CPT code 27767: Ankle fracture care, posterior malleolus, no manipulation2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $312.13 for 27767 in the office and $291.08 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 27767 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 27767 covers

This code represents nonoperative care of a fracture at the posterior part of the distal tibia, where it forms the ankle joint. An orthopedic surgeon or other qualified practitioner may provide this care in an office, emergency department, or hospital when the treatment plan is closed management rather than operative fixation. The key distinction is that the provider does not manipulate the fracture to achieve or restore alignment.

The record should identify the posterior malleolus fracture, document the closed treatment plan, and support that no manipulation was performed. Code 27768 is the corresponding choice when manipulation is performed; open fixation is represented by a different code. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; 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 North Dakota compares for 27767

Across 109 of 109 payment localities, the office rate for 27767 runs from $282.89 in Arkansas to $420.80 in San Benito County, CA. North Dakota pays $312.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27767 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 27767 in every payment locality

How the 27767 rate is calculated

Each of 27767’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.

Payment rules and modifiers for 27767

27767 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 27767

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

How 27767 has changed in North Dakota

Price 27767 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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

Open CMS sourceHow we calculate rates