CPT code 27823: Ankle fracture repair, posterior lip fixation2026 Medicare rate & RVUs in Minnesota
Open treatment of a trimalleolar ankle fracture with fixation of the posterior malleolus, typically reported for operative repair of all three malleolar components.
In Minnesota, Medicare pays $875.60 for 27823 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27823 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 27823 covers
This code describes operative treatment of a trimalleolar ankle fracture when the posterior malleolus, also called the posterior lip, is fixed. The surgeon exposes the fracture and stabilizes the posterior component; internal fixation of the medial and/or lateral malleolus may also be performed. Orthopedic surgeons most often provide this service in a hospital operating room or ambulatory surgery setting. The code identifies the fracture pattern and posterior fixation, not whether the fracture communicated with the skin.
Report 27823 when the operative documentation supports a trimalleolar fracture and fixation of the posterior lip. Documentation should identify the involved malleoli and describe the posterior fixation; use 27822 when the posterior lip is not fixed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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 Minnesota compares for 27823
Across 109 of 109 payment localities, the facility rate for 27823 runs from $824.38 in Arkansas to $1,126.19 in Alaska. Minnesota pays $875.60. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Minnesota · this page$875.60
- Los Angeles, CA · California$987.44+$111.84
- Washington, DC area · District of Columbia$1,028.90+$153.30
- Miami, FL · Florida$1,069.22+$193.62
- Chicago, IL · Illinois$1,037.68+$162.08
- Manhattan, NY · New York$1,066.59+$190.99
- Alaska · Alaska$1,126.19+$250.59
Other areas in Minnesota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $835.26 |
| ArkansasArkansas | — | $824.38 |
| ArizonaArizona | — | $898.32 |
| Bakersfield, CACalifornia | — | $937.68 |
| Chico, CACalifornia | — | $930.65 |
| El Centro, CACalifornia | — | $931.07 |
| Fresno, CACalifornia | — | $930.65 |
| Hanford, CACalifornia | — | $930.65 |
| Madera, CACalifornia | — | $930.65 |
| Merced, CACalifornia | — | $930.65 |
| Modesto, CACalifornia | — | $930.65 |
| Napa, CACalifornia | — | $1,039.05 |
| Oxnard, CACalifornia | — | $977.99 |
| Redding, CACalifornia | — | $930.65 |
| Rest of CaliforniaCalifornia | — | $930.65 |
| Riverside, CACalifornia | — | $957.87 |
| Sacramento, CACalifornia | — | $966.27 |
| Salinas, CACalifornia | — | $962.49 |
| San Diego, CACalifornia | — | $977.75 |
| Marin County, CACalifornia | — | $1,086.36 |
| San Francisco, CACalifornia | — | $1,083.49 |
| San Benito County, CACalifornia | — | $1,112.42 |
| Santa Clara County, CACalifornia | — | $1,100.68 |
| San Luis Obispo, CACalifornia | — | $948.29 |
| Santa Cruz, CACalifornia | — | $981.18 |
| Santa Maria, CACalifornia | — | $964.08 |
| Santa Rosa, CACalifornia | — | $990.36 |
| Stockton, CACalifornia | — | $930.65 |
| Vallejo, CACalifornia | — | $1,034.91 |
| Visalia, CACalifornia | — | $930.65 |
| Yuba City, CACalifornia | — | $930.65 |
| ColoradoColorado | — | $936.09 |
| ConnecticutConnecticut | — | $981.10 |
| DelawareDelaware | — | $911.89 |
| Fort Lauderdale, FLFlorida | — | $996.81 |
| Rest of FloridaFlorida | — | $947.66 |
| Atlanta, GAGeorgia | — | $948.03 |
| Rest of GeorgiaGeorgia | — | $895.13 |
| Hawaii, Guam, HIHawaii | — | $943.82 |
| IowaIowa | — | $837.38 |
| IdahoIdaho | — | $845.85 |
| East St. Louis, ILIllinois | — | $976.08 |
| Rest of IllinoisIllinois | — | $935.09 |
| Suburban Chicago, ILIllinois | — | $1,002.51 |
| IndianaIndiana | — | $849.82 |
| KansasKansas | — | $841.91 |
| KentuckyKentucky | — | $870.49 |
| New Orleans, LALouisiana | — | $910.49 |
| Rest of LouisianaLouisiana | — | $872.48 |
| Metropolitan Boston, MAMassachusetts | — | $1,011.05 |
| Rest of MassachusettsMassachusetts | — | $934.64 |
| Baltimore area, MDMaryland | — | $980.03 |
| Rest of MarylandMaryland | — | $925.48 |
| Rest of MaineMaine | — | $858.45 |
