FeeBase
Log inGet started
Menu

CPT code 27750: Tibia fracture care, without manipulation2026 Medicare rate & RVUs in Virginia

Report this service for closed management of a tibial shaft fracture without manipulating the fracture, with or without an associated fibular fracture.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In Virginia, Medicare pays $384.32 for 27750 in the office and $323.58 when it’s performed in a hospital or facility.

$384.32Office (non-facility)
$323.58Hospital or facility
−2.8%vs the national office rate ($395.47)

Check a contract rate as a % of Medicare · 27750 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27750 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 27750 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Virginia compares for 27750

Across 109 of 109 payment localities, the office rate for 27750 runs from $347.39 in Arkansas to $513.20 in San Benito County, CA. Virginia pays $384.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

27750 in Virginia vs other payment areas
  1. Virginia · this page$384.32
  2. Los Angeles, CA · California$440.44+$56.12
  3. Washington, DC area · District of Columbia$450.76+$66.44
  4. Miami, FL · Florida$440.97+$56.65
  5. Chicago, IL · Illinois$426.96+$42.64
  6. Manhattan, NY · New York$458.39+$74.07
  7. Alaska · Alaska$457.30+$72.98

Other areas in Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

27750 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$352.75$298.68
ArkansasArkansas$347.39$294.31
ArizonaArizona$384.05$324.17
Bakersfield, CACalifornia$413.91$346.19
Chico, CACalifornia$412.03$344.31
El Centro, CACalifornia$412.14$344.42
Fresno, CACalifornia$412.03$344.31
Hanford, CACalifornia$412.03$344.31

27750 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$347.39

$462.62

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
27750 office rate range by state
State / territoryOffice rate rangeLocalities
AK$457.301
AL$352.751
AR$347.391
AZ$384.051
CA$412.03–$513.2029
CO$408.631
CT$422.671
DC$450.761
DE$390.571
FL$395.33–$440.973
GA$371.44–$404.572
GU$421.921
HI$421.921
IA$359.431
ID$362.471
IL$385.38–$426.964
IN$364.601
KS$358.971
KY$364.361
LA$364.28–$383.052
MA$406.55–$448.472
MD$397.86–$450.763
ME$365.85–$384.722
MI$375.53–$401.852
MN$387.101
MO$358.60–$382.893
MS$353.001
MT$395.421
NC$369.661
ND$381.981
NE$361.101
NH$403.411
NJ$426.25–$445.992
NM$378.211
NV$391.941
NY$375.58–$471.655
OH$372.781
OK$362.281
OR$387.67–$420.592
PA$372.66–$412.612
PR$398.021
RI$403.781
SC$372.081
SD$380.391
TN$361.031
TX$370.20–$408.348
UT$377.381
VA$384.32–$450.762
VI$398.021
VT$381.621
WA$405.40–$456.482
WI$368.711
WV$370.821
WY$389.561

See 27750 in every payment locality

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

Office or facility?

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.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,036

Code
27750
Physician work
3.29
Practice expense
7.87
Malpractice
0.68

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 27750 in Virginia
ComponentRVULocality factorAdjusted
Physician work3.29× 1.0003.2900
Practice expense7.87× 0.9837.7362
Malpractice0.68× 0.7060.4801
Total RVUs11.5063
Conversion factor× 33.4009

Office rate, Virginia$384.32

Office: (3.29 × 1 + 7.87 × 0.983 + 0.68 × 0.706) × $33.4009 = $384.32

Facility: (3.29 × 1 + 6.02 × 0.983 + 0.68 × 0.706) × $33.4009 = $323.58

Open 27750 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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).

When to use modifier 50

Codes related to 27750

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 27750
CodeHow it relatesOffice range, Virginia
Same family
27752Tibial fracture care, with manipulationClosed tibial shaft fracture treatment when manipulation is performed.$588.96
Used instead
27756Fracture fixation, percutaneous tibial shaftTibial shaft fracture treatment using percutaneous skeletal fixation.No office rate
27758Tibia fracture fixation, open, non-intramedullary fixationOpen tibial shaft fracture treatment with plate-and-screw fixation.No office rate
27759Tibial fracture repair, intramedullary implantTibial shaft fracture treatment using an intramedullary implant.No office rate

How 27750 has changed in Virginia

27750 · Office / nonfacility

$384.32

Effective 2026-10-01

The base rate is $37.69 higher than on 2025-10-01, moving from $346.63 to $384.32 (10.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $346.63changed to$384.32

