Both codes address closed treatment of a proximal tibial plateau fracture. Choose 27532 when manipulation is performed; choose 27530 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
27532 in Austin
Office / nonfacility
$695.81
Base rate per service
Facility setting
$565.41
Base rate per service
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.
Orthopedic fracture care
About 27532: Closed tibial plateau fracture reduction
Reports closed reduction of a proximal tibial plateau fracture when the clinician manipulates the fracture to restore alignment without opening the site.
Code 27532 reports closed treatment of a proximal tibial plateau fracture when the clinician manipulates the fracture to restore alignment without opening the fracture site. Orthopedic surgeons commonly perform the reduction in an operating room under anesthesia; selected reductions may occur in an emergency department. Imaging is used to assess fracture alignment and the result of reduction.
Choose this code when manipulation is performed as part of closed treatment; use 27530 when the fracture is treated without manipulation. Document the plateau fracture site, the reduction maneuver, and imaging findings before and after treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, 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 is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27532
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.36 · 36%
- Practice expense (office) RVU11.43 · 56%
- Malpractice RVU1.54 · 8%
672
Medicare services in 2024 · #3295 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.
27532 compared with similar codes
Office rates for Austin, from the same CMS release.
27535 describes open treatment of a unicondylar plateau fracture. Use 27532 for closed treatment with manipulation rather than open treatment.
27536 describes open treatment of a bicondylar plateau fracture. The fracture pattern and open surgical approach distinguish it from closed reduction under 27532.
The same code, a different location
How does Austin compare?
In Beaumont, the office rate for 27532 is $641.03—$54.78 lower than the $695.81 rate in Austin. Both use the same code, release and participation basis.
27532 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
$695.81
$641.03
$54.78 lower than Austin
$666.25
$29.56 lower than Austin
$672.42
$23.39 lower than Austin
$669.27
$26.54 lower than Austin
$669.49
$26.32 lower than Austin
$697.67
$1.86 higher than Austin
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 27532 ranges from $600.26 in Arkansas to $850.96 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 27532
Office
$654.58
Facility
$537.62
$41.23 lower than Austin for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 27532
Office
$741.70
Facility
$595.90
$45.89 higher than Austin for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 27532
Office
$766.08
Facility
$620.90
$70.27 higher than Austin for the office setting.
Miami
Florida · 27532
Office
$773.34
Facility
$645.04
$77.53 higher than Austin for the office setting.
Chicago
Illinois · 27532
Office
$749.28
Facility
$625.42
$53.47 higher than Austin for the office setting.
Manhattan
New York · 27532
Office
$786.76
Facility
$643.55
$90.95 higher than Austin for the office setting.
Alaska*
Alaska · 27532
Office
$803.68
Facility
$672.41
$107.87 higher than Austin for the office setting.
Alabama
Alabama · 27532
Office
$608.99
Facility
$501.15
$86.82 lower than Austin for the office setting.
Arkansas
Arkansas · 27532
Office
$600.26
Facility
$494.39
$95.55 lower than Austin for the office setting.
Arizona
Arizona · 27532
Office
$659.80
Facility
$540.37
$36.01 lower than Austin for the office setting.
Bakersfield
California · 27532
Office
$700.25
Facility
$565.17
$4.44 higher than Austin for the office setting.
Chico
California · 27532
Office
$696.00
Facility
$560.92
$0.19 higher than Austin for the office setting.
El Centro
California · 27532
Office
$696.26
Facility
$561.18
$0.45 higher than Austin for the office setting.
Fresno
California · 27532
Office
$696.00
Facility
$560.92
$0.19 higher than Austin for the office setting.
Hanford-Corcoran
California · 27532
Office
$696.00
Facility
$560.92
$0.19 higher than Austin for the office setting.
Madera
California · 27532
Office
$696.00
Facility
$560.92
$0.19 higher than Austin for the office setting.
