CPT code 27762: Ankle fracture care, medial malleolus, with manipulation2026 Medicare rate & RVUs in Missouri
Closed treatment of a medial malleolus fracture with manipulation is reported when the clinician restores alignment without open surgical exposure.
Medicare pays $536.98–$571.48 for 27762 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 27762 covers
This service covers closed management of a fracture of the medial malleolus, the inner portion of the ankle. The clinician manipulates the fracture to improve alignment and stabilizes the ankle, commonly with a cast or splint. An orthopedic surgeon typically provides the fracture treatment in a surgical or procedure setting; the defining feature is manipulation without open exposure of the fracture site.
Report this code when the documentation supports a medial malleolus fracture and closed manipulation, rather than treatment without manipulation. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. When performed bilaterally with modifier 50, payment is 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 27762 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
$536.98 to $571.48
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $565.65 | $473.12 |
| Metropolitan St. Louis, MO | $571.48 | $477.67 |
| Rest of Missouri | $536.98 | $452.04 |
How the 27762 rate is calculated
Each of 27762’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 · 27762
RVUs × geographic indexes × conversion factor
Work5.33
5.33 RVUs× 1.000 GPCI
Practice expense11.10
11.10 RVUs× 1.000 GPCI
Malpractice1.21
1.21 RVUs× 1.000 GPCI
Adjusted RVUs
17.6400
Conversion factor
$33.4009
Medicare rate
$589.19
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27762
27762 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27762
Ankle fracture care, medial malleolus, with 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 · 27762
Ankle fracture care, medial malleolus, with 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
27762 without 50 · national office
$589.19
Ankle fracture care, medial malleolus, with manipulation
27762-50 · Bilateral: 150%
$883.79
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).
27762 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27760Ankle fracture careMedial malleolus, no manipulation
- Both address a medial malleolus fracture. Choose 27762 when closed manipulation is performed; 27760 is for closed treatment without manipulation.
- 27766Ankle fracture repairMedial malleolus, open treatment
- This code is for closed treatment with manipulation. Use 27766 when the medial malleolus fracture is treated through open surgical exposure.
- 27768Ankle fracture treatmentPosterior malleolus, with manipulation
- Both describe closed treatment with manipulation, but 27768 concerns the posterior malleolus; 27762 concerns the medial malleolus.
- 27788Ankle fracture careDistal fibula, with manipulation
- 27788 is for closed treatment with manipulation of a distal fibular fracture. Use 27762 for the medial malleolus.
27762 billing questions
How does this differ from 27760?
Use 27762 when the clinician manipulates the medial malleolus fracture to improve alignment. Code 27760 describes closed treatment of that fracture without manipulation.
What documentation supports reporting 27762?
Document the medial malleolus fracture and the closed manipulation performed to restore alignment. The record should distinguish this treatment from care without manipulation or open treatment.
Is the cast or splint separately reported?
The cast or splint is part of stabilizing the fracture treated under this service. Do not treat the immobilization alone as a separate fracture-treatment service.
How is bilateral treatment handled?
For bilateral procedures reported with modifier 50, CMS payment is 150%. The documentation should support treatment of a medial malleolus fracture on each side.
Can an assistant, co-surgeon, or surgical team be reported?
Medicare does not pay an assistant at surgery for 27762. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.
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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