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

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 Utah, Medicare pays $579.14 for 27825 in the office and $461.40 when it’s performed in a hospital or facility.

$579.14Office (non-facility)
$461.40Hospital or facility
−4.2%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 Utah
  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 Utah 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. Utah pays $579.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

27825 in Utah vs other payment areas
  1. Utah · this page$579.14
  2. Los Angeles, CA · California$660.47+$81.33
  3. Washington, DC area · District of Columbia$681.84+$102.70
  4. Miami, FL · Florida$687.16+$108.02
  5. Chicago, IL · Illinois$665.85+$86.71
  6. Manhattan, NY · New York$699.88+$120.74
  7. Alaska · Alaska$715.05+$135.91

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

Every other payment area

27825 in every other Medicare payment locality
Payment localityOfficeFacility
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
Hanford, 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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 27825 in Utah
ComponentRVULocality factorAdjusted
Physician work6.52× 1.0006.5200
Practice expense10.22× 0.9409.6068
Malpractice1.35× 0.8981.2123
Total RVUs17.3391
Conversion factor× 33.4009

Office rate, Utah$579.14

Office: (6.52 × 1 + 10.22 × 0.94 + 1.35 × 0.898) × $33.4009 = $579.14

Facility: (6.52 × 1 + 6.47 × 0.94 + 1.35 × 0.898) × $33.4009 = $461.40

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, Utah
Same family
27824Fracture treatment, distal tibia, no manipulationClosed treatment of a distal tibial fracture without manipulation.$340.88
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 Utah

27825 · Office / nonfacility

$579.14

Effective 2026-10-01

The base rate is $50.52 higher than on 2025-10-01, moving from $528.62 to $579.14 (9.6%).

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

    $528.62changed to$579.14

    • 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
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $537.17changed to$528.62

    • 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

    $528.40changed to$537.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $535.62changed to$528.40

    • 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
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $530.35changed to$535.62

    • 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 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $531.11changed to$530.35

    • 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

    $544.94changed to$531.11

    • 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 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $552.83changed to$544.94

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 1.25 changed to 1.27
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $552.14changed to$552.83

    • 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

    $544.90changed to$552.14

    • 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 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $544.06changed to$544.90

    • 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 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $548.36changed to$544.06

    • 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

    $545.64changed to$548.36

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $538.84changed to$545.64

    • 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
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $533.65changed to$538.84

    • 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
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $533.65

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$579.14$461.40RVU26D
2026-07-01$579.14$461.40RVU26C
2026-04-01$579.14$461.40RVU26B
2026-01-01$579.14$461.40RVU26A
2025-10-01$528.62$477.02RVU25D
2025-07-01$528.62$477.02RVU25C
2025-04-01$528.62$477.02RVU25B
2025-01-01$528.62$477.02RVU25A
2024-10-01$537.17$484.68RVU24D
2024-07-01$537.17$484.68RVU24C
2024-04-01$537.17$484.68RVU24B
2024-03-09$537.17$484.68RVU24AR
2024-01-01$528.40$476.77RVU24A
2023-10-01$535.62$483.84RVU23D
2023-07-01$535.62$483.84RVU23C
2023-04-01$535.62$483.84RVU23B
2023-01-01$535.62$483.84RVU23A
2022-10-01$530.35$480.10RVU22D
2022-07-01$530.35$480.10RVU22C
2022-04-01$530.35$480.10RVU22B
2022-01-01$530.35$480.10RVU22A
2021-10-01$531.11$480.44RVU21D
2021-07-01$531.11$480.44RVU21C
2021-04-01$531.11$480.44RVU21B
2021-01-01$531.11$480.44RVU21A
2020-10-01$544.94$495.97RVU20D
2020-07-01$544.94$495.97RVU20C
2020-04-01$544.94$495.97RVU20B
2020-01-01$544.94$495.97RVU20A
2019-10-01$552.83$503.72RVU19D
2019-07-01$552.83$503.72RVU19C
2019-04-01$552.83$503.72RVU19B
2019-01-01$552.83$503.72RVU19A
2018-10-01$552.14$503.08RVU18D
2018-07-01$552.14$503.08RVU18C
2018-04-01$552.14$503.08RVU18B
2018-01-01$552.14$503.08RVU18AR1
2017-10-01$544.90$497.76RVU17D
2017-07-01$544.90$497.76RVU17C
2017-04-01$544.90$497.76RVU17B
2017-01-01$544.90$497.76RVU17A
2016-10-01$544.06$496.85RVU16D
2016-07-01$544.06$496.85RVU16C
2016-04-01$544.06$496.85RVU16B
2016-01-01$544.06$496.85RVU16A
2015-10-01$548.36$500.66RVU15D
2015-07-01$548.36$500.66RVU15C
2015-04-01$545.64$498.16RVU15B
2015-01-01$545.64$498.16RVU15A
2014-10-01$538.84$492.43RVU14D
2014-07-01$538.84$492.43RVU14C
2014-04-01$538.84$492.43RVU14B
2014-01-01$538.84$492.43RVU14A
2013-10-01$533.65$484.72RVU13D
2013-07-01$533.65$484.72RVU13C
2013-04-01$533.65$484.72RVU13B
2013-01-01$533.65$484.72RVU13AR

Price 27825 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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