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

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 Iowa, Medicare pays $343.11 for 27760 in the office and $291.15 when it’s performed in a hospital or facility.

$343.11Office (non-facility)
$291.15Hospital or facility
−8.9%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 Iowa
  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 Iowa 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. Iowa pays $343.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

27760 in Iowa vs other payment areas
  1. Iowa · this page$343.11
  2. Los Angeles, CA · California$420.24+$77.13
  3. Washington, DC area · District of Columbia$429.19+$86.08
  4. Miami, FL · Florida$416.90+$73.79
  5. Chicago, IL · Illinois$403.94+$60.83
  6. Manhattan, NY · New York$435.52+$92.41
  7. Alaska · Alaska$436.24+$93.13

Other areas in Iowa 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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 27760 in Iowa
ComponentRVULocality factorAdjusted
Physician work3.13× 1.0003.1300
Practice expense7.55× 0.9156.9082
Malpractice0.59× 0.3970.2342
Total RVUs10.2725
Conversion factor× 33.4009

Office rate, Iowa$343.11

Office: (3.13 × 1 + 7.55 × 0.915 + 0.59 × 0.397) × $33.4009 = $343.11

Facility: (3.13 × 1 + 5.85 × 0.915 + 0.59 × 0.397) × $33.4009 = $291.15

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, Iowa
Same family
27762Ankle fracture care, medial malleolus, with manipulationClosed treatment of a medial malleolus fracture when manipulation is performed.$533.31
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.$348.27
27810Ankle fracture treatment, bimalleolar, with manipulationClosed treatment with manipulation for a bimalleolar ankle fracture pattern.$508.85

How 27760 has changed in Iowa

27760 · Office / nonfacility

$343.11

Effective 2026-10-01

The base rate is $30.77 higher than on 2025-10-01, moving from $312.34 to $343.11 (9.9%).

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

    $312.34changed to$343.11

    • 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
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $317.63changed to$312.34

    • 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

    $312.44changed to$317.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $315.59changed to$312.44

    • 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
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $314.70changed to$315.59

    • 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
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $314.00changed to$314.70

    • 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

    $313.94changed to$314.00

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.79 changed to 6.12
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $312.22changed to$313.94

    • 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
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $313.84changed to$312.22

    • 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

    $309.40changed to$313.84

    • 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
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $308.93changed to$309.40

    • 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
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $310.36changed to$308.93

    • 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

    $308.82changed to$310.36

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $306.66changed to$308.82

    • 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 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $309.40changed to$306.66

    • 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 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $309.40

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$343.11$291.15RVU26D
2026-07-01$343.11$291.15RVU26C
2026-04-01$343.11$291.15RVU26B
2026-01-01$343.11$291.15RVU26A
2025-10-01$312.34$288.12RVU25D
2025-07-01$312.34$288.12RVU25C
2025-04-01$312.34$288.12RVU25B
2025-01-01$312.34$288.12RVU25A
2024-10-01$317.63$293.01RVU24D
2024-07-01$317.63$293.01RVU24C
2024-04-01$317.63$293.01RVU24B
2024-03-09$317.63$293.01RVU24AR
2024-01-01$312.44$288.23RVU24A
2023-10-01$315.59$291.23RVU23D
2023-07-01$315.59$291.23RVU23C
2023-04-01$315.59$291.23RVU23B
2023-01-01$315.59$291.23RVU23A
2022-10-01$314.70$290.85RVU22D
2022-07-01$314.70$290.85RVU22C
2022-04-01$314.70$290.85RVU22B
2022-01-01$314.70$290.85RVU22A
2021-10-01$314.00$289.31RVU21D
2021-07-01$314.00$289.31RVU21C
2021-04-01$314.00$289.31RVU21B
2021-01-01$314.00$289.31RVU21A
2020-10-01$313.94$289.39RVU20D
2020-07-01$313.94$289.39RVU20C
2020-04-01$313.94$289.39RVU20B
2020-01-01$313.94$289.39RVU20A
2019-10-01$312.22$286.72RVU19D
2019-07-01$312.22$286.72RVU19C
2019-04-01$312.22$286.72RVU19B
2019-01-01$312.22$286.72RVU19A
2018-10-01$313.84$285.43RVU18D
2018-07-01$313.84$285.43RVU18C
2018-04-01$313.84$285.43RVU18B
2018-01-01$313.84$285.43RVU18AR1
2017-10-01$309.40$282.86RVU17D
2017-07-01$309.40$282.86RVU17C
2017-04-01$309.40$282.86RVU17B
2017-01-01$309.40$282.86RVU17A
2016-10-01$308.93$282.62RVU16D
2016-07-01$308.93$282.62RVU16C
2016-04-01$308.93$282.62RVU16B
2016-01-01$308.93$282.62RVU16A
2015-10-01$310.36$283.32RVU15D
2015-07-01$310.36$283.32RVU15C
2015-04-01$308.82$281.91RVU15B
2015-01-01$308.82$281.91RVU15A
2014-10-01$306.66$281.09RVU14D
2014-07-01$306.66$281.09RVU14C
2014-04-01$306.66$281.09RVU14B
2014-01-01$306.66$281.09RVU14A
2013-10-01$309.40$281.63RVU13D
2013-07-01$309.40$281.63RVU13C
2013-04-01$309.40$281.63RVU13B
2013-01-01$309.40$281.63RVU13AR

Price 27760 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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 IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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