CPT code 27750: Tibia fracture care, without manipulation2026 Medicare rate & RVUs in Texas
Report this service for closed management of a tibial shaft fracture without manipulating the fracture, with or without an associated fibular fracture.
Medicare pays $370.20–$408.34 for 27750 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 27750 covers
This service covers closed management of a tibial shaft fracture when the clinician does not manipulate the fracture to restore alignment. It may include immobilization, such as a cast or splint, and ongoing fracture care. Orthopedic surgeons and other qualified clinicians typically provide this care in an office, emergency department, or hospital setting. The fracture may involve the tibial shaft alone or occur with a fibular fracture.
Select this code when the documented treatment is closed and does not include manipulation; use a different fracture-treatment code when the method or reduction differs. The record should identify the fracture, treatment approach, and relevant follow-up care. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
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.
Where 27750 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$370.20 to $408.34
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $408.34 | $342.97 |
| Beaumont, TX | $370.20 | $313.97 |
| Brazoria, TX | $388.98 | $327.75 |
| Dallas, TX | $392.18 | $330.63 |
| Fort Worth, TX | $389.85 | $328.92 |
| Galveston, TX | $390.60 | $329.24 |
| Houston, TX | $403.05 | $341.69 |
| Rest of Texas | $379.86 | $321.22 |
How the 27750 rate is calculated
Each of 27750’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27750
RVUs × geographic indexes × conversion factor
Work3.29
3.29 RVUs× 1.000 GPCI
Practice expense7.87
7.87 RVUs× 1.000 GPCI
Malpractice0.68
0.68 RVUs× 1.000 GPCI
Adjusted RVUs
11.8400
Conversion factor
$33.4009
Medicare rate
$395.47
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27750
27750 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27750
Tibia fracture care, without manipulation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27750
Tibia fracture care, without manipulation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27750 without 50 · national office
$395.47
Tibia fracture care, without manipulation
27750-50 · Bilateral: 150%
$593.21
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27750 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27752Tibial fracture careWith manipulation
- Both describe closed treatment of a tibial shaft fracture. Choose 27750 when no manipulation is performed and 27752 when the provider manipulates the fracture.
- 27756Fracture fixationPercutaneous tibial shaft
- 27756 involves percutaneous skeletal fixation; 27750 describes closed treatment without manipulation or fixation.
- 27758Tibia fracture fixationOpen, non-intramedullary fixation
- 27758 is open treatment with plate-and-screw fixation. 27750 is closed management without manipulation.
- 27759Tibial fracture repairIntramedullary implant
- 27759 identifies tibial shaft fracture treatment with an intramedullary implant; 27750 is used for closed treatment without manipulation.
27750 billing questions
How does 27750 differ from 27752?
27750 is for closed tibial shaft fracture treatment without manipulation. Use 27752 when the provider manipulates the fracture as part of closed treatment.
Can an associated fibular fracture be present?
Yes. The tibial shaft treatment code allows for an associated fibular fracture; the tibial fracture treatment method determines the code.
Is this code appropriate when fixation is performed?
No. Percutaneous fixation, open plate-and-screw treatment, and intramedullary fixation have distinct codes, including 27756, 27758, and 27759.
What documentation supports reporting 27750?
Document the tibial shaft fracture and that it was managed closed without manipulation. Include the treatment plan and related fracture-care follow-up.
How does the global period affect follow-up visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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