CPT code 27818: Ankle fracture care, trimalleolar, with manipulation2026 Medicare rate & RVUs in North Dakota
Reports closed reduction and treatment of a trimalleolar ankle fracture when the physician manipulates the fracture to restore alignment.
In North Dakota, Medicare pays $560.05 for 27818 in the office and $451.50 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 27818 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 27818 covers
Code 27818 represents closed reduction and treatment of a trimalleolar ankle fracture: a fracture involving the medial, lateral, and posterior malleoli. The physician manipulates the ankle to restore alignment without surgically exposing the fracture, then immobilizes it as part of the treatment. Orthopedic surgeons commonly perform this service in a hospital or other setting where the fracture is managed.
Choose this code when the fracture pattern is trimalleolar and manipulation is performed; a splint or cast alone does not establish that manipulation occurred. Document the fracture pattern, reduction maneuver, and resulting alignment. CMS assigns a 90-day major-surgery global period, including the day before surgery and 90 days of related postoperative care. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with 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 North Dakota compares for 27818
Across 109 of 109 payment localities, the office rate for 27818 runs from $514.16 in Arkansas to $743.98 in San Benito County, CA. North Dakota pays $560.05. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$560.05
- Los Angeles, CA · California$643.89+$83.84
- Washington, DC area · District of Columbia$663.25+$103.20
- Miami, FL · Florida$663.35+$103.30
- Chicago, IL · Illinois$642.00+$81.95
- Manhattan, NY · New York$679.13+$119.08
- Alaska · Alaska$682.04+$121.99
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $522.01 | $427.03 |
| ArkansasArkansas | $514.16 | $420.91 |
| ArizonaArizona | $567.75 | $462.56 |
| Bakersfield, CACalifornia | $606.39 | $487.41 |
| Chico, CACalifornia | $602.97 | $484.00 |
| El Centro, CACalifornia | $603.18 | $484.20 |
| Fresno, CACalifornia | $602.97 | $484.00 |
| Hanford, CACalifornia | $602.97 | $484.00 |
| Madera, CACalifornia | $602.97 | $484.00 |
| Merced, CACalifornia | $602.97 | $484.00 |
| Modesto, CACalifornia | $602.97 | $484.00 |
| Napa, CACalifornia | $689.74 | $546.67 |
| Oxnard, CACalifornia | $639.41 | $511.10 |
| Redding, CACalifornia | $602.97 | $484.00 |
| Rest of CaliforniaCalifornia | $602.97 | $484.00 |
| Riverside, CACalifornia | $616.39 | $497.42 |
| Sacramento, CACalifornia | $630.46 | $504.21 |
| Salinas, CACalifornia | $628.10 | $502.29 |
| San Diego, CACalifornia | $641.40 | $511.57 |
| Marin County, CACalifornia | $726.54 | $573.48 |
| San Francisco, CACalifornia | $725.12 | $572.06 |
| San Benito County, CACalifornia | $743.98 | $587.45 |
| Santa Clara County, CACalifornia | $738.18 | $581.65 |
| San Luis Obispo, CACalifornia | $618.35 | $494.71 |
| Santa Cruz, CACalifornia | $646.28 | $514.39 |
| Santa Maria, CACalifornia | $630.05 | $503.48 |
| Santa Rosa, CACalifornia | $652.60 | $519.30 |
| Stockton, CACalifornia | $602.97 | $484.00 |
| Vallejo, CACalifornia | $687.70 | $544.62 |
| Visalia, CACalifornia | $602.97 | $484.00 |
| Yuba City, CACalifornia | $602.97 | $484.00 |
| ColoradoColorado | $600.83 | $485.32 |
| ConnecticutConnecticut | $624.87 | $507.96 |
| DelawareDelaware | $577.27 | $470.02 |
| Fort Lauderdale, FLFlorida | $623.24 | $513.27 |
| Rest of FloridaFlorida | $590.11 | $486.33 |
| Atlanta, GAGeorgia | $599.52 | $489.23 |
| Rest of GeorgiaGeorgia | $554.23 | $457.40 |
| Hawaii, Guam, HIHawaii | $616.28 | $492.86 |
| IowaIowa | $529.27 | $429.94 |
| IdahoIdaho | $534.23 | $434.36 |
| East St. Louis, ILIllinois | $598.57 | $498.70 |
| Rest of IllinoisIllinois | $577.23 | $478.12 |
| Suburban Chicago, ILIllinois | $628.04 | $516.55 |
| IndianaIndiana | $537.28 | $436.65 |
| KansasKansas | $529.80 | $431.67 |
