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CPT code 27762: Ankle fracture care, medial malleolus, with manipulation2026 Medicare rate & RVUs in Vermont

Closed treatment of a medial malleolus fracture with manipulation is reported when the clinician restores alignment without open surgical exposure.

CMS RVU26DEffective Oct 1, 2026One payment locality268 Medicare services in 2024

In Vermont, Medicare pays $565.52 for 27762 in the office and $467.97 when it’s performed in a hospital or facility.

$565.52Office (non-facility)
$467.97Hospital or facility
−4.0%vs the national office rate ($589.19)

Check a contract rate as a % of Medicare · 27762 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 27762 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 27762 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 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.

How Vermont compares for 27762

Across 109 of 109 payment localities, the office rate for 27762 runs from $517.31 in Arkansas to $753.89 in San Benito County, CA. Vermont pays $565.52. The RVUs are the same everywhere; the geographic indexes change the dollars.

27762 in Vermont vs other payment areas
  1. Vermont · this page$565.52
  2. Los Angeles, CA · California$650.76+$85.24
  3. Washington, DC area · District of Columbia$669.37+$103.85
  4. Miami, FL · Florida$666.19+$100.67
  5. Chicago, IL · Illinois$644.63+$79.11
  6. Manhattan, NY · New York$684.33+$118.81
  7. Alaska · Alaska$684.16+$118.64

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

Every other payment area

27762 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$525.31$439.09
ArkansasArkansas$517.31$432.68
ArizonaArizona$571.88$476.40
Bakersfield, CACalifornia$612.36$504.37
Chico, CACalifornia$609.06$501.07
El Centro, CACalifornia$609.26$501.27
Fresno, CACalifornia$609.06$501.07
Hanford, CACalifornia$609.06$501.07

27762 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.

$517.31

$684.16

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

View every state and territory as a table
27762 office rate range by state
State / territoryOffice rate rangeLocalities
AK$684.161
AL$525.311
AR$517.311
AZ$571.881
CA$609.06–$753.8929
CO$606.211
CT$629.791
DC$669.371
DE$581.551
FL$593.21–$666.193
GA$556.91–$603.782
GU$622.971
HI$622.971
IA$533.311
ID$538.231
IL$579.69–$644.634
IN$541.351
KS$533.551
KY$544.601
LA$544.86–$572.812
MA$603.49–$663.972
MD$592.11–$669.373
ME$544.25–$570.942
MI$562.15–$603.942
MN$571.491
MO$536.98–$571.483
MS$527.111
MT$589.111
NC$549.761
ND$565.191
NE$535.511
NH$599.341
NJ$634.34–$662.482
NM$566.541
NV$582.811
NY$558.65–$705.295
OH$557.261
OK$540.511
OR$575.71–$622.852
PA$556.57–$615.402
PR$592.661
RI$600.441
SC$554.951
SD$562.361
TN$536.741
TX$552.95–$606.448
UT$562.821
VA$571.01–$669.372
VI$592.661
VT$565.521
WA$601.50–$674.862
WI$545.651
WV$558.041
WY$578.681

See 27762 in every payment locality

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

Office or facility?

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.

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,042

Code
27762
Physician work
5.33
Practice expense
11.10
Malpractice
1.21

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 27762 in Vermont
ComponentRVULocality factorAdjusted
Physician work5.33× 1.0005.3300
Practice expense11.10× 0.99010.9890
Malpractice1.21× 0.5060.6123
Total RVUs16.9313
Conversion factor× 33.4009

Office rate, Vermont$565.52

Office: (5.33 × 1 + 11.1 × 0.99 + 1.21 × 0.506) × $33.4009 = $565.52

Facility: (5.33 × 1 + 8.15 × 0.99 + 1.21 × 0.506) × $33.4009 = $467.97

Open 27762 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

Codes related to 27762

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

Codes related to 27762
CodeHow it relatesOffice range, Vermont
Same family
27760Ankle fracture care, medial malleolus, no manipulationClosed treatment of a medial malleolus fracture without manipulation.$364.17
27767Ankle fracture care, posterior malleolus, no manipulationClosed treatment without manipulation of a posterior malleolus fracture.$311.53
27768Ankle fracture treatment, posterior malleolus, with manipulationClosed treatment with manipulation of a posterior malleolus fracture.No office rate
Used instead
27766Ankle fracture repair, medial malleolus, open treatmentOpen treatment of a medial malleolus fracture rather than closed manipulation.No office rate
27769Ankle fracture repair, open posterior malleolusOpen treatment of a posterior malleolus fracture.No office rate
27788Ankle fracture care, distal fibula, with manipulationClosed treatment with manipulation of a distal fibular fracture.$479.19

How 27762 has changed in Vermont

27762 · Office / nonfacility

$565.52

Effective 2026-10-01

The base rate is $94.88 higher than on 2025-10-01, moving from $470.64 to $565.52 (20.2%).

