No office rate
Both address tibial nonunion or malunion, but 27720 is repair without graft; 27722 requires a sliding graft.
On this page
CMS RVU26D · Effective 2026-10-01
27722 Tibia repair Medicare reimbursement rates in Vermont
Reports operative repair of a tibial nonunion or malunion using a sliding bone graft to promote union at the deformity or fracture site. Compare 27722 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 27722 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
$787.20
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 27722: Tibial nonunion repair with sliding graft
Reports operative repair of a tibial nonunion or malunion using a sliding bone graft to promote union at the deformity or fracture site.
This procedure repairs a tibial fracture that has failed to unite or healed in an unacceptable position, using a sliding graft fashioned from the tibia. The orthopedic surgeon prepares the nonunion or malunion site and mobilizes a segment of cortical bone to bridge or support it. It is typically performed in an operating room when the documented problem and chosen technique call for this graft-based reconstruction.
Report 27722 when the operative documentation supports tibial nonunion or malunion repair with a sliding graft; distinguish it from repair without graft or repair using a separately obtained autograft. The record should identify the tibial site, the nonunion or malunion, and the graft technique performed. CMS 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 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 27722
- 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 RVU12.14 · 49%
- Practice expense (office) RVU10.22 · 41%
- Malpractice RVU2.59 · 10%
18
Medicare services in 2024 · #5969 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.
27722 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
27724 is used when repair involves an iliac or other autograft, including obtaining it; 27722 describes a sliding graft technique.
No office rate
27725 describes related lower-leg nonunion or malunion repair with intramedullary rod insertion, rather than the sliding graft method specified by 27722.
No office rate
27726 concerns nonunion or malunion repair of the fibula. Use 27722 when the repaired bone is the tibia and a sliding graft is used.
Compare 27722 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
$787.20
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 27722 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
3,025
- Code
- 27722
- Physician work
- 12.14
- Practice expense
- 10.22
- Malpractice
- 2.59
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.14 | × 1.000 | 12.1400 |
| Practice expense | 10.22 | × 0.990 | 10.1178 |
| Malpractice | 2.59 | × 0.506 | 1.3105 |
| Total RVUs | 23.5683 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$787.20
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.14 | 1 |
| Practice expense | 10.22 | 0.99 |
| Malpractice | 2.59 | 0.506 |
(12.14 × 1 + 10.22 × 0.99 + 2.59 × 0.506) × $33.4009 = $787.20
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.
27722 billing questions
When should 27722 be chosen over 27720?
Use 27722 when the surgeon repairs a tibial nonunion or malunion with a sliding graft. 27720 describes repair without graft.
How does 27722 differ from 27724?
27722 identifies a sliding graft technique. 27724 is for repair using an iliac or other autograft, including obtaining the graft.
What documentation supports reporting 27722?
The operative report should identify the tibial nonunion or malunion and describe the sliding graft used to repair it.
How are additional procedures in the same session paid?
Under the CMS multiple procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can 27722 be reported bilaterally?
For bilateral procedures reported with modifier 50, CMS pays 150%.
How does the global period affect follow-up billing?
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.
3,02227713,,Osteot tibia imed lngth dev,A,,28.00,19.31,NA,19.31,,5.20,52.51,52.51,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02327715,,Ostpl tibfib lngth/shrt,A,,21.94,14.16,NA,14.16,,4.68,40.78,40.78,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02427720,,Repair of tibia,A,,12.05,9.83,NA,9.83,,2.41,24.29,24.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,02527722,,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
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