Billing code 27760: Ankle fracture careMedicare rate & RVUs

Medicare pays $376.43 for 27760 nationally in the office and $319.65 in a hospital or facility. Local office rates run $331.31–$490.25.

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

What 27760 covers

This code covers definitive closed treatment of a fracture of the medial malleolus, the bony prominence on the inner side of the ankle, when the physician does not manipulate the fracture. An orthopedist or another physician managing the fracture may use it when the fracture can be treated without a reduction maneuver, with immobilization such as a cast or splint as clinically appropriate. It represents fracture care rather than only an initial evaluation or temporary stabilization before transfer of care.

Choose this code when the record identifies the medial malleolus fracture and supports treatment without manipulation; document the injury, treatment plan, and immobilization. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same 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 27760 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

27760 rates by state

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

How the 27760 rate is calculated

Each of 27760’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 27760

27760 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

27760 compared with similar codes

How to choose

27762Ankle fracture care

Both codes concern closed treatment of a medial malleolus fracture. Choose 27762 when the physician manipulates the fracture; choose 27760 when treatment proceeds without manipulation.

27766Ankle fracture repair

This code is for closed treatment without manipulation. Code 27766 applies when the medial malleolus fracture receives open treatment.

27808Ankle fracture care

Code 27808 describes closed treatment without manipulation of a bimalleolar fracture. Use 27760 for a medial malleolus fracture treated as the specified injury pattern.

27786Ankle fracture care

Code 27786 concerns closed treatment without manipulation of a lateral malleolus fracture. Code 27760 concerns the medial malleolus.

Codes related to 27760

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