$310.12–$462.02
Use 27780 for closed treatment of a proximal or shaft fibula fracture without manipulation. Use 27784 when the fracture is treated operatively through an open approach.
On this page
CMS RVU26D · Effective 2026-10-01
27784 Fibula fracture Medicare reimbursement rates
Reports open surgical treatment of a proximal fibula or fibular shaft fracture, with internal fixation when performed, rather than closed fracture care. Compare 27784 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27784?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 27784 pays more and less
Orthopedic surgery
About 27784: Open treatment of proximal or shaft fibula fracture
Reports open surgical treatment of a proximal fibula or fibular shaft fracture, with internal fixation when performed, rather than closed fracture care.
This code describes operative treatment of a fracture in the proximal fibula or fibular shaft. The surgeon exposes and directly treats the fracture; internal fixation may be used when indicated. Orthopedic surgeons typically perform the procedure in a hospital operating room or another surgical facility. A fracture of the distal fibula at the lateral malleolus is a different anatomic site and is coded separately.
Choose the code based on the documented fracture location and open operative approach, not simply on whether hardware is present. The operative report should identify the proximal fibula or shaft fracture and describe the surgical treatment and any fixation. Medicare assigns a 90-day global period, including the day before surgery and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27784
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.43 · 47%
- Practice expense (office) RVU8.86 · 44%
- Malpractice RVU1.86 · 9%
330
Medicare services in 2024 · #3918 by national volume
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.
27784 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$431.89–$629.71
Use 27781 for closed treatment of a proximal or shaft fibula fracture with manipulation; 27784 describes open operative treatment.
No office rate
27792 is for open treatment of a distal fibula fracture at the lateral malleolus. 27784 applies to a proximal fibula or fibular shaft fracture.
No office rate
27726 addresses repair of a fibular nonunion, not open treatment of an acute proximal or shaft fracture.
See how rates vary across the country
27784 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 27784 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $609.07 |
| Alaska* | Office Unavailable | Facility $821.85 |
| Arizona | Office Unavailable | Facility $654.91 |
| Arkansas | Office Unavailable | Facility $601.17 |
| Atlanta | Office Unavailable | Facility $691.20 |
| Austin | Office Unavailable | Facility $683.74 |
| Bakersfield | Office Unavailable | Facility $683.13 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $714.39 |
| Beaumont | Office Unavailable | Facility $641.98 |
| Brazoria | Office Unavailable | Facility $659.22 |
| Chicago | Office Unavailable | Facility $757.17 |
| Chico | Office Unavailable | Facility $677.97 |
| Colorado | Office Unavailable | Facility $682.14 |
| Connecticut | Office Unavailable | Facility $715.16 |
| Dallas | Office Unavailable | Facility $665.86 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $749.73 |
| Delaware | Office Unavailable | Facility $664.78 |
| Detroit | Office Unavailable | Facility $705.29 |
| East St. Louis | Office Unavailable | Facility $712.35 |
| El Centro | Office Unavailable | Facility $678.28 |
| Fort Lauderdale | Office Unavailable | Facility $727.07 |
| Fort Worth | Office Unavailable | Facility $663.71 |
| Fresno | Office Unavailable | Facility $677.97 |
| Galveston | Office Unavailable | Facility $662.79 |
| Hanford-Corcoran | Office Unavailable | Facility $677.97 |
| Hawaii, Guam | Office Unavailable | Facility $687.42 |
| Houston | Office Unavailable | Facility $696.84 |
| Idaho | Office Unavailable | Facility $616.61 |
| Indiana | Office Unavailable | Facility $619.49 |
| Iowa | Office Unavailable | Facility $610.41 |
| Kansas | Office Unavailable | Facility $613.80 |
| Kentucky | Office Unavailable | Facility $634.90 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $719.22 |
| Madera | Office Unavailable | Facility $677.97 |
| Manhattan | Office Unavailable | Facility $777.53 |
| Merced | Office Unavailable | Facility $677.97 |
| Metropolitan Boston | Office Unavailable | Facility $736.52 |
| Metropolitan Kansas City | Office Unavailable | Facility $653.55 |
| Metropolitan Philadelphia | Office Unavailable | Facility $702.82 |
| Metropolitan St. Louis | Office Unavailable | Facility $658.95 |
| Miami | Office Unavailable | Facility $780.15 |
| Minnesota | Office Unavailable | Facility $637.87 |
| Mississippi | Office Unavailable | Facility $615.68 |
| Modesto | Office Unavailable | Facility $677.97 |
| Montana** | Office Unavailable | Facility $672.90 |
| Napa | Office Unavailable | Facility $756.41 |
| Nebraska | Office Unavailable | Facility $611.60 |
| Nevada** | Office Unavailable | Facility $662.95 |
| New Hampshire | Office Unavailable | Facility $677.40 |
| New Mexico | Office Unavailable | Facility $660.95 |
| New Orleans | Office Unavailable | Facility $664.02 |
| North Carolina | Office Unavailable | Facility $630.77 |
