Billing code 27752: Tibial fracture careMedicare rate & RVUs
Report this service for closed treatment of a tibial shaft fracture requiring manipulation to restore alignment, with or without an associated fibular fracture.
Medicare pays $608.23 for 27752 nationally in the office and $500.68 in a hospital or facility. Local office rates run $535.85–$768.76.
Medicare rate · 27752
Tibial fracture care
Swap in your local Medicare rate.
- Work RVUs
- 6.11
- Total RVUs
- 18.21
- Global days
- 090
National rate · 2026
$608.23
Office setting, before claim adjustments.
See every locality for 27752 → · Billed by an NP, PA or therapist? →
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 10 sections
What 27752 covers
An orthopedic surgeon or other qualified fracture-care provider reports this service when treating a tibial shaft fracture without opening the fracture site and manipulating the fragments to improve alignment. The treatment may include external immobilization, such as a cast or splint. The code includes tibial shaft fractures with or without an associated fibular fracture; it is not for a fracture limited to the ankle or fibula.
Choose this code when the record supports both closed treatment and manipulation, rather than closed treatment without manipulation or operative fixation. Document the shaft fracture, the reduction maneuver and resulting alignment, and the immobilization and treatment plan. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral treatment with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 27752 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$535.85 to $768.76
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $543.88 | $449.77 |
| Alaska* | $713.53 | $598.99 |
| Arizona | $590.64 | $486.43 |
| Arkansas | $535.85 | $443.46 |
| Atlanta | $623.59 | $514.32 |
| Austin | $624.38 | $510.59 |
| Bakersfield | $629.11 | $511.23 |
| Baltimore/Surr. Cntys | $648.34 | $532.94 |
| Beaumont | $572.71 | $474.84 |
| Brazoria | $596.78 | $490.20 |
| Chicago | $669.42 | $561.33 |
| Chico | $625.43 | $507.56 |
| Colorado | $623.88 | $509.44 |
| Connecticut | $649.38 | $533.55 |
| Dallas | $602.27 | $495.15 |
| Dc + Md/Va Suburbs | $688.28 | $561.59 |
| Delaware | $600.42 | $494.16 |
| Detroit | $626.36 | $522.57 |
| East St. Louis | $624.86 | $525.92 |
| El Centro | $625.66 | $507.78 |
| Fort Lauderdale | $649.07 | $540.12 |
| Fort Worth | $599.26 | $493.22 |
| Fresno | $625.43 | $507.56 |
| Galveston | $599.65 | $492.85 |
| Hanford-Corcoran | $625.43 | $507.56 |
| Hawaii, Guam | $638.62 | $516.34 |
| Houston | $624.18 | $517.38 |
| Idaho | $555.89 | $456.95 |
| Indiana | $558.99 | $459.29 |
| Iowa | $550.69 | $452.28 |
| Kansas | $551.53 | $454.30 |
| Kentucky | $564.53 | $468.92 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $667.33 | $540.10 |
| Madera | $625.43 | $507.56 |
| Manhattan | $705.74 | $580.77 |
| Merced | $625.43 | $507.56 |
| Metropolitan Boston | $681.40 | $552.98 |
| Metropolitan Kansas City | $585.28 | $484.29 |
| Metropolitan Philadelphia | $635.28 | $523.32 |
| Metropolitan St. Louis | $591.07 | $488.68 |
| Miami | $691.40 | $579.44 |
| Minnesota | $587.14 | $476.47 |
| Mississippi | $546.59 | $453.99 |
| Modesto | $625.43 | $507.56 |
| Montana** | $608.14 | $500.59 |
| Napa | $713.35 | $571.60 |
| Nebraska | $552.72 | $453.45 |
| Nevada** | $601.12 | $493.46 |
| New Hampshire | $617.37 | $505.41 |
| New Mexico | $587.40 | $488.77 |
| New Orleans | $593.11 | $491.91 |
| North Carolina | $567.99 | $467.65 |
| North Dakota** | $581.64 | $474.09 |
| Northern Nj | $681.63 | $556.87 |
| Nyc Suburbs/Long Island | $727.57 | $599.70 |
| Ohio | $577.32 | $479.13 |
| Oklahoma | $559.79 | $463.75 |
| Oxnard-Thousand Oaks-Ventura | $662.48 | $535.36 |
| Portland | $639.93 | $520.44 |
| Poughkpsie/N Nyc Suburbs | $660.96 | $543.19 |
| Puerto Rico | $611.51 | $502.78 |
| Queens | $706.48 | $579.36 |
| Redding | $625.43 | $507.56 |
| Rest Of California | $625.43 | $507.56 |
| Rest Of Florida | $614.93 | $512.11 |
| Rest Of Georgia | $578.01 | $482.07 |
| Rest Of Illinois | $602.16 | $503.97 |
| Rest Of Louisiana | $565.02 | $469.84 |
| Rest Of Maine | $562.56 | $463.61 |
| Rest Of Maryland | $610.91 | $502.07 |
| Rest Of Massachusetts | $621.46 | $508.21 |
| Rest Of Michigan | $582.74 | $484.54 |
| Rest Of Missouri | $557.47 | $464.76 |
| Rest Of New Jersey | $653.80 | $536.35 |
| Rest Of New York | $576.97 | $474.79 |
| Rest Of Oregon | $593.50 | $486.38 |
| Rest Of Pennsylvania | $576.30 | $477.57 |
| Rest Of Texas | $585.56 | $483.49 |
| Rest Of Washington | $619.23 | $505.98 |
| Rhode Island | $619.13 | $508.03 |
| Riverside-San Bernardino-Ontario | $639.83 | $521.95 |
| Sacramento-Roseville-Folsom | $653.39 | $528.31 |
| Salinas | $650.93 | $526.28 |
| San Diego-Chula Vista-Carlsbad | $664.30 | $535.66 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $750.76 | $599.11 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $749.23 | $597.59 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $768.76 | $613.68 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $762.54 | $607.45 |
| San Luis Obispo-Paso Robles | $640.89 | $518.39 |
| Santa Cruz-Watsonville | $669.02 | $538.34 |
| Santa Maria-Santa Barbara | $652.84 | $527.43 |
| Santa Rosa-Petaluma | $675.53 | $543.45 |
| Seattle (King Cnty) | $691.83 | $559.86 |
| South Carolina | $574.20 | $474.83 |
| South Dakota** | $578.51 | $470.96 |
| Southern Maine | $588.48 | $481.90 |
| Stockton | $625.43 | $507.56 |
| Suburban Chicago | $653.92 | $543.46 |
| Tennessee | $554.80 | $457.04 |
| Utah | $582.10 | $481.00 |
| Vallejo | $711.16 | $569.41 |
| Vermont | $582.53 | $476.05 |
| Virgin Islands | $611.51 | $502.78 |
| Virginia | $588.96 | $483.24 |
| Visalia | $625.43 | $507.56 |
| West Virginia | $580.44 | $486.98 |
| Wisconsin | $562.16 | $459.13 |
| Wyoming** | $596.59 | $489.04 |
| Yuba City | $625.43 | $507.56 |
27752 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.
