CPT code 27786: Ankle fracture care, distal fibula, without manipulation2026 Medicare rate & RVUs in Nebraska

In Nebraska, Medicare pays $320.82 for 27786 in the office and $268.72 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 27786 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 27786 covers

This code covers closed, nonoperative care of a fracture at the distal fibula, or lateral malleolus, when the provider treats it without manipulating the fracture. Orthopedic surgeons and other clinicians who provide fracture care may use it for a stable lateral malleolus fracture managed with immobilization, such as a cast or brace. The fracture pattern and the treatment actually performed distinguish this service from reduction or operative repair.

Choose the code based on the documented fracture site and whether manipulation or surgery was performed. The record should identify the distal fibular fracture and support treatment without manipulation. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. If this code is performed with other procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. For bilateral treatment, modifier 50 is paid at 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 Nebraska compares for 27786

Across 109 of 109 payment localities, the office rate for 27786 runs from $308.33 in Arkansas to $455.82 in San Benito County, CA. Nebraska pays $320.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27786 rates by state

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

See 27786 in every payment locality

How the 27786 rate is calculated

Each of 27786’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 27786

27786 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 27786

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

How 27786 has changed in Nebraska

Price 27786 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

• Abie
• Adams
• Agnew
• Ainsworth
• Albion
• Alda
• Alexandria
• Allen

Browse all communities in Nebraska

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