CPT code 27758: Tibia fracture fixation, open, non-intramedullary fixation2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $822.47 for 27758 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27758 nationwide

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

What 27758 covers

An orthopedic surgeon uses this service to expose and reduce a tibial shaft fracture and stabilize it with a plate, screws, or another non-intramedullary internal fixation construct. The code encompasses treatment of the tibial fracture whether or not a fibular fracture is also present. It is generally performed in an operating room; CMS 2024 claims show facility use for this code. The intramedullary nail approach is distinguished from this service and is reported with a different code.

Select the code from the operative report’s fracture location and fixation method, not simply from the fact that surgery occurred. Documentation should identify the tibial shaft fracture and describe open reduction and the fixation construct. 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 the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. With modifier 50, a bilateral procedure is paid at 150%. Assistant-at-surgery payment may be available; 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.

How New Mexico compares for 27758

Across 109 of 109 payment localities, the facility rate for 27758 runs from $743.92 in Arkansas to $1,021.09 in Alaska. New Mexico pays $822.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27758 rates by state

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

See 27758 in every payment locality

How the 27758 rate is calculated

Each of 27758’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.

Payment rules and modifiers for 27758

27758 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 27758

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

How 27758 has changed in New Mexico

Price 27758 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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

Open CMS sourceHow we calculate rates