$535.85
$713.53
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $713.53 | 1 |
| AL | $543.88 | 1 |
| AR | $535.85 | 1 |
| AZ | $590.64 | 1 |
| CA | $625.43–$768.76 | 29 |
| CO | $623.88 | 1 |
| CT | $649.38 | 1 |
| DC | $688.28 | 1 |
| DE | $600.42 | 1 |
| FL | $614.93–$691.40 | 3 |
| GA | $578.01–$623.59 | 2 |
| GU | $638.62 | 1 |
| HI | $638.62 | 1 |
| IA | $550.69 | 1 |
| ID | $555.89 | 1 |
| IL | $602.16–$669.42 | 4 |
| IN | $558.99 | 1 |
| KS | $551.53 | 1 |
| KY | $564.53 | 1 |
| LA | $565.02–$593.11 | 2 |
| MA | $621.46–$681.40 | 2 |
| MD | $610.91–$688.28 | 3 |
| ME | $562.56–$588.48 | 2 |
| MI | $582.74–$626.36 | 2 |
| MN | $587.14 | 1 |
| MO | $557.47–$591.07 | 3 |
| MS | $546.59 | 1 |
| MT | $608.14 | 1 |
| NC | $567.99 | 1 |
| ND | $581.64 | 1 |
| NE | $552.72 | 1 |
| NH | $617.37 | 1 |
| NJ | $653.80–$681.63 | 2 |
| NM | $587.40 | 1 |
| NV | $601.12 | 1 |
| NY | $576.97–$727.57 | 5 |
| OH | $577.32 | 1 |
| OK | $559.79 | 1 |
| OR | $593.50–$639.93 | 2 |
| PA | $576.30–$635.28 | 2 |
| PR | $611.51 | 1 |
| RI | $619.13 | 1 |
| SC | $574.20 | 1 |
| SD | $578.51 | 1 |
| TN | $554.80 | 1 |
| TX | $572.71–$624.38 | 8 |
| UT | $582.10 | 1 |
| VA | $588.96–$688.28 | 2 |
| VI | $611.51 | 1 |
| VT | $582.53 | 1 |
| WA | $619.23–$691.83 | 2 |
| WI | $562.16 | 1 |
| WV | $580.44 | 1 |
| WY | $596.59 | 1 |
How the 27752 rate is calculated
Each of 27752’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 · 27752
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.11Practice expense 10.76Malpractice 1.34
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27752
27752 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27752
Tibial fracture care
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not 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 · 27752
Tibial fracture care
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
27752 without 50 · national office
$608.23
Tibial fracture care
27752-50 · Bilateral: 150%
$912.35
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).
27752 compared with similar codes
Compare codes
27752 vs 27750 vs 27756 vs 27758 vs 27759: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27750Tibia fracture care
- Both are closed treatment of a tibial shaft fracture, with or without a fibular fracture. Choose 27752 when manipulation is performed; 27750 is for treatment without manipulation.
- 27756Fracture fixation
- 27756 involves percutaneous skeletal fixation. Use 27752 for closed reduction by manipulation without that fixation method.
- 27758Tibia fracture fixation
- 27758 describes open treatment using plate-and-screw fixation. It is not the closed manipulation service represented by 27752.
- 27759Tibial fracture repair
- 27759 is used for tibial shaft fracture treatment with an intramedullary implant; 27752 represents closed treatment with manipulation.
27752 billing questions
How does this differ from 27750?
Both describe closed treatment of a tibial shaft fracture, but 27752 is selected when manipulation is performed to improve fracture alignment. Use 27750 when the closed treatment does not involve manipulation.
Can the code be used when the fibula is also fractured?
Yes. Tibial shaft treatment may include an associated fibular fracture; the fibular fracture does not by itself change the code selection.
When is 27756 used instead?
27756 is for percutaneous skeletal fixation of a tibial shaft fracture. This code describes closed treatment with manipulation, not percutaneous fixation.
What documentation supports reporting 27752?
Document the tibial shaft fracture, the manipulation or reduction performed, the alignment achieved, and the immobilization and treatment plan.
How is bilateral treatment handled?
For bilateral procedures reported with modifier 50, CMS pays at 150%. The multiple-procedure rule also applies when multiple procedures are performed in the same session.
Are assistant surgeons or co-surgeons payable?
CMS applies a statutory restriction to assistant-at-surgery payment for this code. Co-surgeons and team surgery are 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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