| KentuckyKentucky | $541.59 | $445.09 |
| New Orleans, LALouisiana | $569.42 | $467.27 |
| Rest of LouisianaLouisiana | $541.96 | $445.89 |
| Metropolitan Boston, MAMassachusetts | $657.26 | $527.64 |
| Rest of MassachusettsMassachusetts | $598.30 | $483.99 |
| Baltimore area, MDMaryland | $623.82 | $507.35 |
| Rest of MarylandMaryland | $587.57 | $477.72 |
| Rest of MaineMaine | $540.45 | $440.58 |
| Southern Maine, MEMaine | $566.22 | $458.65 |
| Detroit, MIMichigan | $600.97 | $496.22 |
| Rest of MichiganMichigan | $559.11 | $460.00 |
| MinnesotaMinnesota | $565.83 | $454.13 |
| Metropolitan Kansas City, MOMissouri | $562.07 | $460.14 |
| Metropolitan St. Louis, MOMissouri | $567.76 | $464.42 |
| Rest of MissouriMissouri | $534.40 | $440.83 |
| MississippiMississippi | $524.23 | $430.77 |
| MontanaMontana | $584.77 | $476.21 |
| North CarolinaNorth Carolina | $545.81 | $444.53 |
| NebraskaNebraska | $531.34 | $431.14 |
| New HampshireNew Hampshire | $594.30 | $481.29 |
| Northern New JerseyNew Jersey | $656.60 | $530.68 |
| Rest of New JerseyNew Jersey | $629.23 | $510.69 |
| New MexicoNew Mexico | $563.55 | $464.01 |
| NevadaNevada | $578.24 | $469.57 |
| NYC suburbs and Long Island, NYNew York | $700.10 | $571.03 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $635.94 | $517.08 |
| Queens, NYNew York | $680.27 | $551.96 |
| Rest of New YorkNew York | $554.56 | $451.44 |
| OhioOhio | $554.06 | $454.95 |
| OklahomaOklahoma | $537.26 | $440.33 |
| Portland, OROregon | $616.83 | $496.23 |
| Rest of OregonOregon | $571.02 | $462.90 |
| Metropolitan Philadelphia, PAPennsylvania | $610.91 | $497.91 |
| Rest of PennsylvaniaPennsylvania | $553.22 | $453.57 |
| Puerto RicoPuerto Rico | $588.16 | $478.41 |
| Rhode IslandRhode Island | $595.67 | $483.53 |
| South CarolinaSouth Carolina | $551.40 | $451.10 |
| South DakotaSouth Dakota | $557.13 | $448.57 |
| TennesseeTennessee | $532.97 | $434.29 |
| Austin, TXTexas | $601.21 | $486.36 |
| Beaumont, TXTexas | $549.69 | $450.91 |
| Brazoria, TXTexas | $573.93 | $466.35 |
| Dallas, TXTexas | $579.16 | $471.04 |
| Fort Worth, TXTexas | $576.12 | $469.09 |
| Galveston, TXTexas | $576.65 | $468.85 |
| Houston, TXTexas | $599.53 | $491.73 |
| Rest of TexasTexas | $562.56 | $459.54 |
| UtahUtah | $559.13 | $457.09 |
| VirginiaVirginia | $566.49 | $459.79 |
| Virgin Islands, VIUnited States Virgin Islands | $588.16 | $478.41 |
| VermontVermont | $560.65 | $453.18 |
| Rest of WashingtonWashington | $596.24 | $481.93 |
| King County, WAWashington | $667.68 | $534.49 |
| WisconsinWisconsin | $540.93 | $436.94 |
| West VirginiaWest Virginia | $555.98 | $461.65 |
| WyomingWyoming | $573.99 | $465.44 |
27818 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$514.16
$682.04
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $682.04 | 1 |
| AL | $522.01 | 1 |
| AR | $514.16 | 1 |
| AZ | $567.75 | 1 |
| CA | $602.97–$743.98 | 29 |
| CO | $600.83 | 1 |
| CT | $624.87 | 1 |
| DC | $663.25 | 1 |
| DE | $577.27 | 1 |
| FL | $590.11–$663.35 | 3 |
| GA | $554.23–$599.52 | 2 |
| GU | $616.28 | 1 |
| HI | $616.28 | 1 |
| IA | $529.27 | 1 |
| ID | $534.23 | 1 |
| IL | $577.23–$642.00 | 4 |
| IN | $537.28 | 1 |
| KS | $529.80 | 1 |
| KY | $541.59 | 1 |
| LA | $541.96–$569.42 | 2 |
| MA | $598.30–$657.26 | 2 |
| MD | $587.57–$663.25 | 3 |
| ME | $540.45–$566.22 | 2 |
| MI | $559.11–$600.97 | 2 |
| MN | $565.83 | 1 |
| MO | $534.40–$567.76 | 3 |
| MS | $524.23 | 1 |
| MT | $584.77 | 1 |
| NC | $545.81 | 1 |
| ND | $560.05 | 1 |
| NE | $531.34 | 1 |
| NH | $594.30 | 1 |
| NJ | $629.23–$656.60 | 2 |
| NM | $563.55 | 1 |
| NV | $578.24 | 1 |
| NY | $554.56–$700.10 | 5 |
| OH | $554.06 | 1 |
| OK | $537.26 | 1 |
| OR | $571.02–$616.83 | 2 |
| PA | $553.22–$610.91 | 2 |
| PR | $588.16 | 1 |
| RI | $595.67 | 1 |
| SC | $551.40 | 1 |
| SD | $557.13 | 1 |
| TN | $532.97 | 1 |
| TX | $549.69–$601.21 | 8 |
| UT | $559.13 | 1 |
| VA | $566.49–$663.25 | 2 |
| VI | $588.16 | 1 |
| VT | $560.65 | 1 |
| WA | $596.24–$667.68 | 2 |
| WI | $540.93 | 1 |
