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

Report this service for closed treatment of a bimalleolar ankle fracture when the clinician manipulates the fracture to restore alignment.

CMS RVU26DEffective Oct 1, 2026One payment locality2.3K Medicare services in 2024

In Delaware, Medicare pays $554.86 for 27810 in the office and $458.17 when it’s performed in a hospital or facility.

$554.86Office (non-facility)
$458.17Hospital or facility
−1.3%vs the national office rate ($562.14)

Check a contract rate as a % of Medicare · 27810 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 27810 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 27810 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 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.

How Delaware compares for 27810

Across 109 of 109 payment localities, the office rate for 27810 runs from $493.88 in Arkansas to $717.64 in San Benito County, CA. Delaware pays $554.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

27810 in Delaware vs other payment areas
  1. Delaware · this page$554.86
  2. Los Angeles, CA · California$620.11+$65.25
  3. Washington, DC area · District of Columbia$638.16+$83.30
  4. Miami, FL · Florida$636.23+$81.37
  5. Chicago, IL · Illinois$615.71+$60.85
  6. Manhattan, NY · New York$652.78+$97.92
  7. Alaska · Alaska$654.00+$99.14

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

Every other payment area

27810 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$501.46$415.83
ArkansasArkansas$493.88$409.81
ArizonaArizona$545.67$450.84
Bakersfield, CACalifornia$583.72$476.46
Chico, CACalifornia$580.52$473.26
El Centro, CACalifornia$580.72$473.46
Fresno, CACalifornia$580.52$473.26
Hanford, CACalifornia$580.52$473.26

27810 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.

$493.88

$654.00

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

View every state and territory as a table
27810 office rate range by state
State / territoryOffice rate rangeLocalities
AK$654.001
AL$501.461
AR$493.881
AZ$545.671
CA$580.52–$717.6429
CO$578.041
CT$600.741
DC$638.161
DE$554.861
FL$566.41–$636.233
GA$531.87–$576.112
GU$593.591
HI$593.591
IA$508.851
ID$513.571
IL$553.71–$615.714
IN$516.521
KS$509.181
KY$520.001
LA$520.28–$546.822
MA$575.51–$632.792
MD$564.86–$638.163
ME$519.39–$544.572
MI$536.75–$576.712
MN$544.771
MO$512.86–$545.433
MS$503.331
MT$562.061
NC$524.601
ND$538.921
NE$510.901
NH$571.591
NJ$605.03–$631.672
NM$540.971
NV$555.961
NY$533.05–$672.825
OH$532.031
OK$516.001
OR$549.13–$593.722
PA$531.31–$587.142
PR$565.401
RI$572.751
SC$529.701
SD$536.191
TN$512.221
TX$527.89–$578.318
UT$537.171
VA$544.70–$638.162
VI$565.401
VT$539.341
WA$573.59–$643.042
WI$520.411
WV$533.171
WY$551.981

See 27810 in every payment locality

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.

How the rate is built · 27810

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.19

5.19 RVUs× 1.000 GPCI

Practice expense10.47

10.47 RVUs× 1.000 GPCI

Malpractice1.17

1.17 RVUs× 1.000 GPCI

Adjusted RVUs

16.8300

Conversion factor

$33.4009

Medicare rate

$562.14

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,054

Code
27810
Physician work
5.19
Practice expense
10.47
Malpractice
1.17

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 27810 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.19× 1.0055.2159
Practice expense10.47× 0.98810.3444
Malpractice1.17× 0.8991.0518
Total RVUs16.6121
Conversion factor× 33.4009

Office rate, Delaware$554.86

Office: (5.19 × 1.005 + 10.47 × 0.988 + 1.17 × 0.899) × $33.4009 = $554.86

Facility: (5.19 × 1.005 + 7.54 × 0.988 + 1.17 × 0.899) × $33.4009 = $458.17

Open 27810 in the RVU calculator

Payment rules and modifiers for 27810

27810 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27810

Ankle fracture treatment, bimalleolar, 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 · 27810

Ankle fracture treatment, bimalleolar, 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

27810 without 50 · national office

$562.14

Ankle fracture treatment, bimalleolar, with manipulation

27810-50 · Bilateral: 150%

$843.21

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 27810

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

Codes related to 27810
CodeHow it relatesOffice range, Delaware
Same family
27808Ankle fracture care, bimalleolar, without manipulationClosed treatment of a bimalleolar fracture without manipulation.$377.80
27814Ankle fracture, open bimalleolar treatmentOpen treatment of a bimalleolar ankle fracture.No office rate
27816Ankle fracture care, trimalleolar, no manipulationClosed treatment of a trimalleolar fracture without manipulation.$377.38
27818Ankle fracture care, trimalleolar, with manipulationClosed treatment of a trimalleolar fracture with manipulation.$577.27
27822Ankle fracture surgery, without posterior lip fixationOpen treatment of a trimalleolar fracture without fixation of the posterior lip.No office rate
Used instead
27840Ankle dislocation, closed, without anesthesiaClosed treatment of an ankle dislocation rather than an ankle fracture.No office rate

How 27810 has changed in Delaware

27810 · Office / nonfacility

$554.86

Effective 2026-10-01

The base rate is $76.60 higher than on 2025-10-01, moving from $478.26 to $554.86 (16.0%).

