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

In South Dakota, Medicare pays $368.36 for 27816 in the office and $299.88 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 27816 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 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.

How South Dakota compares for 27816

Across 109 of 109 payment localities, the office rate for 27816 runs from $335.19 in Arkansas to $499.08 in San Benito County, CA. South Dakota pays $368.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27816 rates by state

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

See 27816 in every payment locality

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

Codes related to 27816

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

How 27816 has changed in South Dakota

Price 27816 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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