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CPT code 27752: Tibial fracture care, with manipulation2026 Medicare rate & RVUs in Hawaii, Guam, HI

Report this service for closed treatment of a tibial shaft fracture requiring manipulation to restore alignment, with or without an associated fibular fracture.

CMS RVU26DEffective Oct 1, 2026One payment locality896 Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $638.62 for 27752 in the office and $516.34 when it’s performed in a hospital or facility.

$638.62Office (non-facility)
$516.34Hospital or facility
+5.0%vs the national office rate ($608.23)

Check a contract rate as a % of Medicare · 27752 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 27752 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 27752 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 27752 covers

An orthopedic surgeon or other qualified fracture-care provider reports this service when treating a tibial shaft fracture without opening the fracture site and manipulating the fragments to improve alignment. The treatment may include external immobilization, such as a cast or splint. The code includes tibial shaft fractures with or without an associated fibular fracture; it is not for a fracture limited to the ankle or fibula.

Choose this code when the record supports both closed treatment and manipulation, rather than closed treatment without manipulation or operative fixation. Document the shaft fracture, the reduction maneuver and resulting alignment, and the immobilization and treatment plan. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral treatment with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 Hawaii, Guam, HI compares for 27752

Across 109 of 109 payment localities, the office rate for 27752 runs from $535.85 in Arkansas to $768.76 in San Benito County, CA. Hawaii, Guam, HI pays $638.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

27752 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$638.62
  2. Los Angeles, CA · California$667.33+$28.71
  3. Washington, DC area · District of Columbia$688.28+$49.66
  4. Miami, FL · Florida$691.40+$52.78
  5. Chicago, IL · Illinois$669.42+$30.80
  6. Manhattan, NY · New York$705.74+$67.12
  7. Alaska · Alaska$713.53+$74.91

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

Every other payment area

27752 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$543.88$449.77
ArkansasArkansas$535.85$443.46
ArizonaArizona$590.64$486.43
Bakersfield, CACalifornia$629.11$511.23
Chico, CACalifornia$625.43$507.56
El Centro, CACalifornia$625.66$507.78
Fresno, CACalifornia$625.43$507.56
Hanford, CACalifornia$625.43$507.56

27752 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.

$535.85

$713.53

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

View every state and territory as a table
27752 office rate range by state
State / territoryOffice rate rangeLocalities
AK$713.531
AL$543.881
AR$535.851
AZ$590.641
CA$625.43–$768.7629
CO$623.881
CT$649.381
DC$688.281
DE$600.421
FL$614.93–$691.403
GA$578.01–$623.592
GU$638.621
HI$638.621
IA$550.691
ID$555.891
IL$602.16–$669.424
IN$558.991
KS$551.531
KY$564.531
LA$565.02–$593.112
MA$621.46–$681.402
MD$610.91–$688.283
ME$562.56–$588.482
MI$582.74–$626.362
MN$587.141
MO$557.47–$591.073
MS$546.591
MT$608.141
NC$567.991
ND$581.641
NE$552.721
NH$617.371
NJ$653.80–$681.632
NM$587.401
NV$601.121
NY$576.97–$727.575
OH$577.321
OK$559.791
OR$593.50–$639.932
PA$576.30–$635.282
PR$611.511
RI$619.131
SC$574.201
SD$578.511
TN$554.801
TX$572.71–$624.388
UT$582.101
VA$588.96–$688.282
VI$611.511
VT$582.531
WA$619.23–$691.832
WI$562.161
WV$580.441
WY$596.591

See 27752 in every payment locality

How the 27752 rate is calculated

Each of 27752’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 · 27752

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.11

6.11 RVUs× 1.000 GPCI

Practice expense10.76

10.76 RVUs× 1.000 GPCI

Malpractice1.34

1.34 RVUs× 1.000 GPCI

Adjusted RVUs

18.2100

Conversion factor

$33.4009

Medicare rate

$608.23

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,037

Code
27752
Physician work
6.11
Practice expense
10.76
Malpractice
1.34

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 27752 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work6.11× 1.0006.1100
Practice expense10.76× 1.13712.2341
Malpractice1.34× 0.5790.7759
Total RVUs19.1200
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$638.62

Office: (6.11 × 1 + 10.76 × 1.137 + 1.34 × 0.579) × $33.4009 = $638.62

Facility: (6.11 × 1 + 7.54 × 1.137 + 1.34 × 0.579) × $33.4009 = $516.34

Open 27752 in the RVU calculator

Payment rules and modifiers for 27752

27752 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27752

Tibial fracture care, with 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 · 27752

Tibial fracture care, with 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

27752 without 50 · national office

$608.23

Tibial fracture care, with manipulation

27752-50 · Bilateral: 150%

$912.35

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 27752

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

Codes related to 27752
CodeHow it relatesOffice range, Hawaii, Guam, HI
Same family
27750Tibia fracture care, without manipulationClosed tibial shaft fracture treatment without manipulation.$421.92
Used instead
27756Fracture fixation, percutaneous tibial shaftPercutaneous skeletal fixation is used when the fracture is stabilized with fixation.No office rate
27758Tibia fracture fixation, open, non-intramedullary fixationOpen treatment with plate and screw fixation rather than closed manipulation.No office rate
27759Tibial fracture repair, intramedullary implantTibial shaft treatment using an intramedullary implant.No office rate

How 27752 has changed in Hawaii, Guam, HI

27752 · Office / nonfacility

$638.62

Effective 2026-10-01

The base rate is $74.18 higher than on 2025-10-01, moving from $564.44 to $638.62 (13.1%).