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.37 changed to 3.29
    • Practice expense RVU 6.96 changed to 7.87
    • Malpractice RVU 0.65 changed to 0.68
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $353.29changed to$346.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.84 changed to 6.96
    • Malpractice RVU 0.67 changed to 0.65

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $347.52changed to$353.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $356.16changed to$347.52

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.67 changed to 6.84
    • Malpractice RVU 0.65 changed to 0.67
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $358.17changed to$356.16

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.42 changed to 6.67
    • Malpractice RVU 0.66 changed to 0.65
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $357.04changed to$358.17

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.32 changed to 6.42
    • Malpractice RVU 0.64 changed to 0.66

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $353.52changed to$357.04

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.91 changed to 6.32
    • Malpractice RVU 0.63 changed to 0.64
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $350.71changed to$353.52

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.89 changed to 5.91
    • Malpractice RVU 0.61 changed to 0.63
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $352.78changed to$350.71

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.95 changed to 5.89
    • Malpractice RVU 0.62 changed to 0.61

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $348.03changed to$352.78

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.87 changed to 5.95
    • Malpractice RVU 0.63 changed to 0.62
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $345.85changed to$348.03

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $348.10changed to$345.85

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.89 changed to 5.87
    • Malpractice RVU 0.64 changed to 0.63

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $346.36changed to$348.10

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $342.04changed to$346.36

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.82 changed to 5.89
    • Malpractice RVU 0.61 changed to 0.64
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $344.64changed to$342.04

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.44 changed to 5.82
    • Malpractice RVU 0.64 changed to 0.61
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $344.64

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$384.32$323.58RVU26D
2026-07-01$384.32$323.58RVU26C
2026-04-01$384.32$323.58RVU26B
2026-01-01$384.32$323.58RVU26A
2025-10-01$346.63$321.17RVU25D
2025-07-01$346.63$321.17RVU25C
2025-04-01$346.63$321.17RVU25B
2025-01-01$346.63$321.17RVU25A
2024-10-01$353.29$327.74RVU24D
2024-07-01$353.29$327.74RVU24C
2024-04-01$353.29$327.74RVU24B
2024-03-09$353.29$327.74RVU24AR
2024-01-01$347.52$322.39RVU24A
2023-10-01$356.16$330.33RVU23D
2023-07-01$356.16$330.33RVU23C
2023-04-01$356.16$330.33RVU23B
2023-01-01$356.16$330.33RVU23A
2022-10-01$358.17$332.35RVU22D
2022-07-01$358.17$332.35RVU22C
2022-04-01$358.17$332.35RVU22B
2022-01-01$358.17$332.35RVU22A
2021-10-01$357.04$330.31RVU21D
2021-07-01$357.04$330.31RVU21C
2021-04-01$357.04$330.31RVU21B
2021-01-01$357.04$330.31RVU21A
2020-10-01$353.52$327.41RVU20D
2020-07-01$353.52$327.41RVU20C
2020-04-01$353.52$327.41RVU20B
2020-01-01$353.52$327.41RVU20A
2019-10-01$350.71$323.71RVU19D
2019-07-01$350.71$323.71RVU19C
2019-04-01$350.71$323.71RVU19B
2019-01-01$350.71$323.71RVU19A
2018-10-01$352.78$322.61RVU18D
2018-07-01$352.78$322.61RVU18C
2018-04-01$352.78$322.61RVU18B
2018-01-01$352.78$322.61RVU18AR1
2017-10-01$348.03$319.40RVU17D
2017-07-01$348.03$319.40RVU17C
2017-04-01$348.03$319.40RVU17B
2017-01-01$348.03$319.40RVU17A
2016-10-01$345.85$317.69RVU16D
2016-07-01$345.85$317.69RVU16C
2016-04-01$345.85$317.69RVU16B
2016-01-01$345.85$317.69RVU16A
2015-10-01$348.10$319.48RVU15D
2015-07-01$348.10$319.48RVU15C
2015-04-01$346.36$317.90RVU15B
2015-01-01$346.36$317.90RVU15A
2014-10-01$342.04$314.66RVU14D
2014-07-01$342.04$314.66RVU14C
2014-04-01$342.04$314.66RVU14B
2014-01-01$342.04$314.66RVU14A
2013-10-01$344.64$315.39RVU13D
2013-07-01$344.64$315.39RVU13C
2013-04-01$344.64$315.39RVU13B
2013-01-01$344.64$315.39RVU13AR

Price 27750 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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

Show the CMS file lines behind this rate
RVUs for 27750PPRRVU2026_Oct_nonQPP.csv, line 3,036 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 27750 pays in Virginia?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 27750 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist