CPT code 27756: Fracture fixation, percutaneous tibial shaft2026 Medicare rate & RVUs in Massachusetts
Reports percutaneous skeletal fixation of a tibial shaft fracture, with or without an associated fibular fracture, when fixation is performed through a percutaneous approach.
CMS doesn’t publish an office rate for 27756 in Massachusetts.
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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What 27756 covers
An orthopedic surgeon uses a percutaneous approach to stabilize a fracture through the shaft of the tibia, typically placing fixation devices through small incisions rather than exposing the fracture for open fixation. The code can include an associated fibular fracture; the defining service is skeletal fixation of the tibial shaft fracture. These procedures are generally performed in an operating room, often with imaging guidance to position and assess the fixation.
Select this code when the tibial shaft fracture is treated with percutaneous skeletal fixation. The operative report should establish the fracture site and describe the percutaneous approach and fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 27756 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | Unavailable | $621.35 |
| Rest of Massachusetts | Unavailable | $572.34 |
How the 27756 rate is calculated
Each of 27756’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 · 27756
RVUs × geographic indexes × conversion factor
Work7.26
7.26 RVUs× 1.000 GPCI
Practice expense8.11
8.11 RVUs× 1.000 GPCI
Malpractice1.53
1.53 RVUs× 1.000 GPCI
Adjusted RVUs
16.9000
Conversion factor
$33.4009
Medicare rate
$564.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27756
27756 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27756
Fracture fixation, percutaneous tibial shaft
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 27756
Fracture fixation, percutaneous tibial shaft
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
27756 without 50 · national facility
$564.48
Fracture fixation, percutaneous tibial shaft
27756-50 · Bilateral: 150%
$846.72
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).
27756 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27750Tibia fracture careWithout manipulation
- 27750 describes closed treatment without manipulation or skeletal fixation. Report 27756 when the tibial shaft fracture receives percutaneous skeletal fixation.
- 27752Tibial fracture careWith manipulation
- 27752 is closed treatment with manipulation, without skeletal fixation. Percutaneous skeletal fixation distinguishes 27756.
- 27758Tibia fracture fixationOpen, non-intramedullary fixation
- 27758 involves open treatment with plate-and-screw fixation. Use 27756 for percutaneous skeletal fixation rather than open fracture exposure.
- 27759Tibial fracture repairIntramedullary implant
- 27759 describes treatment using an intramedullary implant. Use 27756 when the tibial shaft fracture is treated with percutaneous skeletal fixation instead.
27756 billing questions
How does this differ from closed treatment codes 27750 and 27752?
Use 27756 when skeletal fixation is performed percutaneously. Codes 27750 and 27752 describe closed treatment without skeletal fixation, distinguished by whether manipulation is performed.
When should 27758 or 27759 be reported instead?
Choose 27758 for open tibial shaft fracture treatment using plate-and-screw fixation, and 27759 when treatment uses an intramedullary implant. The operative approach and fixation method distinguish these services from percutaneous skeletal fixation.
Does an associated fibular fracture change the code?
The tibial shaft fixation service may include an associated fibular fracture. Documentation should identify the tibial shaft fracture and the percutaneous fixation performed.
Are routine postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle multiple procedures or bilateral reporting?
For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%.
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
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