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

    $564.44changed to$638.62

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.27 changed to 6.11
    • Practice expense RVU 9.11 changed to 10.76
    • Malpractice RVU 1.27 changed to 1.34
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $576.65changed to$564.44

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.99 changed to 9.11
    • Malpractice RVU 1.29 changed to 1.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $567.23changed to$576.65

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $582.41changed to$567.23

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.83 changed to 8.99
    • Malpractice RVU 1.26 changed to 1.29
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $585.66changed to$582.41

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.51 changed to 8.83
    • Malpractice RVU 1.28 changed to 1.26
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $586.22changed to$585.66

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.42 changed to 8.51
    • Malpractice RVU 1.25 changed to 1.28

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $583.04changed to$586.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.91 changed to 8.42
    • Malpractice RVU 1.24 changed to 1.25
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $578.61changed to$583.04

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.89 changed to 7.91
    • Malpractice RVU 1.20 changed to 1.24
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $577.97changed to$578.61

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $576.92changed to$577.97

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.84 changed to 7.89
    • Malpractice RVU 1.21 changed to 1.20
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $579.81changed to$576.92

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.87 changed to 7.84
    • Malpractice RVU 1.23 changed to 1.21
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $582.35changed to$579.81

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 1.25 changed to 1.23

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $579.45changed to$582.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $576.84changed to$579.45

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.82 changed to 7.87
    • Malpractice RVU 1.16 changed to 1.25
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $580.98changed to$576.84

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.63 changed to 7.82
    • Malpractice RVU 1.21 changed to 1.16
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$580.98

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$638.62$516.34RVU26D
2026-07-01$638.62$516.34RVU26C
2026-04-01$638.62$516.34RVU26B
2026-01-01$638.62$516.34RVU26A
2025-10-01$564.44$510.55RVU25D
2025-07-01$564.44$510.55RVU25C
2025-04-01$564.44$510.55RVU25B
2025-01-01$564.44$510.55RVU25A
2024-10-01$576.65$521.19RVU24D
2024-07-01$576.65$521.19RVU24C
2024-04-01$576.65$521.19RVU24B
2024-03-09$576.65$521.19RVU24AR
2024-01-01$567.23$512.68RVU24A
2023-10-01$582.41$527.65RVU23D
2023-07-01$582.41$527.65RVU23C
2023-04-01$582.41$527.65RVU23B
2023-01-01$582.41$527.65RVU23A
2022-10-01$585.66$531.87RVU22D
2022-07-01$585.66$531.87RVU22C
2022-04-01$585.66$531.87RVU22B
2022-01-01$585.66$531.87RVU22A
2021-10-01$586.22$531.98RVU21D
2021-07-01$586.22$531.98RVU21C
2021-04-01$586.22$531.98RVU21B
2021-01-01$586.22$531.98RVU21A
2020-10-01$583.04$532.25RVU20D
2020-07-01$583.04$532.25RVU20C
2020-04-01$583.04$532.25RVU20B
2020-01-01$583.04$532.25RVU20A
2019-10-01$578.61$528.22RVU19D
2019-07-01$578.61$528.22RVU19C
2019-04-01$578.61$528.22RVU19B
2019-01-01$578.61$528.22RVU19A
2018-10-01$577.97$528.05RVU18D
2018-07-01$577.97$528.05RVU18C
2018-04-01$577.97$528.05RVU18B
2018-01-01$577.97$528.05RVU18AR1
2017-10-01$576.92$528.88RVU17D
2017-07-01$576.92$528.88RVU17C
2017-04-01$576.92$528.88RVU17B
2017-01-01$576.92$528.88RVU17A
2016-10-01$579.81$531.55RVU16D
2016-07-01$579.81$531.55RVU16C
2016-04-01$579.81$531.55RVU16B
2016-01-01$579.81$531.55RVU16A
2015-10-01$582.35$533.08RVU15D
2015-07-01$582.35$533.08RVU15C
2015-04-01$579.45$530.42RVU15B
2015-01-01$579.45$530.42RVU15A
2014-10-01$576.84$529.13RVU14D
2014-07-01$576.84$529.13RVU14C
2014-04-01$576.84$529.13RVU14B
2014-01-01$576.84$529.13RVU14A
2013-10-01$580.98$530.33RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 27752 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

27752 billing questions

How does this differ from 27750?

Both describe closed treatment of a tibial shaft fracture, but 27752 is selected when manipulation is performed to improve fracture alignment. Use 27750 when the closed treatment does not involve manipulation.

Can the code be used when the fibula is also fractured?

Yes. Tibial shaft treatment may include an associated fibular fracture; the fibular fracture does not by itself change the code selection.

When is 27756 used instead?

27756 is for percutaneous skeletal fixation of a tibial shaft fracture. This code describes closed treatment with manipulation, not percutaneous fixation.

What documentation supports reporting 27752?

Document the tibial shaft fracture, the manipulation or reduction performed, the alignment achieved, and the immobilization and treatment plan.

How is bilateral treatment handled?

For bilateral procedures reported with modifier 50, CMS pays at 150%. The multiple-procedure rule also applies when multiple procedures are performed in the same session.

Are assistant surgeons or co-surgeons payable?

CMS applies a statutory restriction to assistant-at-surgery payment for this code. 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 27752PPRRVU2026_Oct_nonQPP.csv, line 3,037 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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