CPT code 27829: Syndesmosis repair, distal tibiofibular joint2026 Medicare rate & RVUs in New Mexico
Reports open reduction and stabilization of an unstable distal tibiofibular syndesmosis, commonly treated during surgery for an ankle fracture.
In New Mexico, Medicare pays $656.41 for 27829 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27829 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 27829 covers
The surgeon exposes and reduces a disrupted distal tibiofibular syndesmosis, the ligament-supported joint between the lower tibia and fibula above the ankle. Stabilization may use a screw or another fixation construct. Orthopedic surgeons and orthopedic trauma surgeons typically perform this operation in a hospital or ambulatory surgical setting, often while repairing an associated ankle fracture. The code concerns the syndesmotic disruption, not fixation of the malleolar fracture itself.
Report it when the operative record documents syndesmotic instability and the open reduction or stabilization performed. An ankle fracture repair alone does not establish that this additional work occurred. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. CMS permits payment for an assistant at surgery and co-surgeons; 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 27829
Across 109 of 109 payment localities, the facility rate for 27829 runs from $599.81 in Arkansas to $826.04 in San Benito County, CA. New Mexico pays $656.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$656.41
- Los Angeles, CA · California$727.24+$70.83
- Washington, DC area · District of Columbia$753.75+$97.34
- Miami, FL · Florida$769.88+$113.47
- Chicago, IL · Illinois$747.20+$90.79
- Manhattan, NY · New York$777.06+$120.65
- Alaska · Alaska$813.45+$157.04
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $607.90 |
| ArkansasArkansas | — | $599.81 |
| ArizonaArizona | — | $654.90 |
| Bakersfield, CACalifornia | — | $689.06 |
| Chico, CACalifornia | — | $684.51 |
| El Centro, CACalifornia | — | $684.78 |
| Fresno, CACalifornia | — | $684.51 |
| Hanford, CACalifornia | — | $684.51 |
| Madera, CACalifornia | — | $684.51 |
| Merced, CACalifornia | — | $684.51 |
| Modesto, CACalifornia | — | $684.51 |
| Napa, CACalifornia | — | $769.87 |
| Oxnard, CACalifornia | — | $720.95 |
| Redding, CACalifornia | — | $684.51 |
| Rest of CaliforniaCalifornia | — | $684.51 |
| Riverside, CACalifornia | — | $702.06 |
| Sacramento, CACalifornia | — | $712.20 |
| Salinas, CACalifornia | — | $709.44 |
| San Diego, CACalifornia | — | $721.76 |
| Marin County, CACalifornia | — | $806.92 |
| San Francisco, CACalifornia | — | $805.07 |
| San Benito County, CACalifornia | — | $826.04 |
| Santa Clara County, CACalifornia | — | $818.47 |
| San Luis Obispo, CACalifornia | — | $698.79 |
| Santa Cruz, CACalifornia | — | $725.17 |
| Santa Maria, CACalifornia | — | $710.90 |
| Santa Rosa, CACalifornia | — | $732.06 |
| Stockton, CACalifornia | — | $684.51 |
| Vallejo, CACalifornia | — | $767.21 |
| Visalia, CACalifornia | — | $684.51 |
| Yuba City, CACalifornia | — | $684.51 |
| ColoradoColorado | — | $685.79 |
| ConnecticutConnecticut | — | $715.76 |
| DelawareDelaware | — | $664.98 |
| Fort Lauderdale, FLFlorida | — | $721.33 |
| Rest of FloridaFlorida | — | $685.80 |
| Atlanta, GAGeorgia | — | $690.14 |
| Rest of GeorgiaGeorgia | — | $647.62 |
| Hawaii, Guam, HIHawaii | — | $695.59 |
| IowaIowa | — | $611.98 |
| IdahoIdaho | — | $617.78 |
| East St. Louis, ILIllinois | — | $701.67 |
| Rest of IllinoisIllinois | — | $674.80 |
| Suburban Chicago, ILIllinois | — | $726.03 |
| IndianaIndiana | — | $620.81 |
| KansasKansas | — | $614.15 |
| KentuckyKentucky | — | $631.55 |
| New Orleans, LALouisiana | — | $660.84 |
| Rest of LouisianaLouisiana | — | $632.56 |
| Metropolitan Boston, MAMassachusetts | — | $743.20 |
| Rest of MassachusettsMassachusetts | — | $684.16 |
| Baltimore area, MDMaryland | — | $714.75 |
| Rest of MarylandMaryland | — | $675.41 |
| Rest of MaineMaine | — | $625.89 |
| Southern Maine, MEMaine | — | $649.95 |
| Detroit, MIMichigan | — | $698.76 |
| Rest of MichiganMichigan | — | $651.17 |
| MinnesotaMinnesota | — | $644.33 |
