Billing code 27750: Tibia fracture careMedicare rate & RVUs

Medicare pays $395.47 for 27750 nationally in the office and $333.67 in a hospital or facility. Local office rates run $347.39–$513.20.

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

What 27750 covers

This service covers closed management of a tibial shaft fracture when the clinician does not manipulate the fracture to restore alignment. It may include immobilization, such as a cast or splint, and ongoing fracture care. Orthopedic surgeons and other qualified clinicians typically provide this care in an office, emergency department, or hospital setting. The fracture may involve the tibial shaft alone or occur with a fibular fracture.

Select this code when the documented treatment is closed and does not include manipulation; use a different fracture-treatment code when the method or reduction differs. The record should identify the fracture, treatment approach, and relevant follow-up care. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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.

Where 27750 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27750 rates by state

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

How the 27750 rate is calculated

Each of 27750’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 27750

27750 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

27750 compared with similar codes

How to choose

27752Tibial fracture care

Both describe closed treatment of a tibial shaft fracture. Choose 27750 when no manipulation is performed and 27752 when the provider manipulates the fracture.

27756Fracture fixation

27756 involves percutaneous skeletal fixation; 27750 describes closed treatment without manipulation or fixation.

27758Tibia fracture fixation

27758 is open treatment with plate-and-screw fixation. 27750 is closed management without manipulation.

27759Tibial fracture repair

27759 identifies tibial shaft fracture treatment with an intramedullary implant; 27750 is used for closed treatment without manipulation.

Codes related to 27750

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

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