CPT code 27822: Ankle fracture surgery, without posterior lip fixation2026 Medicare rate & RVUs in New Mexico
Open surgery for a three-malleolus ankle fracture when the medial and/or lateral malleoli are treated and the posterior lip is not fixed.
In New Mexico, Medicare pays $808.35 for 27822 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27822 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 27822 covers
Code 27822 represents open operative treatment of a trimalleolar ankle fracture when the surgeon exposes the fracture and stabilizes the medial and/or lateral malleolus, but does not fix the posterior tibial lip fragment. Orthopedic surgeons typically perform this operation in an operating room, often using plates or screws for the malleolar components. The code is distinguished by the three-malleolus fracture pattern and the absence of posterior fragment fixation—not simply by whether imaging shows a posterior fragment.
Report the service for the open treatment and document the fracture pattern, approach, which malleoli were stabilized, and whether the posterior lip was fixed. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 New Mexico compares for 27822
Across 109 of 109 payment localities, the facility rate for 27822 runs from $736.71 in Arkansas to $1,005.62 in San Benito County, CA. New Mexico pays $808.35. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$808.35
- Los Angeles, CA · California$888.62+$80.27
- Washington, DC area · District of Columbia$923.51+$115.16
- Miami, FL · Florida$951.61+$143.26
- Chicago, IL · Illinois$923.41+$115.06
- Manhattan, NY · New York$954.73+$146.38
- Alaska · Alaska$1,002.12+$193.77
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $746.59 |
| ArkansasArkansas | — | $736.71 |
| ArizonaArizona | — | $803.96 |
| Bakersfield, CACalifornia | — | $842.75 |
| Chico, CACalifornia | — | $836.80 |
| El Centro, CACalifornia | — | $837.16 |
| Fresno, CACalifornia | — | $836.80 |
| Hanford, CACalifornia | — | $836.80 |
| Madera, CACalifornia | — | $836.80 |
| Merced, CACalifornia | — | $836.80 |
| Modesto, CACalifornia | — | $836.80 |
| Napa, CACalifornia | — | $938.12 |
| Oxnard, CACalifornia | — | $880.55 |
| Redding, CACalifornia | — | $836.80 |
| Rest of CaliforniaCalifornia | — | $836.80 |
| Riverside, CACalifornia | — | $859.82 |
| Sacramento, CACalifornia | — | $869.85 |
| Salinas, CACalifornia | — | $866.47 |
| San Diego, CACalifornia | — | $880.95 |
| Marin County, CACalifornia | — | $982.16 |
| San Francisco, CACalifornia | — | $979.73 |
| San Benito County, CACalifornia | — | $1,005.62 |
| Santa Clara County, CACalifornia | — | $995.68 |
| San Luis Obispo, CACalifornia | — | $853.56 |
| Santa Cruz, CACalifornia | — | $884.64 |
| Santa Maria, CACalifornia | — | $868.10 |
| Santa Rosa, CACalifornia | — | $893.00 |
| Stockton, CACalifornia | — | $836.80 |
| Vallejo, CACalifornia | — | $934.62 |
| Visalia, CACalifornia | — | $836.80 |
| Yuba City, CACalifornia | — | $836.80 |
| ColoradoColorado | — | $840.01 |
| ConnecticutConnecticut | — | $878.66 |
| DelawareDelaware | — | $816.27 |
| Fort Lauderdale, FLFlorida | — | $889.16 |
| Rest of FloridaFlorida | — | $845.14 |
| Atlanta, GAGeorgia | — | $848.04 |
| Rest of GeorgiaGeorgia | — | $797.96 |
| Hawaii, Guam, HIHawaii | — | $849.65 |
| IowaIowa | — | $750.11 |
| IdahoIdaho | — | $757.49 |
| East St. Louis, ILIllinois | — | $867.63 |
| Rest of IllinoisIllinois | — | $832.67 |
| Suburban Chicago, ILIllinois | — | $894.60 |
| IndianaIndiana | — | $761.14 |
| KansasKansas | — | $753.47 |
| KentuckyKentucky | — | $777.00 |
| New Orleans, LALouisiana | — | $813.06 |
| Rest of LouisianaLouisiana | — | $778.51 |
| Metropolitan Boston, MAMassachusetts | — | $909.06 |
| Rest of MassachusettsMassachusetts | — | $838.33 |
| Baltimore area, MDMaryland | — | $877.57 |
| Rest of MarylandMaryland | — | $828.81 |
| Rest of MaineMaine | — | $768.14 |
| Southern Maine, MEMaine | — | $796.45 |
| Detroit, MIMichigan | — | $861.73 |
| Rest of MichiganMichigan | — | $801.65 |