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

    $478.26changed to$554.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.32 changed to 5.19
    • Practice expense RVU 8.47 changed to 10.47
    • Malpractice RVU 1.07 changed to 1.17
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $488.83changed to$478.26

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.34 changed to 8.47
    • Malpractice RVU 1.10 changed to 1.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $480.85changed to$488.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $493.35changed to$480.85

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.15 changed to 8.34
    • Malpractice RVU 1.06 changed to 1.10
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $494.54changed to$493.35

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.79 changed to 8.15
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $492.32changed to$494.54

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.64 changed to 7.79
    • Malpractice RVU 1.03 changed to 1.06

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $493.90changed to$492.32

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.13 changed to 7.64
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $492.71changed to$493.90

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.16 changed to 7.13
    • Malpractice RVU 0.91 changed to 1.03
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $490.70changed to$492.71

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.12 changed to 7.16

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $488.16changed to$490.70

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.04 changed to 7.12
    • Malpractice RVU 0.92 changed to 0.91
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $489.81changed to$488.16

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.07 changed to 7.04
    • Malpractice RVU 0.93 changed to 0.92
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $493.49changed to$489.81

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.09 changed to 7.07
    • Malpractice RVU 0.96 changed to 0.93

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $491.03changed to$493.49

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $484.41changed to$491.03

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.02 changed to 7.09
    • Malpractice RVU 0.97 changed to 0.96
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $484.39changed to$484.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.83 changed to 7.02
    • Malpractice RVU 1.01 changed to 0.97
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $484.39

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$554.86$458.17RVU26D
2026-07-01$554.86$458.17RVU26C
2026-04-01$554.86$458.17RVU26B
2026-01-01$554.86$458.17RVU26A
2025-10-01$478.26$430.13RVU25D
2025-07-01$478.26$430.13RVU25C
2025-04-01$478.26$430.13RVU25B
2025-01-01$478.26$430.13RVU25A
2024-10-01$488.83$439.63RVU24D
2024-07-01$488.83$439.63RVU24C
2024-04-01$488.83$439.63RVU24B
2024-03-09$488.83$439.63RVU24AR
2024-01-01$480.85$432.45RVU24A
2023-10-01$493.35$443.53RVU23D
2023-07-01$493.35$443.53RVU23C
2023-04-01$493.35$443.53RVU23B
2023-01-01$493.35$443.53RVU23A
2022-10-01$494.54$445.03RVU22D
2022-07-01$494.54$445.03RVU22C
2022-04-01$494.54$445.03RVU22B
2022-01-01$494.54$445.03RVU22A
2021-10-01$492.32$442.76RVU21D
2021-07-01$492.32$442.76RVU21C
2021-04-01$492.32$442.76RVU21B
2021-01-01$492.32$442.76RVU21A
2020-10-01$493.90$446.73RVU20D
2020-07-01$493.90$446.73RVU20C
2020-04-01$493.90$446.73RVU20B
2020-01-01$493.90$446.73RVU20A
2019-10-01$492.71$445.70RVU19D
2019-07-01$492.71$445.70RVU19C
2019-04-01$492.71$445.70RVU19B
2019-01-01$492.71$445.70RVU19A
2018-10-01$490.70$444.12RVU18D
2018-07-01$490.70$444.12RVU18C
2018-04-01$490.70$444.12RVU18B
2018-01-01$490.70$444.12RVU18AR1
2017-10-01$488.16$443.28RVU17D
2017-07-01$488.16$443.28RVU17C
2017-04-01$488.16$443.28RVU17B
2017-01-01$488.16$443.28RVU17A
2016-10-01$489.81$445.14RVU16D
2016-07-01$489.81$445.14RVU16C
2016-04-01$489.81$445.14RVU16B
2016-01-01$489.81$445.14RVU16A
2015-10-01$493.49$447.92RVU15D
2015-07-01$493.49$447.92RVU15C
2015-04-01$491.03$445.69RVU15B
2015-01-01$491.03$445.69RVU15A
2014-10-01$484.41$439.78RVU14D
2014-07-01$484.41$439.78RVU14C
2014-04-01$484.41$439.78RVU14B
2014-01-01$484.41$439.78RVU14A
2013-10-01$484.39$436.79RVU13D
2013-07-01$484.39$436.79RVU13C
2013-04-01$484.39$436.79RVU13B
2013-01-01$484.39$436.79RVU13AR

Price 27810 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

27810 billing questions

When is this code used instead of 27808?

Use this code when closed treatment of a bimalleolar fracture includes manipulation to restore alignment. Code 27808 describes closed treatment of the same fracture pattern without manipulation.

How does this differ from open bimalleolar fracture treatment?

This code is for closed reduction, without surgically opening the fracture site. Open treatment of a bimalleolar fracture is reported with 27814.

Does the global period include related follow-up care?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction, with payment at 50%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

How is bilateral treatment handled?

For bilateral procedures reported with modifier 50, CMS pays at 150%.

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 27810PPRRVU2026_Oct_nonQPP.csv, line 3,054 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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