Merced
California · 27532
Office
$696.00
Facility
$560.92
$0.19 higher than Austin for the office setting.
Modesto
California · 27532
Office
$696.00
Facility
$560.92
$0.19 higher than Austin for the office setting.
Napa
California · 27532
Office
$790.62
Facility
$628.18
$94.81 higher than Austin for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 27532
Office
$736.01
Facility
$590.33
$40.20 higher than Austin for the office setting.
Redding
California · 27532
Office
$696.00
Facility
$560.92
$0.19 higher than Austin for the office setting.
Rest Of California
California · 27532
Office
$696.00
Facility
$560.92
$0.19 higher than Austin for the office setting.
Riverside-San Bernardino-Ontario
California · 27532
Office
$712.55
Facility
$577.47
$16.74 higher than Austin for the office setting.
Sacramento-Roseville-Folsom
California · 27532
Office
$726.25
Facility
$582.91
$30.44 higher than Austin for the office setting.
Salinas
California · 27532
Office
$723.50
Facility
$580.65
$27.69 higher than Austin for the office setting.
San Diego-Chula Vista-Carlsbad
California · 27532
Office
$737.68
Facility
$590.28
$41.87 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27532
Office
$831.09
Facility
$657.31
$135.28 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27532
Office
$829.34
Facility
$655.56
$133.53 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27532
Office
$850.96
Facility
$673.23
$155.15 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27532
Office
$843.81
Facility
$666.08
$148.00 higher than Austin for the office setting.
San Luis Obispo-Paso Robles
California · 27532
Office
$712.42
Facility
$572.04
$16.61 higher than Austin for the office setting.
Santa Cruz-Watsonville
California · 27532
Office
$742.42
Facility
$592.67
$46.61 higher than Austin for the office setting.
Santa Maria-Santa Barbara
California · 27532
Office
$725.43
Facility
$581.72
$29.62 higher than Austin for the office setting.
Santa Rosa-Petaluma
California · 27532
Office
$749.59
Facility
$598.24
$53.78 higher than Austin for the office setting.
Stockton
California · 27532
Office
$696.00
Facility
$560.92
$0.19 higher than Austin for the office setting.
Vallejo
California · 27532
Office
$788.10
Facility
$625.66
$92.29 higher than Austin for the office setting.
Visalia
California · 27532
Office
$696.00
Facility
$560.92
$0.19 higher than Austin for the office setting.
Yuba City
California · 27532
Office
$696.00
Facility
$560.92
$0.19 higher than Austin for the office setting.
Colorado
Colorado · 27532
Office
$695.16
Facility
$564.02
$0.65 lower than Austin for the office setting.
Connecticut
Connecticut · 27532
Office
$724.16
Facility
$591.42
$28.35 higher than Austin for the office setting.
Delaware
Delaware · 27532
Office
$670.49
Facility
$548.72
$25.32 lower than Austin for the office setting.
Fort Lauderdale
Florida · 27532
Office
$725.56
Facility
$600.71
$29.75 higher than Austin for the office setting.
Rest Of Florida
Florida · 27532
Office
$688.12
Facility
$570.29
$7.69 lower than Austin for the office setting.
Atlanta
Georgia · 27532
Office
$696.23
Facility
$571.00
$0.42 higher than Austin for the office setting.
Rest Of Georgia
Georgia · 27532
Office
$647.68
Facility
$537.75
$48.13 lower than Austin for the office setting.
Hawaii, Guam
Hawaii · 27532
Office
$709.69
Facility
$569.55
$13.88 higher than Austin for the office setting.
Iowa
Iowa · 27532
Office
$615.57
Facility
$502.80
$80.24 lower than Austin for the office setting.
Idaho
Idaho · 27532
Office
$621.39
Facility
$508.00
$74.42 lower than Austin for the office setting.
East St. Louis
Illinois · 27532
Office
$700.66
Facility
$587.27
$4.85 higher than Austin for the office setting.
