CPT code 27816: Ankle fracture care, trimalleolar, no manipulation2026 Medicare rate & RVUs

Medicare pays $382.11 for 27816 nationally in the office and $313.63 in a hospital or facility. Local office rates run $335.19–$499.08.

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

What 27816 covers

Code 27816 describes definitive nonoperative care for a fracture involving the medial, lateral, and posterior malleoli of the ankle, when the physician does not manipulate the fracture. The care typically includes immobilization and management of the injury by an orthopedist or another physician providing fracture treatment, in an office or facility setting. It is distinct from an evaluation alone when the physician assumes responsibility for treating the fracture.

Report the code when documentation supports a trimalleolar fracture and closed treatment without manipulation. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur 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%. Medicare does not pay an assistant at surgery for this code; 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 27816 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

27816 rates by state

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

How the 27816 rate is calculated

Each of 27816’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 27816

27816 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

27816 compared with similar codes

How to choose

27808Ankle fracture careBimalleolar, without manipulation

Use 27808 for closed treatment without manipulation when the fracture is bimalleolar, rather than involving all three malleoli.

27818Ankle fracture careTrimalleolar, with manipulation

Use 27818 for a trimalleolar fracture when treatment includes manipulation and is performed without skeletal traction.

27822Ankle fracture surgeryWithout posterior lip fixation

Use 27822 when the trimalleolar fracture is treated open and the posterior lip is not fixed.

27823Ankle fracture repairPosterior lip fixation

Use 27823 for open treatment of a trimalleolar fracture that includes fixation of the posterior lip.

Codes related to 27816

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