CPT code 27810: Ankle fracture treatment, bimalleolar, with manipulation2026 Medicare rate & RVUs

Medicare pays $562.14 for 27810 nationally in the office and $464.27 in a hospital or facility. Local office rates run $493.88–$717.64.

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

What 27810 covers

An orthopedic surgeon or other qualified clinician uses manipulation to reduce a fracture involving both ankle malleoli without surgically opening the fracture site. The service may be performed in an emergency department, hospital, or office setting, with immobilization after reduction. Documentation should identify the bimalleolar fracture and establish that manipulation was performed as part of its treatment, rather than simply immobilizing the ankle without reduction.

Select this code for the fracture pattern and treatment performed; a bimalleolar fracture treated without manipulation has a different code, as does open treatment. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is paid at 150% for bilateral procedures. 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 27810 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27810 rates by state

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

How the 27810 rate is calculated

Each of 27810’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 27810

27810 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

27810 compared with similar codes

How to choose

27808Ankle fracture careBimalleolar, without manipulation

Both apply to closed treatment of a bimalleolar ankle fracture. Choose 27810 when manipulation is performed; choose 27808 when it is not.

27814Ankle fractureOpen bimalleolar treatment

This code describes closed reduction of a bimalleolar fracture. Use 27814 when the fracture is treated through an open surgical approach.

27818Ankle fracture careTrimalleolar, with manipulation

Both describe closed fracture treatment with manipulation, but 27818 is for a trimalleolar fracture; 27810 is for a bimalleolar fracture.

27816Ankle fracture careTrimalleolar, no manipulation

27816 is for closed treatment of a trimalleolar fracture without manipulation. This code is for a bimalleolar fracture treated with manipulation.

Codes related to 27810

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

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