| North Dakota** | Office Unavailable | Facility $636.13 |
| Northern Nj | Office Unavailable | Facility $744.44 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $802.36 |
| Ohio | Office Unavailable | Facility $647.78 |
| Oklahoma | Office Unavailable | Facility $627.51 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $712.29 |
| Portland | Office Unavailable | Facility $695.01 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $728.36 |
| Puerto Rico | Office Unavailable | Facility $675.35 |
| Queens | Office Unavailable | Facility $774.51 |
| Redding | Office Unavailable | Facility $677.97 |
| Rest Of California | Office Unavailable | Facility $677.97 |
| Rest Of Florida | Office Unavailable | Facility $691.26 |
| Rest Of Georgia | Office Unavailable | Facility $653.00 |
| Rest Of Illinois | Office Unavailable | Facility $682.26 |
| Rest Of Louisiana | Office Unavailable | Facility $636.39 |
| Rest Of Maine | Office Unavailable | Facility $625.87 |
| Rest Of Maryland | Office Unavailable | Facility $674.63 |
| Rest Of Massachusetts | Office Unavailable | Facility $681.14 |
| Rest Of Michigan | Office Unavailable | Facility $655.30 |
| Rest Of Missouri | Office Unavailable | Facility $630.57 |
| Rest Of New Jersey | Office Unavailable | Facility $718.88 |
| Rest Of New York | Office Unavailable | Facility $639.78 |
| Rest Of Oregon | Office Unavailable | Facility $653.39 |
| Rest Of Pennsylvania | Office Unavailable | Facility $645.34 |
| Rest Of Texas | Office Unavailable | Facility $651.91 |
| Rest Of Washington | Office Unavailable | Facility $677.96 |
| Rhode Island | Office Unavailable | Facility $682.07 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $697.97 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $703.78 |
| Salinas | Office Unavailable | Facility $701.02 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $712.03 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $790.67 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $788.56 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $809.65 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $801.02 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $690.69 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $714.44 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $702.15 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $721.12 |
| Seattle (King Cnty) | Office Unavailable | Facility $744.58 |
| South Carolina | Office Unavailable | Facility $641.22 |
| South Dakota** | Office Unavailable | Facility $631.78 |
| Southern Maine | Office Unavailable | Facility $647.44 |
| Stockton | Office Unavailable | Facility $677.97 |
| Suburban Chicago | Office Unavailable | Facility $731.18 |
| Tennessee | Office Unavailable | Facility $617.33 |
| Utah | Office Unavailable | Facility $648.94 |
| Vallejo | Office Unavailable | Facility $753.37 |
| Vermont | Office Unavailable | Facility $639.38 |
| Virgin Islands | Office Unavailable | Facility $675.35 |
| Virginia | Office Unavailable | Facility $649.73 |
| Visalia | Office Unavailable | Facility $677.97 |
| West Virginia | Office Unavailable | Facility $661.04 |
| Wisconsin | Office Unavailable | Facility $617.61 |
| Wyoming** | Office Unavailable | Facility $656.88 |
| Yuba City | Office Unavailable | Facility $677.97 |
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27784 billing questions
How is this code distinguished from 27780 or 27781?
27784 describes open treatment of a proximal fibula or shaft fracture. Codes 27780 and 27781 describe closed treatment of those fractures, without and with manipulation, respectively.
Does a fracture of the lateral malleolus belong here?
No. A distal fibula fracture at the lateral malleolus is treated under the ankle fracture codes, such as 27792 for open treatment.
Is internal fixation required to report 27784?
The code covers open treatment, with internal fixation when performed. Documentation should establish the fracture site and direct operative treatment; hardware alone does not establish the code.
What postoperative care is included?
Medicare assigns a 90-day global period, including the day before surgery and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeon payment is available only with supporting documentation; team surgery is not permitted.
How does Medicare handle bilateral reporting or other same-session procedures?
Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,04627769,,Optx post ankle fx,A,,9.89,8.37,NA,8.37,,1.97,20.23,20.23,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04727780,,Treatment of fibula fracture,A,,2.76,7.26,,5.60,,0.56,10.58,8.92,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04827781,,Treatment of fibula fracture,A,,4.48,9.28,,6.80,,0.93,14.69,12.21,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04927784,,Treatment of fibula fracture,A,,9.43,8.86,NA,8.86,,1.86,20.15,20.15,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05027786,,Treatment of ankle fracture,A,,2.94,7.00,,5.31,,0.54,10.48,8.79,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05127788,,Treatment of ankle fracture,A,,4.52,9.42,,6.89,,0.99,14.93,12.40,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05227792,,Treatment of ankle fracture,A,,8.53,8.06,NA,8.06,,1.61,18.20,18.20,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00