Rest Of Illinois
Illinois · 27532
Office
$674.79
Facility
$562.26
$21.02 lower than Austin for the office setting.
Suburban Chicago
Illinois · 27532
Office
$730.78
Facility
$604.20
$34.97 higher than Austin for the office setting.
Indiana
Indiana · 27532
Office
$624.73
Facility
$510.48
$71.08 lower than Austin for the office setting.
Kansas
Kansas · 27532
Office
$616.88
Facility
$505.46
$78.93 lower than Austin for the office setting.
Kentucky
Kentucky · 27532
Office
$632.29
Facility
$522.72
$63.52 lower than Austin for the office setting.
New Orleans
Louisiana · 27532
Office
$663.51
Facility
$547.53
$32.30 lower than Austin for the office setting.
Rest Of Louisiana
Louisiana · 27532
Office
$632.98
Facility
$523.90
$62.83 lower than Austin for the office setting.
Metropolitan Boston
Massachusetts · 27532
Office
$757.53
Facility
$610.37
$61.72 higher than Austin for the office setting.
Rest Of Massachusetts
Massachusetts · 27532
Office
$692.77
Facility
$562.98
$3.04 lower than Austin for the office setting.
Baltimore/Surr. Cntys
Maryland · 27532
Office
$723.03
Facility
$590.79
$27.22 higher than Austin for the office setting.
Rest Of Maryland
Maryland · 27532
Office
$681.86
Facility
$557.13
$13.95 lower than Austin for the office setting.
Rest Of Maine
Maine · 27532
Office
$629.06
Facility
$515.67
$66.75 lower than Austin for the office setting.
Southern Maine
Maine · 27532
Office
$656.62
Facility
$534.48
$39.19 lower than Austin for the office setting.
Detroit
Michigan · 27532
Office
$700.96
Facility
$582.03
$5.15 higher than Austin for the office setting.
Rest Of Michigan
Michigan · 27532
Office
$652.46
Facility
$539.93
$43.35 lower than Austin for the office setting.
Minnesota
Minnesota · 27532
Office
$653.90
Facility
$527.08
$41.91 lower than Austin for the office setting.
Metropolitan Kansas City
Missouri · 27532
Office
$654.57
Facility
$538.84
$41.24 lower than Austin for the office setting.
Metropolitan St. Louis
Missouri · 27532
Office
$660.82
Facility
$543.48
$34.99 lower than Austin for the office setting.
Rest Of Missouri
Missouri · 27532
Office
$625.02
Facility
$518.78
$70.79 lower than Austin for the office setting.
Mississippi
Mississippi · 27532
Office
$612.55
Facility
$506.43
$83.26 lower than Austin for the office setting.
Montana**
Montana · 27532
Office
$678.94
Facility
$555.69
$16.87 lower than Austin for the office setting.
North Carolina
North Carolina · 27532
Office
$634.89
Facility
$519.90
$60.92 lower than Austin for the office setting.
North Dakota**
North Dakota · 27532
Office
$648.49
Facility
$525.24
$47.32 lower than Austin for the office setting.
Nebraska
Nebraska · 27532
Office
$617.65
Facility
$503.89
$78.16 lower than Austin for the office setting.
New Hampshire
New Hampshire · 27532
Office
$688.26
Facility
$559.96
$7.55 lower than Austin for the office setting.
Northern Nj
New Jersey · 27532
Office
$759.11
Facility
$616.14
$63.30 higher than Austin for the office setting.
Rest Of New Jersey
New Jersey · 27532
Office
$728.99
Facility
$594.40
$33.18 higher than Austin for the office setting.
New Mexico
New Mexico · 27532
Office
$657.69
Facility
$544.67
$38.12 lower than Austin for the office setting.
Nevada**
Nevada · 27532
Office
$670.83
Facility
$547.46
$24.98 lower than Austin for the office setting.
