No office rate
Both describe closed treatment of slipped femoral epiphysis. Choose 27175 when no manipulation is performed; choose 27176 when manipulation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
27175 Slipped epiphysis treatment Medicare reimbursement rates in Rhode Island
Reports closed treatment of a slipped capital femoral epiphysis without manipulation, typically stabilizing the adolescent hip in situ. Compare 27175 office and facility rates across CMS payment localities in Rhode Island.
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 27175 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$627.95
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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 27175: Closed slipped femoral epiphysis treatment without manipulation
Reports closed treatment of a slipped capital femoral epiphysis without manipulation, typically stabilizing the adolescent hip in situ.
This code represents closed treatment of a slipped capital femoral epiphysis when the surgeon does not manipulate the displaced femoral head. Orthopedic surgeons commonly use it for in-situ stabilization, often with percutaneous fixation, in an adolescent with a stable slip. The service is performed in an operative setting; the key distinction is treatment without manipulation, not a particular slip severity or implant choice.
Select this code when the operative record supports closed treatment without manipulation, and document the diagnosis, affected side, approach, and whether manipulation was performed. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 27175
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.15 · 49%
- Practice expense (office) RVU7.49 · 40%
- Malpractice RVU1.95 · 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.
27175 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
27177 is for open treatment. Use 27175 for closed treatment without manipulation.
No office rate
27178 describes open treatment with osteotomy. It is distinct from closed treatment without manipulation reported with 27175.
Compare 27175 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.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
Unavailable
Facility
$627.95
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27175 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
2,774
- Code
- 27175
- Physician work
- 9.15
- Practice expense
- 7.49
- Malpractice
- 1.95
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.15 | × 1.019 | 9.3239 |
| Practice expense | 7.49 | × 1.033 | 7.7372 |
| Malpractice | 1.95 | × 0.892 | 1.7394 |
| Total RVUs | 18.8004 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$627.95
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.15 | 1.019 |
| Practice expense | 7.49 | 1.033 |
| Malpractice | 1.95 | 0.892 |
(9.15 × 1.019 + 7.49 × 1.033 + 1.95 × 0.892) × $33.4009 = $627.95
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27175 billing questions
How does this differ from 27176?
27175 is for closed treatment without manipulation. Use 27176 when the surgeon manipulates the slipped epiphysis.
When is 27177 a better fit?
27177 describes open treatment. This code is for closed treatment without manipulation, such as in-situ stabilization.
Can internal fixation be part of this service?
Yes. In-situ fixation may be used to stabilize the slip; the code selection turns on closed treatment without manipulation.
What should the operative note establish?
Document the slipped femoral epiphysis, side, closed approach, and whether the surgeon manipulated the epiphysis. Record fixation details when performed.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
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.
2,77127161,,Incision of neck of femur,A,,17.44,12.25,NA,12.25,,3.71,33.40,33.40,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77227165,,Incision/fixation of femur,A,,19.78,13.72,NA,13.72,,4.21,37.71,37.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77327170,,Repair/graft femur head/neck,A,,17.17,11.07,NA,11.07,,3.65,31.89,31.89,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77427175,,Treat slipped epiphysis,A,,9.15,7.49,NA,7.49,,1.95,18.59,18.59,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77527176,,Treat slipped epiphysis,A,,12.60,10.37,NA,10.37,,2.68,25.65,25.65,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77627177,,Treat slipped epiphysis,A,,15.69,11.70,NA,11.70,,3.34,30.73,30.73,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,77727178,,Treat slipped epiphysis,A,,12.60,10.37,NA,10.37,,2.68,25.65,25.65,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537