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CPT code 27760: Ankle fracture care, medial malleolus, no manipulation2026 Medicare rate & RVUs in Delaware

Reports definitive closed care of a medial malleolus fracture when the physician treats the inner ankle fracture without manipulating it.

CMS RVU26DEffective Oct 1, 2026One payment locality1.6K Medicare services in 2024

In Delaware, Medicare pays $371.93 for 27760 in the office and $315.83 when it’s performed in a hospital or facility.

$371.93Office (non-facility)
$315.83Hospital or facility
−1.2%vs the national office rate ($376.43)

Check a contract rate as a % of Medicare · 27760 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 27760 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 27760 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 27760 covers

This code covers definitive closed treatment of a fracture of the medial malleolus, the bony prominence on the inner side of the ankle, when the physician does not manipulate the fracture. An orthopedist or another physician managing the fracture may use it when the fracture can be treated without a reduction maneuver, with immobilization such as a cast or splint as clinically appropriate. It represents fracture care rather than only an initial evaluation or temporary stabilization before transfer of care.

Choose this code when the record identifies the medial malleolus fracture and supports treatment without manipulation; document the injury, treatment plan, and immobilization. The 90-day global period includes 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 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 Delaware compares for 27760

Across 109 of 109 payment localities, the office rate for 27760 runs from $331.31 in Arkansas to $490.25 in San Benito County, CA. Delaware pays $371.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

27760 in Delaware vs other payment areas
  1. Delaware · this page$371.93
  2. Los Angeles, CA · California$420.24+$48.31
  3. Washington, DC area · District of Columbia$429.19+$57.26
  4. Miami, FL · Florida$416.90+$44.97
  5. Chicago, IL · Illinois$403.94+$32.01
  6. Manhattan, NY · New York$435.52+$63.59
  7. Alaska · Alaska$436.24+$64.31

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

Every other payment area

27760 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$336.35$286.67
ArkansasArkansas$331.31$282.54
ArizonaArizona$365.77$310.75
Bakersfield, CACalifornia$394.92$332.69
Chico, CACalifornia$393.27$331.04
El Centro, CACalifornia$393.37$331.14
Fresno, CACalifornia$393.27$331.04
Hanford, CACalifornia$393.27$331.04

27760 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.

$331.31

$441.76

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

View every state and territory as a table
27760 office rate range by state
State / territoryOffice rate rangeLocalities
AK$436.241
AL$336.351
AR$331.311
AZ$365.771
CA$393.27–$490.2529
CO$389.511
CT$402.081
DC$429.191
DE$371.931
FL$375.24–$416.903
GA$352.98–$384.742
GU$402.681
HI$402.681
IA$343.111
ID$345.871
IL$365.58–$403.944
IN$347.891
KS$342.441
KY$346.761
LA$346.60–$364.232
MA$387.47–$427.472
MD$378.88–$429.193
ME$348.80–$366.892
MI$357.03–$381.122
MN$369.871
MO$341.12–$364.363
MS$336.231
MT$376.391
NC$352.421
ND$364.721
NE$344.751
NH$384.301
NJ$405.72–$424.702
NM$359.461
NV$373.391
NY$357.97–$447.675
OH$354.651
OK$345.051
OR$369.57–$401.052
PA$354.67–$392.452
PR$378.911
RI$384.611
SC$354.311
SD$363.341
TN$344.361
TX$352.33–$389.028
UT$359.291
VA$366.35–$429.192
VI$378.911
VT$364.171
WA$386.44–$435.292
WI$352.201
WV$351.891
WY$371.301

See 27760 in every payment locality

How the 27760 rate is calculated

Each of 27760’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 · 27760

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.13

3.13 RVUs× 1.000 GPCI

Practice expense7.55

7.55 RVUs× 1.000 GPCI

Malpractice0.59

0.59 RVUs× 1.000 GPCI

Adjusted RVUs

11.2700

Conversion factor

$33.4009

Medicare rate

$376.43

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,041

Code
27760
Physician work
3.13
Practice expense
7.55
Malpractice
0.59

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 27760 in Delaware
ComponentRVULocality factorAdjusted
Physician work3.13× 1.0053.1456
Practice expense7.55× 0.9887.4594
Malpractice0.59× 0.8990.5304
Total RVUs11.1355
Conversion factor× 33.4009

Office rate, Delaware$371.93

Office: (3.13 × 1.005 + 7.55 × 0.988 + 0.59 × 0.899) × $33.4009 = $371.93

Facility: (3.13 × 1.005 + 5.85 × 0.988 + 0.59 × 0.899) × $33.4009 = $315.83

Open 27760 in the RVU calculator

Payment rules and modifiers for 27760

27760 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27760

Ankle fracture care, medial malleolus, no 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 · 27760

Ankle fracture care, medial malleolus, no 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

27760 without 50 · national office

$376.43

Ankle fracture care, medial malleolus, no manipulation

27760-50 · Bilateral: 150%

$564.65

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 27760

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

Codes related to 27760
CodeHow it relatesOffice range, Delaware
Same family
27762Ankle fracture care, medial malleolus, with manipulationClosed treatment of a medial malleolus fracture when manipulation is performed.$581.55
Used instead
27766Ankle fracture repair, medial malleolus, open treatmentOpen treatment of a medial malleolus fracture rather than closed care.No office rate
27808Ankle fracture care, bimalleolar, without manipulationClosed treatment without manipulation for a bimalleolar ankle fracture pattern.$377.80
27810Ankle fracture treatment, bimalleolar, with manipulationClosed treatment with manipulation for a bimalleolar ankle fracture pattern.$554.86

How 27760 has changed in Delaware

27760 · Office / nonfacility

$371.93

Effective 2026-10-01

The base rate is $32.13 higher than on 2025-10-01, moving from $339.80 to $371.93 (9.5%).

