No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
27740 Growth plate repair Medicare reimbursement rates in Pennsylvania
Surgical repair of a leg growth-plate injury, reported when the surgeon operates to restore the affected epiphysis rather than provide fracture treatment alone. Compare 27740 office and facility rates across CMS payment localities in Pennsylvania.
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 27740 in Pennsylvania?
Pennsylvania 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
$640.09–$697.62
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 27740: Surgical repair of leg epiphysis
Surgical repair of a leg growth-plate injury, reported when the surgeon operates to restore the affected epiphysis rather than provide fracture treatment alone.
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.
CMS billing rules for 27740
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.37 · 47%
- Practice expense (office) RVU8.62 · 43%
- Malpractice RVU1.99 · 10%
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 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
This code identifies repair of the fibular epiphysis. Use it when the operative report specifies the fibula.
No office rate
This code describes repair of lower-leg epiphyses. Compare the documented site and extent of repair with the more specific tibial or fibular options.
No office rate
Both codes concern leg epiphysis repair. Review the full operative details and code-set descriptor to determine which procedure applies.
Compare 27740 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$697.62
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$640.09
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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 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.
3,03027730,,Repair of tibia epiphysis,A,,7.51,7.68,NA,7.68,,1.61,16.80,16.80,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03127732,,Repair of fibula epiphysis,A,,5.32,6.77,NA,6.77,,1.14,13.23,13.23,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03227734,,Repair lower leg epiphyses,A,,8.61,8.19,NA,8.19,,1.83,18.63,18.63,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03327740,,Repair of leg epiphyses,A,,9.37,8.62,NA,8.62,,1.99,19.98,19.98,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03427742,,Repair of leg epiphyses,A,,10.36,9.31,NA,9.31,,2.20,21.87,21.87,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03527745,,Reinforce tibia,A,,10.23,8.18,NA,8.18,,1.91,20.32,20.32,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03627750,,Treatment of tibia fracture,A,,3.29,7.87,,6.02,,0.68,11.84,9.99,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00