| Metropolitan Kansas City, MOMissouri | — | $651.52 |
| Metropolitan St. Louis, MOMissouri | — | $657.20 |
| Rest of MissouriMissouri | — | $625.80 |
| MississippiMississippi | — | $612.67 |
| MontanaMontana | — | $672.92 |
| North CarolinaNorth Carolina | — | $631.13 |
| North DakotaNorth Dakota | — | $640.69 |
| NebraskaNebraska | — | $613.60 |
| New HampshireNew Hampshire | — | $679.83 |
| Northern New JerseyNew Jersey | — | $747.91 |
| Rest of New JerseyNew Jersey | — | $720.32 |
| NevadaNevada | — | $664.27 |
| NYC suburbs and Long Island, NYNew York | — | $800.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $728.90 |
| Queens, NYNew York | — | $775.86 |
| Rest of New YorkNew York | — | $640.26 |
| OhioOhio | — | $644.58 |
| OklahomaOklahoma | — | $625.36 |
| Portland, OROregon | — | $700.53 |
| Rest of OregonOregon | — | $655.53 |
| Metropolitan Philadelphia, PAPennsylvania | — | $702.31 |
| Rest of PennsylvaniaPennsylvania | — | $642.81 |
| Puerto RicoPuerto Rico | — | $675.86 |
| Rhode IslandRhode Island | — | $683.55 |
| South CarolinaSouth Carolina | — | $639.63 |
| South DakotaSouth Dakota | — | $636.88 |
| TennesseeTennessee | — | $617.61 |
| Austin, TXTexas | — | $686.65 |
| Beaumont, TXTexas | — | $639.28 |
| Brazoria, TXTexas | — | $660.36 |
| Dallas, TXTexas | — | $666.55 |
| Fort Worth, TXTexas | — | $663.94 |
| Galveston, TXTexas | — | $663.63 |
| Houston, TXTexas | — | $693.47 |
| Rest of TexasTexas | — | $650.81 |
| UtahUtah | — | $647.55 |
| VirginiaVirginia | — | $651.38 |
| Virgin Islands, VIUnited States Virgin Islands | — | $675.86 |
| VermontVermont | — | $642.81 |
| Rest of WashingtonWashington | — | $681.34 |
| King County, WAWashington | — | $752.76 |
| WisconsinWisconsin | — | $621.41 |
| West VirginiaWest Virginia | — | $653.00 |
| WyomingWyoming | — | $658.87 |
27829 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 27829 rate is calculated
Each of 27829’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 · 27829
RVUs × geographic indexes × conversion factor
Work8.58
8.58 RVUs× 1.000 GPCI
Practice expense9.94
9.94 RVUs× 1.000 GPCI
Malpractice1.63
1.63 RVUs× 1.000 GPCI
Adjusted RVUs
20.1500
Conversion factor
$33.4009
Medicare rate
$673.03
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
3,065
- Code
- 27829
- Physician work
- 8.58
- Practice expense
- 9.94
- Malpractice
- 1.63
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.58 | × 1.000 | 8.5800 |
| Practice expense | 9.94 | × 0.917 | 9.1150 |
| Malpractice | 1.63 | × 1.201 | 1.9576 |
| Total RVUs | 19.6526 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$656.41
Facility: (8.58 × 1 + 9.94 × 0.917 + 1.63 × 1.201) × $33.4009 = $656.41
Payment rules and modifiers for 27829
27829 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27829
Syndesmosis repair, distal tibiofibular joint
| 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) | 2 | Permitted. |
| 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 · 27829
Syndesmosis repair, distal tibiofibular joint
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
27829 without 50 · national facility
$673.03
Syndesmosis repair, distal tibiofibular joint
27829-50 · Bilateral: 150%
$1,009.55
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 27829 has changed in New Mexico
27829 · 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 | $656.41 | RVU26D |
| 2026-07-01 | Not available in this setting | $656.41 | RVU26C |
| 2026-04-01 | Not available in this setting | $656.41 | RVU26B |
| 2026-01-01 | Not available in this setting | $656.41 | RVU26A |
| 2025-10-01 | Not available in this setting | $671.40 | RVU25D |
| 2025-07-01 | Not available in this setting | $671.40 | RVU25C |
| 2025-04-01 | Not available in this setting | $671.40 | RVU25B |
| 2025-01-01 | Not available in this setting | $671.40 | RVU25A |
| 2024-10-01 | Not available in this setting | $690.60 | RVU24D |
| 2024-07-01 | Not available in this setting | $690.60 | RVU24C |
| 2024-04-01 | Not available in this setting | $690.60 | RVU24B |
| 2024-03-09 | Not available in this setting | $690.60 | RVU24AR |
| 2024-01-01 | Not available in this setting | $679.32 | RVU24A |
