No office rate
Report 27709 when the operation osteotomizes both the tibia and fibula; 27705 is for the tibia alone.
On this page
CMS RVU26D · Effective 2026-10-01
27705 Tibial osteotomy Medicare reimbursement rates in Vermont
An orthopedic surgeon cuts the tibia to correct deformity or alignment, reporting this code when the operation does not also osteotomize the fibula. Compare 27705 office and facility rates across CMS payment localities in Vermont.
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 27705 in Vermont?
Vermont 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
$657.66
1 of 1 localities have a supported rate.
Payment area: Vermont
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 27705: Tibial corrective osteotomy
An orthopedic surgeon cuts the tibia to correct deformity or alignment, reporting this code when the operation does not also osteotomize the fibula.
An orthopedic surgeon performs a planned cut in the tibia to change its alignment or shape. The operation may correct an angular or rotational deformity, such as tibial bowing or torsional malalignment. It is generally performed in an operating room, including a hospital or ambulatory surgical setting, with the cut planned to achieve the intended correction.
Report 27705 when the osteotomy involves the tibia alone; when the operation also osteotomizes the fibula, consider 27709. The operative report should identify the bone treated, the deformity or alignment problem, and the corrective work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, 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 made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27705
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.59 · 51%
- Practice expense (office) RVU8.19 · 39%
- Malpractice RVU1.96 · 9%
300
Medicare services in 2024 · #3994 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.
27705 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
27707 is for an osteotomy of the fibula. Use 27705 when the tibial bone is the bone osteotomized.
No office rate
27712 specifies tibial realignment on an intramedullary rod; 27705 describes tibial osteotomy without that specified technique.
No office rate
27713 specifies tibial osteotomy with a lengthening device; 27705 is for tibial osteotomy without that specified device.
Compare 27705 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
Vermont →
Office / nonfacility
Unavailable
Facility
$657.66
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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 27705 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
3,018
- Code
- 27705
- Physician work
- 10.59
- Practice expense
- 8.19
- Malpractice
- 1.96
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.59 | × 1.000 | 10.5900 |
| Practice expense | 8.19 | × 0.990 | 8.1081 |
| Malpractice | 1.96 | × 0.506 | 0.9918 |
| Total RVUs | 19.6899 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$657.66
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.59 | 1 |
| Practice expense | 8.19 | 0.99 |
| Malpractice | 1.96 | 0.506 |
(10.59 × 1 + 8.19 × 0.99 + 1.96 × 0.506) × $33.4009 = $657.66
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.
27705 billing questions
When should 27709 be reported instead?
Use 27709 when the operative procedure osteotomizes both the tibia and fibula. Report 27705 for the tibial osteotomy when the fibula is not also osteotomized.
How does 27705 differ from 27712 or 27713?
Those codes describe tibial osteotomy performed with specified realignment on an intramedullary rod or with a lengthening device. Select the code that matches the documented procedure and technique.
What documentation supports 27705?
Document the tibial deformity or alignment problem, the bone treated, and the osteotomy and correction performed. The report should make clear whether the fibula was also osteotomized.
How is a bilateral procedure reported?
CMS identifies this as a bilateral procedure: report modifier 50 for bilateral performance, which is paid at 150%.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
3,01527702,,Reconstruct ankle joint,A,,14.06,9.80,NA,9.80,,2.64,26.50,26.50,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01627703,,Reconstruction ankle joint,A,,16.52,10.82,NA,10.82,,3.13,30.47,30.47,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01727704,,Removal of ankle implant,A,,7.61,6.93,NA,6.93,,1.31,15.85,15.85,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01827705,,Osteotomy tibia,A,,10.59,8.19,NA,8.19,,1.96,20.74,20.74,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01927707,,Osteotomy fibula,A,,4.66,6.20,NA,6.20,,0.89,11.75,11.75,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02027709,,Osteotomy tibia & fibula,A,,17.04,11.06,NA,11.06,,3.37,31.47,31.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02127712,,Osteot mlt relignmt imed rod,A,,15.47,11.68,NA,11.68,,3.29,30.44,30.44,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817