codes
27745 vs 27495 vs 27750 vs 27759 vs 27720: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27495Femoral reinforcement
- Both address prophylactic stabilization before fracture, but 27495 is for the femur and 27745 is for the tibia.
- 27750Tibia fracture care
- 27750 describes closed treatment of an existing tibial shaft fracture without manipulation; 27745 is prophylactic stabilization when no fracture is present.
- 27759Tibial fracture repair
- 27759 is used for treatment of a tibial shaft fracture with an intramedullary implant. Choose 27745 for prophylactic tibial stabilization without a fracture.
- 27720Tibia repair
- 27720 addresses repair of a tibial nonunion or malunion. It is not the prophylactic stabilization service described by 27745.
27745 billing questions
How is this different from tibial fracture treatment?
Use 27745 when the tibia is stabilized prophylactically and no fracture is present. Fracture treatment codes describe care for an existing tibial fracture.
Does the code include use of methylmethacrylate?
The procedure may be performed with or without methylmethacrylate. Document whether cement was used as part of the stabilization.
What documentation supports reporting 27745?
Document the absence of a fracture, the tibia and side treated, the clinical reason for prophylactic stabilization, and 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.
How are bilateral and multiple procedures handled?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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
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