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

    $470.64changed to$565.52

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.47 changed to 5.33
    • Practice expense RVU 8.57 changed to 11.10
    • Malpractice RVU 1.10 changed to 1.21
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $484.84changed to$470.64

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 1.13 changed to 1.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $476.93changed to$484.84

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $484.27changed to$476.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.27 changed to 8.57
    • Malpractice RVU 1.06 changed to 1.13
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518

  5. January 1, 2023

    RVU23A

    $485.46changed to$484.27

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.93 changed to 8.27
    • Malpractice RVU 1.09 changed to 1.06
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $479.91changed to$485.46

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.69 changed to 7.93
    • Malpractice RVU 1.03 changed to 1.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $483.00changed to$479.91

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.25 changed to 7.69
    • Malpractice RVU 1.04 changed to 1.03
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $481.85changed to$483.00

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.91 changed to 1.04
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $475.78changed to$481.85

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.11 changed to 7.25
    • Malpractice RVU 0.89 changed to 0.91

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $472.00changed to$475.78

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.03 changed to 7.11
    • Malpractice RVU 0.91 changed to 0.89
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $475.83changed to$472.00

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.15 changed to 7.03
    • Malpractice RVU 0.94 changed to 0.91
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $476.84changed to$475.83

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.11 changed to 7.15
    • Malpractice RVU 0.97 changed to 0.94

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $474.46changed to$476.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $474.37changed to$474.46

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.13 changed to 7.11
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$474.37

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$565.52$467.97RVU26D
2026-07-01$565.52$467.97RVU26C
2026-04-01$565.52$467.97RVU26B
2026-01-01$565.52$467.97RVU26A
2025-10-01$470.64$423.10RVU25D
2025-07-01$470.64$423.10RVU25C
2025-04-01$470.64$423.10RVU25B
2025-01-01$470.64$423.10RVU25A
2024-10-01$484.84$434.93RVU24D
2024-07-01$484.84$434.93RVU24C
2024-04-01$484.84$434.93RVU24B
2024-03-09$484.84$434.93RVU24AR
2024-01-01$476.93$427.83RVU24A
2023-10-01$484.27$435.29RVU23D
2023-07-01$484.27$435.29RVU23C
2023-04-01$484.27$435.29RVU23B
2023-01-01$484.27$435.29RVU23A
2022-10-01$485.46$438.00RVU22D
2022-07-01$485.46$438.00RVU22C
2022-04-01$485.46$438.00RVU22B
2022-01-01$485.46$438.00RVU22A
2021-10-01$479.91$432.41RVU21D
2021-07-01$479.91$432.41RVU21C
2021-04-01$479.91$432.41RVU21B
2021-01-01$479.91$432.41RVU21A
2020-10-01$483.00$436.80RVU20D
2020-07-01$483.00$436.80RVU20C
2020-04-01$483.00$436.80RVU20B
2020-01-01$483.00$436.80RVU20A
2019-10-01$481.85$435.39RVU19D
2019-07-01$481.85$435.39RVU19C
2019-04-01$481.85$435.39RVU19B
2019-01-01$481.85$435.39RVU19A
2018-10-01$475.78$430.83RVU18D
2018-07-01$475.78$430.83RVU18C
2018-04-01$475.78$430.83RVU18B
2018-01-01$475.78$430.83RVU18AR1
2017-10-01$472.00$429.23RVU17D
2017-07-01$472.00$429.23RVU17C
2017-04-01$472.00$429.23RVU17B
2017-01-01$472.00$429.23RVU17A
2016-10-01$475.83$433.41RVU16D
2016-07-01$475.83$433.41RVU16C
2016-04-01$475.83$433.41RVU16B
2016-01-01$475.83$433.41RVU16A
2015-10-01$476.84$433.54RVU15D
2015-07-01$476.84$433.54RVU15C
2015-04-01$474.46$431.39RVU15B
2015-01-01$474.46$431.39RVU15A
2014-10-01$474.37$433.29RVU14D
2014-07-01$474.37$433.29RVU14C
2014-04-01$474.37$433.29RVU14B
2014-01-01$474.37$433.29RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 27762 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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

Show the CMS file lines behind this rate
RVUs for 27762PPRRVU2026_Oct_nonQPP.csv, line 3,042 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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