Nyc Suburbs/Long Island
New York · 27532
Office
$811.01
Facility
$664.47
$115.20 higher than Austin for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 27532
Office
$737.17
Facility
$602.21
$41.36 higher than Austin for the office setting.
Queens
New York · 27532
Office
$786.99
Facility
$641.31
$91.18 higher than Austin for the office setting.
Rest Of New York
New York · 27532
Office
$644.67
Facility
$527.59
$51.14 lower than Austin for the office setting.
Ohio
Ohio · 27532
Office
$646.24
Facility
$533.71
$49.57 lower than Austin for the office setting.
Oklahoma
Oklahoma · 27532
Office
$626.72
Facility
$516.66
$69.09 lower than Austin for the office setting.
Portland
Oregon · 27532
Office
$712.18
Facility
$575.25
$16.37 higher than Austin for the office setting.
Rest Of Oregon
Oregon · 27532
Office
$662.24
Facility
$539.48
$33.57 lower than Austin for the office setting.
Metropolitan Philadelphia
Pennsylvania · 27532
Office
$709.05
Facility
$580.74
$13.24 higher than Austin for the office setting.
Rest Of Pennsylvania
Pennsylvania · 27532
Office
$644.91
Facility
$531.76
$50.90 lower than Austin for the office setting.
Puerto Rico
Puerto Rico · 27532
Office
$682.47
Facility
$557.86
$13.34 lower than Austin for the office setting.
Rhode Island
Rhode Island · 27532
Office
$690.75
Facility
$563.44
$5.06 lower than Austin for the office setting.
South Carolina
South Carolina · 27532
Office
$642.31
Facility
$528.43
$53.50 lower than Austin for the office setting.
South Dakota**
South Dakota · 27532
Office
$644.89
Facility
$521.64
$50.92 lower than Austin for the office setting.
Tennessee
Tennessee · 27532
Office
$620.48
Facility
$508.45
$75.33 lower than Austin for the office setting.
Utah
Utah · 27532
Office
$650.89
Facility
$535.03
$44.92 lower than Austin for the office setting.
Virginia
Virginia · 27532
Office
$657.43
Facility
$536.27
$38.38 lower than Austin for the office setting.
Virgin Islands
United States Virgin Islands · 27532
Office
$682.47
Facility
$557.86
$13.34 lower than Austin for the office setting.
Vermont
Vermont · 27532
Office
$649.81
Facility
$527.80
$46.00 lower than Austin for the office setting.
Rest Of Washington
Washington · 27532
Office
$690.18
Facility
$560.39
$5.63 lower than Austin for the office setting.
Seattle (King Cnty)
Washington · 27532
Office
$768.58
Facility
$617.35
$72.77 higher than Austin for the office setting.
Wisconsin
Wisconsin · 27532
Office
$627.41
Facility
$509.34
$68.40 lower than Austin for the office setting.
West Virginia
West Virginia · 27532
Office
$651.20
Facility
$544.09
$44.61 lower than Austin for the office setting.
Wyoming**
Wyoming · 27532
Office
$665.67
Facility
$542.42
$30.14 lower than Austin for the office setting.
See how rates vary across the country
27532 · 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.