| 2023-10-01 | Not available in this setting | $695.98 | RVU23D |
| 2023-07-01 | Not available in this setting | $695.98 | RVU23C |
| 2023-04-01 | Not available in this setting | $695.98 | RVU23B |
| 2023-01-01 | Not available in this setting | $695.98 | RVU23A |
| 2022-10-01 | Not available in this setting | $703.20 | RVU22D |
| 2022-07-01 | Not available in this setting | $703.20 | RVU22C |
| 2022-04-01 | Not available in this setting | $703.20 | RVU22B |
| 2022-01-01 | Not available in this setting | $703.20 | RVU22A |
| 2021-10-01 | Not available in this setting | $703.12 | RVU21D |
| 2021-07-01 | Not available in this setting | $703.12 | RVU21C |
| 2021-04-01 | Not available in this setting | $703.12 | RVU21B |
| 2021-01-01 | Not available in this setting | $703.12 | RVU21A |
| 2020-10-01 | Not available in this setting | $708.53 | RVU20D |
| 2020-07-01 | Not available in this setting | $708.53 | RVU20C |
| 2020-04-01 | Not available in this setting | $708.53 | RVU20B |
| 2020-01-01 | Not available in this setting | $708.53 | RVU20A |
| 2019-10-01 | Not available in this setting | $707.93 | RVU19D |
| 2019-07-01 | Not available in this setting | $707.93 | RVU19C |
| 2019-04-01 | Not available in this setting | $707.93 | RVU19B |
| 2019-01-01 | Not available in this setting | $707.93 | RVU19A |
| 2018-10-01 | Not available in this setting | $707.39 | RVU18D |
| 2018-07-01 | Not available in this setting | $707.39 | RVU18C |
| 2018-04-01 | Not available in this setting | $707.39 | RVU18B |
| 2018-01-01 | Not available in this setting | $707.39 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $701.77 | RVU17D |
| 2017-07-01 | Not available in this setting | $701.77 | RVU17C |
| 2017-04-01 | Not available in this setting | $701.77 | RVU17B |
| 2017-01-01 | Not available in this setting | $701.77 | RVU17A |
| 2016-10-01 | Not available in this setting | $686.64 | RVU16D |
| 2016-07-01 | Not available in this setting | $686.64 | RVU16C |
| 2016-04-01 | Not available in this setting | $686.64 | RVU16B |
| 2016-01-01 | Not available in this setting | $686.64 | RVU16A |
| 2015-10-01 | Not available in this setting | $690.95 | RVU15D |
| 2015-07-01 | Not available in this setting | $690.95 | RVU15C |
| 2015-04-01 | Not available in this setting | $687.51 | RVU15B |
| 2015-01-01 | Not available in this setting | $687.51 | RVU15A |
| 2014-10-01 | Not available in this setting | $678.76 | RVU14D |
| 2014-07-01 | Not available in this setting | $678.76 | RVU14C |
| 2014-04-01 | Not available in this setting | $678.76 | RVU14B |
| 2014-01-01 | Not available in this setting | $678.76 | RVU14A |
| 2013-10-01 | Not available in this setting | $668.38 | RVU13D |
| 2013-07-01 | Not available in this setting | $668.38 | RVU13C |
| 2013-04-01 | Not available in this setting | $668.38 | RVU13B |
| 2013-01-01 | Not available in this setting | $668.38 | 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
27829 billing questions
When is 27829 appropriate with ankle fracture fixation?
Report it when the surgeon separately documents an unstable distal tibiofibular syndesmosis and performs open reduction or stabilization. The fracture repair alone does not describe this service.
How does 27829 differ from bimalleolar or trimalleolar fracture codes?
Those fracture codes describe treatment of the malleoli. Code 27829 describes open treatment of the distal tibiofibular syndesmotic disruption, which may be treated during the same operation.
Does 27829 include syndesmotic fixation hardware?
The service includes internal fixation when performed. Do not separately report the fixation construct as another service under this code.
What documentation supports reporting 27829?
The operative report should identify syndesmotic disruption or instability and describe its open reduction or stabilization, in addition to any associated fracture repair.
How does Medicare treat bilateral reporting and surgical assistance?
CMS pays bilateral reporting with modifier 50 at 150%. Assistant-at-surgery and co-surgeon payment are permitted; 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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