| WV | $555.98 | 1 |
| WY | $573.99 | 1 |
How the 27818 rate is calculated
Each of 27818’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 · 27818
RVUs × geographic indexes × conversion factor
Work5.55
5.55 RVUs× 1.000 GPCI
Practice expense10.71
10.71 RVUs× 1.000 GPCI
Malpractice1.25
1.25 RVUs× 1.000 GPCI
Adjusted RVUs
17.5100
Conversion factor
$33.4009
Medicare rate
$584.85
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,057
- Code
- 27818
- Physician work
- 5.55
- Practice expense
- 10.71
- Malpractice
- 1.25
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.55 | × 1.000 | 5.5500 |
| Practice expense | 10.71 | × 1.000 | 10.7100 |
| Malpractice | 1.25 | × 0.406 | 0.5075 |
| Total RVUs | 16.7675 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$560.05
Office: (5.55 × 1 + 10.71 × 1 + 1.25 × 0.406) × $33.4009 = $560.05
Facility: (5.55 × 1 + 7.46 × 1 + 1.25 × 0.406) × $33.4009 = $451.50
Payment rules and modifiers for 27818
27818 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27818
Ankle fracture care, trimalleolar, with manipulation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27818
Ankle fracture care, trimalleolar, 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27818 without 50 · national office
$584.85
Ankle fracture care, trimalleolar, with manipulation
27818-50 · Bilateral: 150%
$877.28
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).
How 27818 has changed in North Dakota
27818 · Office / nonfacility
$560.05
Effective 2026-10-01
The base rate is $78.59 higher than on 2025-10-01, moving from $481.46 to $560.05 (16.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$481.46changed to$560.05
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.69 changed to 5.55
- Practice expense RVU 8.60 changed to 10.71
- Malpractice RVU 1.15 changed to 1.25
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$490.82changed to$481.46
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.45 changed to 8.60
- Malpractice RVU 1.17 changed to 1.15
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$482.81changed to$490.82
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$490.54changed to$482.81
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 8.25 changed to 8.45
- Malpractice RVU 1.13 changed to 1.17
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$485.97changed to$490.54
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 7.87 changed to 8.25
- Malpractice RVU 1.12 changed to 1.13
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$484.11changed to$485.97
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 7.71 changed to 7.87
- Malpractice RVU 1.10 changed to 1.12
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$484.63changed to$484.11
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 7.21 changed to 7.71
- Malpractice RVU 1.09 changed to 1.10
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$485.55changed to$484.63
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 7.27 changed to 7.21
- Malpractice RVU 0.95 changed to 1.09
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$483.58changed to$485.55
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 7.23 changed to 7.27
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$478.94changed to$483.58
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 7.13 changed to 7.23
- Malpractice RVU 0.96 changed to 0.95
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$478.97changed to$478.94
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 7.15 changed to 7.13
- Malpractice RVU 0.97 changed to 0.96
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$480.73changed to$478.97
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 7.14 changed to 7.15
- Malpractice RVU 0.99 changed to 0.97
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$478.34changed to$480.73
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$477.02changed to$478.34
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 7.09 changed to 7.14
- Malpractice RVU 1.00 changed to 0.99
