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CPT code 27825: Fracture treatment, distal tibia, with manipulation2026 Medicare rate & RVUs in Detroit, MI

Closed treatment of a distal tibial fracture with manipulation to restore alignment, such as for a pilon or tibial plafond fracture.

CMS RVU26DEffective Oct 1, 2026One payment locality591 Medicare services in 2024

In Detroit, MI, Medicare pays $623.21 for 27825 in the office and $502.34 when it’s performed in a hospital or facility.

$623.21Office (non-facility)
$502.34Hospital or facility
+3.1%vs the national office rate ($604.22)

Check a contract rate as a % of Medicare · 27825 nationwide

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

We’ll open 27825 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Detroit, MI
  2. What 27825 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 27825 covers

Code 27825 covers closed reduction of a distal tibial fracture, such as a pilon or tibial plafond fracture, when the clinician manipulates the fragments to restore alignment. An orthopedic surgeon or other physician providing fracture care typically performs the reduction in an emergency department, operating room, or other acute-care setting; the fracture is stabilized afterward without opening the fracture site.

Select this code for the documented distal tibia injury and manipulation, rather than closed treatment without manipulation or open repair. The record should identify the fracture location, laterality, reduction performed, and stabilization plan. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and others at 50%; bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Detroit, MI compares for 27825

Across 109 of 109 payment localities, the office rate for 27825 runs from $534.22 in Arkansas to $758.13 in San Benito County, CA. Detroit, MI pays $623.21. The RVUs are the same everywhere; the geographic indexes change the dollars.

27825 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$623.21
  2. Rest of Michigan · Michigan$580.34−$42.87
  3. Los Angeles, CA · California$660.47+$37.26
  4. Washington, DC area · District of Columbia$681.84+$58.63
  5. Miami, FL · Florida$687.16+$63.95
  6. Chicago, IL · Illinois$665.85+$42.64
  7. Manhattan, NY · New York$699.88+$76.67

Other areas in Michigan first, then benchmark localities. Bars start at $0.

Every other payment area

27825 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$715.05$581.66
AlabamaAlabama$541.98$432.39
ArkansasArkansas$534.22$426.63
ArizonaArizona$587.15$465.78
Bakersfield, CACalifornia$623.50$486.22
Chico, CACalifornia$619.77$482.49
El Centro, CACalifornia$620.00$482.72
Fresno, CACalifornia$619.77$482.49

27825 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$534.22

$715.05

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
27825 office rate range by state
State / territoryOffice rate rangeLocalities
AK$715.051
AL$541.981
AR$534.221
AZ$587.151
CA$619.77–$758.1329
CO$618.811
CT$644.331
DC$681.841
DE$596.661
FL$611.88–$687.163
GA$576.01–$619.402
GU$632.001
HI$632.001
IA$548.021
ID$553.151
IL$599.91–$665.854
IN$556.131
KS$549.091
KY$562.501
LA$563.07–$590.212
MA$616.65–$674.412
MD$606.80–$681.843
ME$559.87–$584.512
MI$580.34–$623.212
MN$582.381
MO$555.94–$587.933
MS$545.001
MT$604.131
NC$565.071
ND$577.441
NE$549.891
NH$612.581
NJ$648.71–$675.632
NM$584.951
NV$597.031
NY$573.76–$721.325
OH$574.881
OK$557.641
OR$589.46–$634.052
PA$573.75–$630.842
PR$607.301
RI$614.751
SC$571.521
SD$574.281
TN$552.281
TX$570.30–$620.538
UT$579.141
VA$585.16–$681.842
VI$607.301
VT$578.531
WA$614.37–$684.352
WI$558.681
WV$578.941
WY$592.501

See 27825 in every payment locality

How the 27825 rate is calculated

Each of 27825’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 · 27825

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.52

6.52 RVUs× 1.000 GPCI

Practice expense10.22

10.22 RVUs× 1.000 GPCI

Malpractice1.35

1.35 RVUs× 1.000 GPCI

Adjusted RVUs

18.0900

Conversion factor

$33.4009

Medicare rate

$604.22

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Detroit, MI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,061

