No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
27726 Fibula repair Medicare reimbursement rates in Rhode Island
Reports operative repair of a fibular nonunion or malunion using internal fixation, such as fixation of a fracture that has failed to unite. Compare 27726 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 27726 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
$884.45
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 27726: Fibular nonunion repair with fixation
Reports operative repair of a fibular nonunion or malunion using internal fixation, such as fixation of a fracture that has failed to unite.
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 CPT 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.
CMS billing rules for 27726
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.98 · 53%
- Practice expense (office) RVU9.46 · 36%
- Malpractice RVU2.76 · 11%
375
Medicare services in 2024 · #3791 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.
27726 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
This code is for fibular repair; 27720 is used for a tibial nonunion or malunion repair.
No office rate
27707 describes fibular osteotomy, a corrective bone-cutting procedure. This code is for repair of a fibular nonunion or malunion with internal fixation.
Compare 27726 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
$884.45
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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 27726 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
3,028
- Code
- 27726
- Physician work
- 13.98
- Practice expense
- 9.46
- Malpractice
- 2.76
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.98 | × 1.019 | 14.2456 |
| Practice expense | 9.46 | × 1.033 | 9.7722 |
| Malpractice | 2.76 | × 0.892 | 2.4619 |
| Total RVUs | 26.4797 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$884.45
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.98 | 1.019 |
| Practice expense | 9.46 | 1.033 |
| Malpractice | 2.76 | 0.892 |
(13.98 × 1.019 + 9.46 × 1.033 + 2.76 × 0.892) × $33.4009 = $884.45
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.
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 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.
3,02527722,,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
3,02727725,,Repair of lower leg,A,,16.97,13.06,NA,13.06,,3.61,33.64,33.64,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02827726,,Repair fibula nonunion,A,,13.98,9.46,NA,9.46,,2.76,26.20,26.20,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02927727,,Repair of lower leg,A,,14.47,11.15,NA,11.15,,3.06,28.68,28.68,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03027730,,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
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