CPT code 27827: Pilon fracture repair, tibia only2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $1,037.20 for 27827 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27827 nationwide

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

What 27827 covers

This code covers open treatment of a pilon fracture involving the weight-bearing articular surface at the distal tibia. The surgeon exposes and reduces the fracture and may use internal fixation; fixation is included in the procedure. Orthopedic trauma surgeons typically perform the operation in a hospital operating room, often for a displaced fracture extending into the ankle joint after high-energy trauma.

Choose this code when the operative report supports treatment of the tibial plafond alone. When the procedure treats both the tibia and fibula, use the corresponding combined code, 27828. Documentation should identify the fracture site and describe the reduction and fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment and co-surgeons are permitted; 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 Nevada compares for 27827

Across 109 of 109 payment localities, the facility rate for 27827 runs from $938.77 in Arkansas to $1,280.62 in Alaska. Nevada pays $1,037.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27827 rates by state

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

See 27827 in every payment locality

How the 27827 rate is calculated

Each of 27827’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.

Payment rules and modifiers for 27827

27827 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 27827

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

How 27827 has changed in Nevada

Price 27827 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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

Open CMS sourceHow we calculate rates