Billing code 27825: Fracture treatmentMedicare rate & RVUs

Medicare pays $604.22 for 27825 nationally in the office and $478.97 in a hospital or facility. Local office rates run $534.22–$758.13.

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

What 27825 covers

Code 27825 covers closed reduction of a distal tibial fracture, such as a pilon or tibial plafond fracture, when the clinician manipulates the fragments to restore alignment. An orthopedic surgeon or other physician providing fracture care typically performs the reduction in an emergency department, operating room, or other acute-care setting; the fracture is stabilized afterward without opening the fracture site.

Select this code for the documented distal tibia injury and manipulation, rather than closed treatment without manipulation or open repair. The record should identify the fracture location, laterality, reduction performed, and stabilization plan. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and others at 50%; bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 27825 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

27825 rates by state

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

How the 27825 rate is calculated

Each of 27825’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 27825

27825 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

27825 compared with similar codes

How to choose

27824Fracture treatment

Use 27824 for closed treatment of the distal tibial fracture without manipulation; 27825 requires manipulation to restore alignment.

27752Tibial fracture care

This code is for closed treatment of a tibial shaft fracture with manipulation. Choose 27825 for a distal tibial fracture, such as a pilon or tibial plafond fracture.

27827Pilon fracture repair

27827 describes open treatment with internal fixation of the tibia. Use 27825 when the distal tibial fracture is treated closed with manipulation.

Codes related to 27825

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