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$478.80changed to$477.02
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 7.84 changed to 7.09
- Malpractice RVU 1.05 changed to 1.00
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $478.80
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $560.05 | $451.50 | RVU26D |
| 2026-07-01 | $560.05 | $451.50 | RVU26C |
| 2026-04-01 | $560.05 | $451.50 | RVU26B |
| 2026-01-01 | $560.05 | $451.50 | RVU26A |
| 2025-10-01 | $481.46 | $426.47 | RVU25D |
| 2025-07-01 | $481.46 | $426.47 | RVU25C |
| 2025-04-01 | $481.46 | $426.47 | RVU25B |
| 2025-01-01 | $481.46 | $426.47 | RVU25A |
| 2024-10-01 | $490.82 | $434.90 | RVU24D |
| 2024-07-01 | $490.82 | $434.90 | RVU24C |
| 2024-04-01 | $490.82 | $434.90 | RVU24B |
| 2024-03-09 | $490.82 | $434.90 | RVU24AR |
| 2024-01-01 | $482.81 | $427.80 | RVU24A |
| 2023-10-01 | $490.54 | $434.96 | RVU23D |
| 2023-07-01 | $490.54 | $434.96 | RVU23C |
| 2023-04-01 | $490.54 | $434.96 | RVU23B |
| 2023-01-01 | $490.54 | $434.96 | RVU23A |
| 2022-10-01 | $485.97 | $431.63 | RVU22D |
| 2022-07-01 | $485.97 | $431.63 | RVU22C |
| 2022-04-01 | $485.97 | $431.63 | RVU22B |
| 2022-01-01 | $485.97 | $431.63 | RVU22A |
| 2021-10-01 | $484.11 | $429.68 | RVU21D |
| 2021-07-01 | $484.11 | $429.68 | RVU21C |
| 2021-04-01 | $484.11 | $429.68 | RVU21B |
| 2021-01-01 | $484.11 | $429.68 | RVU21A |
| 2020-10-01 | $484.63 | $432.30 | RVU20D |
| 2020-07-01 | $484.63 | $432.30 | RVU20C |
| 2020-04-01 | $484.63 | $432.30 | RVU20B |
| 2020-01-01 | $484.63 | $432.30 | RVU20A |
| 2019-10-01 | $485.55 | $432.58 | RVU19D |
| 2019-07-01 | $485.55 | $432.58 | RVU19C |
| 2019-04-01 | $485.55 | $432.58 | RVU19B |
| 2019-01-01 | $485.55 | $432.58 | RVU19A |
| 2018-10-01 | $483.58 | $430.66 | RVU18D |
| 2018-07-01 | $483.58 | $430.66 | RVU18C |
| 2018-04-01 | $483.58 | $430.66 | RVU18B |
| 2018-01-01 | $483.58 | $430.66 | RVU18AR1 |
| 2017-10-01 | $478.94 | $428.34 | RVU17D |
| 2017-07-01 | $478.94 | $428.34 | RVU17C |
| 2017-04-01 | $478.94 | $428.34 | RVU17B |
| 2017-01-01 | $478.94 | $428.34 | RVU17A |
| 2016-10-01 | $478.97 | $428.48 | RVU16D |
| 2016-07-01 | $478.97 | $428.48 | RVU16C |
| 2016-04-01 | $478.97 | $428.48 | RVU16B |
| 2016-01-01 | $478.97 | $428.48 | RVU16A |
| 2015-10-01 | $480.73 | $429.71 | RVU15D |
| 2015-07-01 | $480.73 | $429.71 | RVU15C |
| 2015-04-01 | $478.34 | $427.57 | RVU15B |
| 2015-01-01 | $478.34 | $427.57 | RVU15A |
| 2014-10-01 | $477.02 | $427.58 | RVU14D |
| 2014-07-01 | $477.02 | $427.58 | RVU14C |
| 2014-04-01 | $477.02 | $427.58 | RVU14B |
| 2014-01-01 | $477.02 | $427.58 | RVU14A |
| 2013-10-01 | $478.80 | $426.41 | RVU13D |
| 2013-07-01 | $478.80 | $426.41 | RVU13C |
| 2013-04-01 | $478.80 | $426.41 | RVU13B |
| 2013-01-01 | $478.80 | $426.41 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
27818 billing questions
How does 27818 differ from 27816?
Both address closed treatment of a trimalleolar ankle fracture. Report 27818 when manipulation is performed; 27816 is the corresponding code when it is not.
How does 27818 differ from 27810?
The fracture pattern is the key distinction: 27818 is for a trimalleolar fracture, while 27810 is for a bimalleolar fracture treated with manipulation.
Can cast or splint application be billed separately?
Routine immobilization is part of the fracture treatment represented by 27818. Do not report a separate cast or splint application for that same treatment.
What documentation supports reporting manipulation?
Document the trimalleolar fracture pattern and the reduction maneuver used to restore alignment, including the result when known. A note that only describes applying a splint or cast does not establish manipulation.
How is bilateral treatment reported?
When the service is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
CMS applies a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
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
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