No office rate
Use 27730 for operative repair involving the tibial epiphysis; 27732 identifies repair involving the fibular epiphysis.
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CMS RVU26D · Effective 2026-10-01
27732 Epiphyseal repair Medicare reimbursement rates in Rhode Island
Reports operative repair of an injured fibular growth plate, typically for an epiphyseal separation requiring surgical correction or stabilization. Compare 27732 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 27732 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
$448.62
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 27732: Operative fibular growth-plate repair
Reports operative repair of an injured fibular growth plate, typically for an epiphyseal separation requiring surgical correction or stabilization.
This service covers operative repair of an injury involving the fibular epiphysis, the growth-plate region at the end of the bone. It is most often relevant to a skeletally immature patient with a fibular epiphyseal injury near the ankle that requires surgical correction. An orthopedic surgeon performs the repair in an operating room, restoring the injured area’s alignment and stabilizing it when needed.
Select this code when the documented operative work repairs the fibular epiphysis; distinguish it from repair involving the tibial epiphysis or both lower-leg epiphyses. The operative report should identify the injured bone and epiphyseal site, describe the repair, and document any stabilization performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27732
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.32 · 40%
- Practice expense (office) RVU6.77 · 51%
- Malpractice RVU1.14 · 9%
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.
27732 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
This code is specific to the fibular epiphysis. Compare 27734 when the operative repair involves lower-leg epiphyses rather than the fibular site alone.
No office rate
27726 addresses repair of fibular nonunion. Choose based on whether the documented problem is a nonunion or an epiphyseal injury requiring repair.
Compare 27732 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
$448.62
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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 27732 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
3,031
- Code
- 27732
- Physician work
- 5.32
- Practice expense
- 6.77
- Malpractice
- 1.14
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.32 | × 1.019 | 5.4211 |
| Practice expense | 6.77 | × 1.033 | 6.9934 |
| Malpractice | 1.14 | × 0.892 | 1.0169 |
| Total RVUs | 13.4314 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$448.62
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.32 | 1.019 |
| Practice expense | 6.77 | 1.033 |
| Malpractice | 1.14 | 0.892 |
(5.32 × 1.019 + 6.77 × 1.033 + 1.14 × 0.892) × $33.4009 = $448.62
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.
27732 billing questions
How do I distinguish this from 27730?
Use 27732 when the operative repair involves the fibular epiphysis. Code 27730 is for repair involving the tibial epiphysis.
When is 27734 a closer fit?
Compare the operative documentation with 27734 when the repair involves lower-leg epiphyses rather than the fibular epiphysis alone. The documented bones and operative work should support the code selected.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the day-before preoperative visit.
How is bilateral repair handled?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays at 150% under the supplied fee schedule rule.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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.
3,02827726,,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
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
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