| Southern Maine, MEMaine | — | $888.33 |
| Detroit, MIMichigan | — | $966.82 |
| Rest of MichiganMichigan | — | $898.42 |
| Metropolitan Kansas City, MOMissouri | — | $896.24 |
| Metropolitan St. Louis, MOMissouri | — | $903.68 |
| Rest of MissouriMissouri | — | $864.40 |
| MississippiMississippi | — | $844.13 |
| MontanaMontana | — | $923.03 |
| North CarolinaNorth Carolina | — | $865.21 |
| North DakotaNorth Dakota | — | $873.01 |
| NebraskaNebraska | — | $839.06 |
| New HampshireNew Hampshire | — | $929.45 |
| Northern New JerseyNew Jersey | — | $1,021.57 |
| Rest of New JerseyNew Jersey | — | $986.27 |
| New MexicoNew Mexico | — | $906.14 |
| NevadaNevada | — | $909.50 |
| NYC suburbs and Long Island, NYNew York | — | $1,100.57 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $999.20 |
| Queens, NYNew York | — | $1,062.63 |
| Rest of New YorkNew York | — | $877.59 |
| OhioOhio | — | $888.19 |
| OklahomaOklahoma | — | $860.47 |
| Portland, OROregon | — | $953.95 |
| Rest of OregonOregon | — | $896.46 |
| Metropolitan Philadelphia, PAPennsylvania | — | $964.04 |
| Rest of PennsylvaniaPennsylvania | — | $884.92 |
| Puerto RicoPuerto Rico | — | $926.45 |
| Rhode IslandRhode Island | — | $935.75 |
| South CarolinaSouth Carolina | — | $879.35 |
| South DakotaSouth Dakota | — | $867.09 |
| TennesseeTennessee | — | $846.75 |
| Austin, TXTexas | — | $938.21 |
| Beaumont, TXTexas | — | $880.29 |
| Brazoria, TXTexas | — | $904.35 |
| Dallas, TXTexas | — | $913.42 |
| Fort Worth, TXTexas | — | $910.41 |
| Galveston, TXTexas | — | $909.22 |
| Houston, TXTexas | — | $955.53 |
| Rest of TexasTexas | — | $894.09 |
| UtahUtah | — | $889.97 |
| VirginiaVirginia | — | $891.38 |
| Virgin Islands, VIUnited States Virgin Islands | — | $926.45 |
| VermontVermont | — | $877.35 |
| Rest of WashingtonWashington | — | $930.31 |
| King County, WAWashington | — | $1,022.27 |
| WisconsinWisconsin | — | $847.50 |
| West VirginiaWest Virginia | — | $905.89 |
| WyomingWyoming | — | $901.23 |
27823 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 27823 rate is calculated
Each of 27823’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 · 27823
RVUs × geographic indexes × conversion factor
Work12.83
12.83 RVUs× 1.000 GPCI
Practice expense12.28
12.28 RVUs× 1.000 GPCI
Malpractice2.53
2.53 RVUs× 1.000 GPCI
Adjusted RVUs
27.6400
Conversion factor
$33.4009
Medicare rate
$923.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Minnesota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,059
- Code
- 27823
- Physician work
- 12.83
- Practice expense
- 12.28
- Malpractice
- 2.53
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.83 | × 1.000 | 12.8300 |
| Practice expense | 12.28 | × 1.029 | 12.6361 |
| Malpractice | 2.53 | × 0.296 | 0.7489 |
| Total RVUs | 26.2150 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$875.60
Facility: (12.83 × 1 + 12.28 × 1.029 + 2.53 × 0.296) × $33.4009 = $875.60
Payment rules and modifiers for 27823
27823 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27823
Ankle fracture repair, 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 · 27823
Ankle fracture repair, 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
27823 without 50 · national facility
$923.20
Ankle fracture repair, posterior lip fixation
27823-50 · Bilateral: 150%
$1,384.80
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 27823 has changed in Minnesota
27823 · 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 | $875.60 | RVU26D |
| 2026-07-01 | Not available in this setting | $875.60 | RVU26C |
| 2026-04-01 | Not available in this setting | $875.60 | RVU26B |
| 2026-01-01 | Not available in this setting | $875.60 | RVU26A |
| 2025-10-01 | Not available in this setting | $921.97 | RVU25D |
| 2025-07-01 | Not available in this setting | $921.97 | RVU25C |
| 2025-04-01 | Not available in this setting | $921.97 | RVU25B |
| 2025-01-01 | Not available in this setting | $921.97 | RVU25A |
| 2024-10-01 | Not available in this setting | $944.86 | RVU24D |
| 2024-07-01 | Not available in this setting | $944.86 | RVU24C |
| 2024-04-01 | Not available in this setting | $944.86 | RVU24B |