Code
27825
Physician work
6.52
Practice expense
10.22
Malpractice
1.35

GPCI2026.csv

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 27825 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work6.52× 1.0006.5200
Practice expense10.22× 0.9659.8623
Malpractice1.35× 1.6862.2761
Total RVUs18.6584
Conversion factor× 33.4009

Office rate, Detroit, MI$623.21

Office: (6.52 × 1 + 10.22 × 0.965 + 1.35 × 1.686) × $33.4009 = $623.21

Facility: (6.52 × 1 + 6.47 × 0.965 + 1.35 × 1.686) × $33.4009 = $502.34

Open 27825 in the RVU calculator

Payment rules and modifiers for 27825

27825 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27825

Fracture treatment, distal tibia, with manipulation

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27825

Fracture treatment, distal tibia, 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27825 without 50 · national office

$604.22

Fracture treatment, distal tibia, with manipulation

27825-50 · Bilateral: 150%

$906.33

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).

When to use modifier 50

Codes related to 27825

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

Codes related to 27825
CodeHow it relatesOffice range, Detroit, MI
Same family
27824Fracture treatment, distal tibia, no manipulationClosed treatment of a distal tibial fracture without manipulation.$363.67
Used instead
27826Fracture repair, posterior malleolusOpen treatment of a distal tibial fracture rather than closed reduction.No office rate
27827Pilon fracture repair, tibia onlyOpen treatment with internal fixation of the tibia only.No office rate
27828Pilon fracture repair, with fibular fixationOpen treatment with internal fixation of the tibia and fibula.No office rate

How 27825 has changed in Detroit, MI

27825 · Office / nonfacility

$623.21

Effective 2026-10-01

The base rate is $44.34 higher than on 2025-10-01, moving from $578.87 to $623.21 (7.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $578.87changed to$623.21

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.69 changed to 6.52
    • Practice expense RVU 9.01 changed to 10.22
    • Malpractice RVU 1.34 changed to 1.35
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $588.01changed to$578.87

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.81 changed to 9.01
    • Malpractice RVU 1.32 changed to 1.34

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $578.41changed to$588.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $590.38changed to$578.41

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.63 changed to 8.81
    • Malpractice RVU 1.30 changed to 1.32
    • Work GPCI 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718

  5. January 1, 2023

    RVU23A

    $590.47changed to$590.38

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.24 changed to 8.63
    • Malpractice RVU 1.33 changed to 1.30
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $590.10changed to$590.47

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.17 changed to 8.24
    • Malpractice RVU 1.28 changed to 1.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $595.48changed to$590.10

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.76 changed to 8.17
    • Malpractice RVU 1.27 changed to 1.28
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $593.87changed to$595.48

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 1.25 changed to 1.27
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $592.96changed to$593.87

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.77 changed to 7.76
    • Malpractice RVU 1.24 changed to 1.25

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $578.39changed to$592.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.63 changed to 7.77
    • Malpractice RVU 1.23 changed to 1.24
    • Practice expense GPCI 0.992 changed to 0.989
    • Malpractice GPCI 1.510 changed to 1.691

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $570.87changed to$578.39

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.64 changed to 7.63
    • Malpractice RVU 1.25 changed to 1.23
    • Practice expense GPCI 0.994 changed to 0.992
    • Malpractice GPCI 1.328 changed to 1.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $575.55changed to$570.87

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.66 changed to 7.64
    • Malpractice RVU 1.29 changed to 1.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $572.69changed to$575.55

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $584.69changed to$572.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.58 changed to 7.66
    • Malpractice RVU 1.22 changed to 1.29
    • Work GPCI 1.010 changed to 1.000
    • Practice expense GPCI 1.009 changed to 0.994
    • Malpractice GPCI 1.571 changed to 1.328

