CPT code 27760: Ankle fracture care, medial malleolus, no manipulation2026 Medicare rate & RVUs in Missouri
Reports definitive closed care of a medial malleolus fracture when the physician treats the inner ankle fracture without manipulating it.
Medicare pays $341.12–$364.36 for 27760 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
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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On this page 9 sections
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.
Where 27760 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$341.12 to $364.36
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $360.59 | $307.27 |
| Metropolitan St. Louis, MO | $364.36 | $310.31 |
| Rest of Missouri | $341.12 | $292.17 |
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
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.
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
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 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.
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).
27760 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27762Ankle fracture careMedial malleolus, with manipulation
- Both codes concern closed treatment of a medial malleolus fracture. Choose 27762 when the physician manipulates the fracture; choose 27760 when treatment proceeds without manipulation.
- 27766Ankle fracture repairMedial malleolus, open treatment
- This code is for closed treatment without manipulation. Code 27766 applies when the medial malleolus fracture receives open treatment.
- 27808Ankle fracture careBimalleolar, without manipulation
- Code 27808 describes closed treatment without manipulation of a bimalleolar fracture. Use 27760 for a medial malleolus fracture treated as the specified injury pattern.
- 27786Ankle fracture careDistal fibula, without manipulation
- Code 27786 concerns closed treatment without manipulation of a lateral malleolus fracture. Code 27760 concerns the medial malleolus.
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
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