Billing code 27767: Ankle fracture careMedicare rate & RVUs

Medicare pays $321.65 for 27767 nationally in the office and $300.61 in a hospital or facility. Local office rates run $282.89–$420.80.

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

What 27767 covers

This code represents nonoperative care of a fracture at the posterior part of the distal tibia, where it forms the ankle joint. An orthopedic surgeon or other qualified practitioner may provide this care in an office, emergency department, or hospital when the treatment plan is closed management rather than operative fixation. The key distinction is that the provider does not manipulate the fracture to achieve or restore alignment.

The record should identify the posterior malleolus fracture, document the closed treatment plan, and support that no manipulation was performed. Code 27768 is the corresponding choice when manipulation is performed; open fixation is represented by a different code. CMS 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 is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 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 27767 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

27767 rates by state

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

How the 27767 rate is calculated

Each of 27767’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 27767

27767 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

27767 compared with similar codes

How to choose

27768Ankle fracture treatment

Both codes address closed treatment of a posterior malleolus fracture. Choose 27767 when no manipulation is performed and 27768 when the provider manipulates the fracture.

27769Ankle fracture repair

This code is for closed, nonoperative fracture care. Code 27769 applies when the posterior malleolus fracture is treated with open fixation.

27808Ankle fracture care

Code 27808 addresses a bimalleolar fracture pattern treated without manipulation. Code 27767 is for closed treatment of a posterior malleolus fracture.

27760Ankle fracture care

Code 27760 concerns a medial malleolus fracture treated without manipulation. Code 27767 concerns the posterior malleolus.

Codes related to 27767

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