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

    $339.80changed to$371.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.21 changed to 3.13
    • Practice expense RVU 6.77 changed to 7.55
    • Malpractice RVU 0.58 changed to 0.59
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $345.41changed to$339.80

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.65 changed to 6.77
    • Malpractice RVU 0.57 changed to 0.58

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $339.77changed to$345.41

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $346.78changed to$339.77

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.44 changed to 6.65
    • Malpractice RVU 0.55 changed to 0.57
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $349.91changed to$346.78

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.22 changed to 6.44
    • Malpractice RVU 0.57 changed to 0.55
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $348.92changed to$349.91

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.12 changed to 6.22
    • Malpractice RVU 0.56 changed to 0.57

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $350.56changed to$348.92

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.79 changed to 6.12
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $349.36changed to$350.56

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.77 changed to 5.79
    • Malpractice RVU 0.52 changed to 0.56
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $351.18changed to$349.36

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.83 changed to 5.77

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $348.08changed to$351.18

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.73 changed to 5.83
    • Malpractice RVU 0.53 changed to 0.52
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $349.51changed to$348.08

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.75 changed to 5.73
    • Malpractice RVU 0.54 changed to 0.53
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $351.14changed to$349.51

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.76 changed to 5.75

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $349.39changed to$351.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $345.93changed to$349.39

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.70 changed to 5.76
    • Malpractice RVU 0.56 changed to 0.54
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $348.86changed to$345.93

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.33 changed to 5.70
    • Malpractice RVU 0.59 changed to 0.56
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $348.86

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$371.93$315.83RVU26D
2026-07-01$371.93$315.83RVU26C
2026-04-01$371.93$315.83RVU26B
2026-01-01$371.93$315.83RVU26A
2025-10-01$339.80$313.49RVU25D
2025-07-01$339.80$313.49RVU25C
2025-04-01$339.80$313.49RVU25B
2025-01-01$339.80$313.49RVU25A
2024-10-01$345.41$318.66RVU24D
2024-07-01$345.41$318.66RVU24C
2024-04-01$345.41$318.66RVU24B
2024-03-09$345.41$318.66RVU24AR
2024-01-01$339.77$313.46RVU24A
2023-10-01$346.78$319.82RVU23D
2023-07-01$346.78$319.82RVU23C
2023-04-01$346.78$319.82RVU23B
2023-01-01$346.78$319.82RVU23A
2022-10-01$349.91$323.03RVU22D
2022-07-01$349.91$323.03RVU22C
2022-04-01$349.91$323.03RVU22B
2022-01-01$349.91$323.03RVU22A
2021-10-01$348.92$321.11RVU21D
2021-07-01$348.92$321.11RVU21C
2021-04-01$348.92$321.11RVU21B
2021-01-01$348.92$321.11RVU21A
2020-10-01$350.56$322.93RVU20D
2020-07-01$350.56$322.93RVU20C
2020-04-01$350.56$322.93RVU20B
2020-01-01$350.56$322.93RVU20A
2019-10-01$349.36$320.72RVU19D
2019-07-01$349.36$320.72RVU19C
2019-04-01$349.36$320.72RVU19B
2019-01-01$349.36$320.72RVU19A
2018-10-01$351.18$319.27RVU18D
2018-07-01$351.18$319.27RVU18C
2018-04-01$351.18$319.27RVU18B
2018-01-01$351.18$319.27RVU18AR1
2017-10-01$348.08$317.92RVU17D
2017-07-01$348.08$317.92RVU17C
2017-04-01$348.08$317.92RVU17B
2017-01-01$348.08$317.92RVU17A
2016-10-01$349.51$319.24RVU16D
2016-07-01$349.51$319.24RVU16C
2016-04-01$349.51$319.24RVU16B
2016-01-01$349.51$319.24RVU16A
2015-10-01$351.14$320.02RVU15D
2015-07-01$351.14$320.02RVU15C
2015-04-01$349.39$318.43RVU15B
2015-01-01$349.39$318.43RVU15A
2014-10-01$345.93$316.19RVU14D
2014-07-01$345.93$316.19RVU14C
2014-04-01$345.93$316.19RVU14B
2014-01-01$345.93$316.19RVU14A
2013-10-01$348.86$316.18RVU13D
2013-07-01$348.86$316.18RVU13C
2013-04-01$348.86$316.18RVU13B
2013-01-01$348.86$316.18RVU13AR

Price 27760 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

27760 billing questions

How does this differ from 27762?

Use 27760 when the medial malleolus fracture is treated without manipulation. Code 27762 is for closed treatment that includes manipulation.

When is 27766 more appropriate?

Code 27766 describes open treatment of a medial malleolus fracture. This code is for closed treatment without manipulation.

Can the initial cast or splint be billed separately?

Routine immobilization associated with definitive fracture care is part of the treatment service. Do not report a separate application as though it were an unrelated service.

What documentation supports reporting this code?

Document that the fracture involves the medial malleolus, the physician is providing definitive fracture care, and no manipulation was performed.

How is bilateral treatment handled?

For treatment on both sides, modifier 50 is paid at 150%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service, and 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 27760PPRRVU2026_Oct_nonQPP.csv, line 3,041 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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