CPT code 27768: Ankle fracture treatment, posterior malleolus, with manipulation2026 Medicare rate & RVUs in West Virginia

In West Virginia, Medicare pays $426.30 for 27768 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27768 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 27768 covers

This code describes closed management of a fracture involving the posterior portion of the distal tibia at the ankle when the clinician manipulates the fracture to improve alignment. An orthopedic surgeon typically performs the reduction, often using imaging to assess fracture position before and after manipulation. The fracture is managed without surgically exposing the bone; stabilization may follow the reduction.

Choose this code when the documented treatment includes manipulation, rather than closed care without manipulation or open fixation. The record should identify the posterior malleolus fracture and support the need for reduction, including the alignment findings and treatment performed. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment reported with modifier 50, payment is 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 West Virginia compares for 27768

Across 109 of 109 payment localities, the facility rate for 27768 runs from $391.17 in Arkansas to $549.76 in San Benito County, CA. West Virginia pays $426.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27768 rates by state

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

See 27768 in every payment locality

How the 27768 rate is calculated

Each of 27768’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 27768

27768 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 27768

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

How 27768 has changed in West Virginia

Price 27768 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

• Accoville
• Addison (Webster Springs)
• Adrian
• Albright
• Alderson
• Alum Creek
• Amherstdale
• Anawalt

Browse all communities in West Virginia

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