| 2024-03-09 | Not available in this setting | $944.86 | RVU24AR |
| 2024-01-01 | Not available in this setting | $929.44 | RVU24A |
| 2023-10-01 | Not available in this setting | $956.44 | RVU23D |
| 2023-07-01 | Not available in this setting | $956.44 | RVU23C |
| 2023-04-01 | Not available in this setting | $956.44 | RVU23B |
| 2023-01-01 | Not available in this setting | $956.44 | RVU23A |
| 2022-10-01 | Not available in this setting | $966.36 | RVU22D |
| 2022-07-01 | Not available in this setting | $966.36 | RVU22C |
| 2022-04-01 | Not available in this setting | $966.36 | RVU22B |
| 2022-01-01 | Not available in this setting | $966.36 | RVU22A |
| 2021-10-01 | Not available in this setting | $967.38 | RVU21D |
| 2021-07-01 | Not available in this setting | $967.38 | RVU21C |
| 2021-04-01 | Not available in this setting | $967.38 | RVU21B |
| 2021-01-01 | Not available in this setting | $967.38 | RVU21A |
| 2020-10-01 | Not available in this setting | $968.04 | RVU20D |
| 2020-07-01 | Not available in this setting | $968.04 | RVU20C |
| 2020-04-01 | Not available in this setting | $968.04 | RVU20B |
| 2020-01-01 | Not available in this setting | $968.04 | RVU20A |
| 2019-10-01 | Not available in this setting | $957.00 | RVU19D |
| 2019-07-01 | Not available in this setting | $957.00 | RVU19C |
| 2019-04-01 | Not available in this setting | $957.00 | RVU19B |
| 2019-01-01 | Not available in this setting | $957.00 | RVU19A |
| 2018-10-01 | Not available in this setting | $954.83 | RVU18D |
| 2018-07-01 | Not available in this setting | $954.83 | RVU18C |
| 2018-04-01 | Not available in this setting | $954.83 | RVU18B |
| 2018-01-01 | Not available in this setting | $954.83 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $951.39 | RVU17D |
| 2017-07-01 | Not available in this setting | $951.39 | RVU17C |
| 2017-04-01 | Not available in this setting | $951.39 | RVU17B |
| 2017-01-01 | Not available in this setting | $951.39 | RVU17A |
| 2016-10-01 | Not available in this setting | $929.79 | RVU16D |
| 2016-07-01 | Not available in this setting | $929.79 | RVU16C |
| 2016-04-01 | Not available in this setting | $929.79 | RVU16B |
| 2016-01-01 | Not available in this setting | $929.79 | RVU16A |
| 2015-10-01 | Not available in this setting | $935.44 | RVU15D |
| 2015-07-01 | Not available in this setting | $935.44 | RVU15C |
| 2015-04-01 | Not available in this setting | $930.78 | RVU15B |
| 2015-01-01 | Not available in this setting | $930.78 | RVU15A |
| 2014-10-01 | Not available in this setting | $924.30 | RVU14D |
| 2014-07-01 | Not available in this setting | $924.30 | RVU14C |
| 2014-04-01 | Not available in this setting | $924.30 | RVU14B |
| 2014-01-01 | Not available in this setting | $924.30 | RVU14A |
| 2013-10-01 | Not available in this setting | $910.52 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Minnesota rate applies
Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.
- Ada
- Adams
- Adrian
- Afton
- Aitkin
- Akeley
- Albany
- Albert Lea
27823 billing questions
How does 27823 differ from 27822?
Both describe open treatment of a trimalleolar ankle fracture. Report 27823 when the posterior lip is fixed; 27822 is for cases without posterior-lip fixation.
Does an open fracture require 27823?
No. “Open treatment” refers to operative exposure and treatment, not an open wound. Select the code based on the fracture pattern and whether the posterior lip is fixed.
What documentation supports 27823?
The operative report should establish a trimalleolar fracture and describe fixation of the posterior malleolus or posterior lip. It should also identify the fracture components treated.
Are related postoperative visits separately reported?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. The code’s global package covers those related services.
How are bilateral and same-session procedures handled?
CMS pays bilateral reporting with modifier 50 at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation; 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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