| MinnesotaMinnesota | — | $787.32 |
| Metropolitan Kansas City, MOMissouri | — | $800.92 |
| Metropolitan St. Louis, MOMissouri | — | $807.77 |
| Rest of MissouriMissouri | — | $770.69 |
| MississippiMississippi | — | $753.50 |
| MontanaMontana | — | $826.20 |
| North CarolinaNorth Carolina | — | $774.42 |
| North DakotaNorth Dakota | — | $783.88 |
| NebraskaNebraska | — | $751.87 |
| New HampshireNew Hampshire | — | $833.38 |
| Northern New JerseyNew Jersey | — | $916.56 |
| Rest of New JerseyNew Jersey | — | $883.74 |
| NevadaNevada | — | $814.79 |
| NYC suburbs and Long Island, NYNew York | — | $984.63 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $894.81 |
| Queens, NYNew York | — | $952.24 |
| Rest of New YorkNew York | — | $785.62 |
| OhioOhio | — | $793.00 |
| OklahomaOklahoma | — | $768.69 |
| Portland, OROregon | — | $857.15 |
| Rest of OregonOregon | — | $803.55 |
| Metropolitan Philadelphia, PAPennsylvania | — | $862.69 |
| Rest of PennsylvaniaPennsylvania | — | $790.44 |
| Puerto RicoPuerto Rico | — | $829.55 |
| Rhode IslandRhode Island | — | $838.42 |
| South CarolinaSouth Carolina | — | $785.99 |
| South DakotaSouth Dakota | — | $778.88 |
| TennesseeTennessee | — | $757.77 |
| Austin, TXTexas | — | $841.53 |
| Beaumont, TXTexas | — | $786.18 |
| Brazoria, TXTexas | — | $810.03 |
| Dallas, TXTexas | — | $817.91 |
| Fort Worth, TXTexas | — | $814.95 |
| Galveston, TXTexas | — | $814.24 |
| Houston, TXTexas | — | $853.41 |
| Rest of TexasTexas | — | $799.53 |
| UtahUtah | — | $795.66 |
| VirginiaVirginia | — | $798.70 |
| Virgin Islands, VIUnited States Virgin Islands | — | $829.55 |
| VermontVermont | — | $787.13 |
| Rest of WashingtonWashington | — | $834.66 |
| King County, WAWashington | — | $919.99 |
| WisconsinWisconsin | — | $760.50 |
| West VirginiaWest Virginia | — | $806.08 |
| WyomingWyoming | — | $807.75 |
27822 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 27822 rate is calculated
Each of 27822’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 · 27822
RVUs × geographic indexes × conversion factor
Work10.93
10.93 RVUs× 1.000 GPCI
Practice expense11.67
11.67 RVUs× 1.000 GPCI
Malpractice2.14
2.14 RVUs× 1.000 GPCI
Adjusted RVUs
24.7400
Conversion factor
$33.4009
Medicare rate
$826.34
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,058
- Code
- 27822
- Physician work
- 10.93
- Practice expense
- 11.67
- Malpractice
- 2.14
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.93 | × 1.000 | 10.9300 |
| Practice expense | 11.67 | × 0.917 | 10.7014 |
| Malpractice | 2.14 | × 1.201 | 2.5701 |
| Total RVUs | 24.2015 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$808.35
Facility: (10.93 × 1 + 11.67 × 0.917 + 2.14 × 1.201) × $33.4009 = $808.35
Payment rules and modifiers for 27822
27822 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27822
Ankle fracture surgery, without posterior lip fixation
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 27822
Ankle fracture surgery, without posterior lip fixation
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
27822 without 50 · national facility
$826.34
Ankle fracture surgery, without posterior lip fixation
27822-50 · Bilateral: 150%
$1,239.51
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 27822 has changed in New Mexico
27822 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $808.35 | RVU26D |
| 2026-07-01 | Not available in this setting | $808.35 | RVU26C |
| 2026-04-01 | Not available in this setting | $808.35 | RVU26B |
| 2026-01-01 | Not available in this setting | $808.35 | RVU26A |
| 2025-10-01 | Not available in this setting | $830.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $830.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $830.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $830.96 | RVU25A |
| 2024-10-01 | Not available in this setting | $853.50 | RVU24D |
| 2024-07-01 | Not available in this setting | $853.50 | RVU24C |
| 2024-04-01 | Not available in this setting | $853.50 | RVU24B |
| 2024-03-09 | Not available in this setting | $853.50 | RVU24AR |