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $599.81changed to$584.69

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.28 changed to 7.58
    • Malpractice RVU 1.28 changed to 1.22
    • Work GPCI 1.022 changed to 1.010
    • Practice expense GPCI 1.023 changed to 1.009
    • Malpractice GPCI 1.814 changed to 1.571

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $599.81

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$623.21$502.34RVU26D
2026-07-01$623.21$502.34RVU26C
2026-04-01$623.21$502.34RVU26B
2026-01-01$623.21$502.34RVU26A
2025-10-01$578.87$524.34RVU25D
2025-07-01$578.87$524.34RVU25C
2025-04-01$578.87$524.34RVU25B
2025-01-01$578.87$524.34RVU25A
2024-10-01$588.01$532.54RVU24D
2024-07-01$588.01$532.54RVU24C
2024-04-01$588.01$532.54RVU24B
2024-03-09$588.01$532.54RVU24AR
2024-01-01$578.41$523.85RVU24A
2023-10-01$590.38$534.91RVU23D
2023-07-01$590.38$534.91RVU23C
2023-04-01$590.38$534.91RVU23B
2023-01-01$590.38$534.91RVU23A
2022-10-01$590.47$535.96RVU22D
2022-07-01$590.47$535.96RVU22C
2022-04-01$590.47$535.96RVU22B
2022-01-01$590.47$535.96RVU22A
2021-10-01$590.10$535.13RVU21D
2021-07-01$590.10$535.13RVU21C
2021-04-01$590.10$535.13RVU21B
2021-01-01$590.10$535.13RVU21A
2020-10-01$595.48$542.80RVU20D
2020-07-01$595.48$542.80RVU20C
2020-04-01$595.48$542.80RVU20B
2020-01-01$595.48$542.80RVU20A
2019-10-01$593.87$541.47RVU19D
2019-07-01$593.87$541.47RVU19C
2019-04-01$593.87$541.47RVU19B
2019-01-01$593.87$541.47RVU19A
2018-10-01$592.96$540.63RVU18D
2018-07-01$592.96$540.63RVU18C
2018-04-01$592.96$540.63RVU18B
2018-01-01$592.96$540.63RVU18AR1
2017-10-01$578.39$527.84RVU17D
2017-07-01$578.39$527.84RVU17C
2017-04-01$578.39$527.84RVU17B
2017-01-01$578.39$527.84RVU17A
2016-10-01$570.87$519.98RVU16D
2016-07-01$570.87$519.98RVU16C
2016-04-01$570.87$519.98RVU16B
2016-01-01$570.87$519.98RVU16A
2015-10-01$575.55$524.12RVU15D
2015-07-01$575.55$524.12RVU15C
2015-04-01$572.69$521.51RVU15B
2015-01-01$572.69$521.51RVU15A
2014-10-01$584.69$533.73RVU14D
2014-07-01$584.69$533.73RVU14C
2014-04-01$584.69$533.73RVU14B
2014-01-01$584.69$533.73RVU14A
2013-10-01$599.81$545.17RVU13D
2013-07-01$599.81$545.17RVU13C
2013-04-01$599.81$545.17RVU13B
2013-01-01$599.81$545.17RVU13AR

Price 27825 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

27825 billing questions

How does 27825 differ from 27824?

27825 is for closed treatment of a distal tibial fracture with manipulation. Use 27824 when the closed treatment is performed without manipulation.

What documentation supports 27825?

Document the distal tibial fracture site and laterality, the manipulation or reduction performed, and the stabilization plan. The record should support that treatment was closed rather than an open repair.

How is the global period handled?

CMS assigns a 90-day major-surgery global period. It includes the day-before preoperative visit and 90 days of related postoperative care.

What happens when another procedure is performed in the same session?

CMS pays the highest-valued procedure in full and other procedures at 50%. For bilateral reporting with modifier 50, CMS pays 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.

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
RVUs for 27825PPRRVU2026_Oct_nonQPP.csv, line 3,061 (RVU26D)
Geographic factors for Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

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