| 2024-01-01 | Not available in this setting | $839.57 | RVU24A |
| 2023-10-01 | Not available in this setting | $861.16 | RVU23D |
| 2023-07-01 | Not available in this setting | $861.16 | RVU23C |
| 2023-04-01 | Not available in this setting | $861.16 | RVU23B |
| 2023-01-01 | Not available in this setting | $861.16 | RVU23A |
| 2022-10-01 | Not available in this setting | $872.08 | RVU22D |
| 2022-07-01 | Not available in this setting | $872.08 | RVU22C |
| 2022-04-01 | Not available in this setting | $872.08 | RVU22B |
| 2022-01-01 | Not available in this setting | $872.08 | RVU22A |
| 2021-10-01 | Not available in this setting | $869.89 | RVU21D |
| 2021-07-01 | Not available in this setting | $869.89 | RVU21C |
| 2021-04-01 | Not available in this setting | $869.89 | RVU21B |
| 2021-01-01 | Not available in this setting | $869.89 | RVU21A |
| 2020-10-01 | Not available in this setting | $878.24 | RVU20D |
| 2020-07-01 | Not available in this setting | $878.24 | RVU20C |
| 2020-04-01 | Not available in this setting | $878.24 | RVU20B |
| 2020-01-01 | Not available in this setting | $878.24 | RVU20A |
| 2019-10-01 | Not available in this setting | $877.33 | RVU19D |
| 2019-07-01 | Not available in this setting | $877.33 | RVU19C |
| 2019-04-01 | Not available in this setting | $877.33 | RVU19B |
| 2019-01-01 | Not available in this setting | $877.33 | RVU19A |
| 2018-10-01 | Not available in this setting | $875.37 | RVU18D |
| 2018-07-01 | Not available in this setting | $875.37 | RVU18C |
| 2018-04-01 | Not available in this setting | $875.37 | RVU18B |
| 2018-01-01 | Not available in this setting | $875.37 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $868.54 | RVU17D |
| 2017-07-01 | Not available in this setting | $868.54 | RVU17C |
| 2017-04-01 | Not available in this setting | $868.54 | RVU17B |
| 2017-01-01 | Not available in this setting | $868.54 | RVU17A |
| 2016-10-01 | Not available in this setting | $846.94 | RVU16D |
| 2016-07-01 | Not available in this setting | $846.94 | RVU16C |
| 2016-04-01 | Not available in this setting | $846.94 | RVU16B |
| 2016-01-01 | Not available in this setting | $846.94 | RVU16A |
| 2015-10-01 | Not available in this setting | $850.41 | RVU15D |
| 2015-07-01 | Not available in this setting | $850.41 | RVU15C |
| 2015-04-01 | Not available in this setting | $846.18 | RVU15B |
| 2015-01-01 | Not available in this setting | $846.18 | RVU15A |
| 2014-10-01 | Not available in this setting | $836.09 | RVU14D |
| 2014-07-01 | Not available in this setting | $836.09 | RVU14C |
| 2014-04-01 | Not available in this setting | $836.09 | RVU14B |
| 2014-01-01 | Not available in this setting | $836.09 | RVU14A |
| 2013-10-01 | Not available in this setting | $820.86 | RVU13D |
| 2013-07-01 | Not available in this setting | $820.86 | RVU13C |
| 2013-04-01 | Not available in this setting | $820.86 | RVU13B |
| 2013-01-01 | Not available in this setting | $820.86 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
27822 billing questions
When should 27823 be reported instead?
Use 27823 when the posterior lip fragment is also fixed during open treatment of the trimalleolar fracture. Code 27822 applies when that fragment is not fixed.
How does 27822 differ from 27814?
27822 is for open treatment of a trimalleolar fracture without posterior lip fixation. 27814 is the open-treatment code for a bimalleolar fracture.
Can closed treatment codes be used for the same fracture pattern?
27816 and 27818 describe closed treatment of a trimalleolar fracture, respectively without and with manipulation. They are not substitutes when the fracture is treated through an open surgical approach.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle bilateral cases and surgical assistance?
Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery may be paid, co-surgeon payment requires supporting documentation, and team surgery is 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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