$600.26
$803.68
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $803.68 | 1 |
| AL | $608.99 | 1 |
| AR | $600.26 | 1 |
| AZ | $659.80 | 1 |
| CA | $696.00–$850.96 | 29 |
| CO | $695.16 | 1 |
| CT | $724.16 | 1 |
| DC | $766.08 | 1 |
| DE | $670.49 | 1 |
| FL | $688.12–$773.34 | 3 |
| GA | $647.68–$696.23 | 2 |
| GU | $709.69 | 1 |
| HI | $709.69 | 1 |
| IA | $615.57 | 1 |
| ID | $621.39 | 1 |
| IL | $674.79–$749.28 | 4 |
| IN | $624.73 | 1 |
| KS | $616.88 | 1 |
| KY | $632.29 | 1 |
| LA | $632.98–$663.51 | 2 |
| MA | $692.77–$757.53 | 2 |
| MD | $681.86–$766.08 | 3 |
| ME | $629.06–$656.62 | 2 |
| MI | $652.46–$700.96 | 2 |
| MN | $653.90 | 1 |
| MO | $625.02–$660.82 | 3 |
| MS | $612.55 | 1 |
| MT | $678.94 | 1 |
| NC | $634.89 | 1 |
| ND | $648.49 | 1 |
| NE | $617.65 | 1 |
| NH | $688.26 | 1 |
| NJ | $728.99–$759.11 | 2 |
| NM | $657.69 | 1 |
| NV | $670.83 | 1 |
| NY | $644.67–$811.01 | 5 |
| OH | $646.24 | 1 |
| OK | $626.72 | 1 |
| OR | $662.24–$712.18 | 2 |
| PA | $644.91–$709.05 | 2 |
| PR | $682.47 | 1 |
| RI | $690.75 | 1 |
| SC | $642.31 | 1 |
| SD | $644.89 | 1 |
| TN | $620.48 | 1 |
| TX | $641.03–$697.67 | 8 |
| UT | $650.89 | 1 |
| VA | $657.43–$766.08 | 2 |
| VI | $682.47 | 1 |
| VT | $649.81 | 1 |
| WA | $690.18–$768.58 | 2 |
| WI | $627.41 | 1 |
| WV | $651.20 | 1 |
| WY | $665.67 | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 27532 in Austin
Multiple payment areas
- 27532 in Barton Creek
- 27532 in Bee Cave
- 27532 in Briarcliff
- 27532 in Cedar Park
Multiple payment areas
- 27532 in Creedmoor
Multiple payment areas
- 27532 in Elgin
Multiple payment areas
- 27532 in Garfield
Why are the office and facility amounts different?
For 27532 in Austin, the physician’s office rate is $695.81 and the facility-setting rate is $565.41: a difference of $130.40.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 27532 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$765.39
$695.81 × 110% = $765.39
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27532 in Austin.
PPRRVU2026_Oct_nonQPP.csv
2,940
- Code
- 27532
- Physician work
- 7.36
- Practice expense
- 11.43
- Malpractice
- 1.54
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.36 | × 1.002 | 7.3747 |
| Practice expense | 11.43 | × 1.058 | 12.0929 |
| Malpractice | 1.54 | × 0.886 | 1.3644 |
| Total RVUs | 20.8321 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Austin$695.81
Open 27532 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.36 | 1.002 |
| Practice expense | 11.43 | 1.058 |
| Malpractice | 1.54 | 0.886 |
(7.36 × 1.002 + 11.43 × 1.058 + 1.54 × 0.886) × $33.4009 = $695.81
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.36 | 1.002 |
| Practice expense | 7.74 | 1.058 |
| Malpractice | 1.54 | 0.886 |
(7.36 × 1.002 + 7.74 × 1.058 + 1.54 × 0.886) × $33.4009 = $565.41
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
27532 · Office / nonfacility
$695.81
Effective 2026-10-01
The base rate is $62.31 higher than on 2025-10-01, moving from $633.50 to $695.81 (9.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$633.50changed to$695.81
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 7.55 changed to 7.36
- Practice expense RVU 10.16 changed to 11.43
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.046 changed to 1.058
- Malpractice GPCI 0.914 changed to 0.886
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $633.50
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
27532 billing questions
How is 27532 different from 27530?
Use 27532 when the clinician manipulates the proximal tibial plateau fracture during closed treatment. Use 27530 when closed treatment does not involve manipulation.
What documentation supports reporting 27532?
Document the proximal tibial plateau fracture, the manipulation or reduction performed, and imaging findings that show alignment before and after treatment.
Does the code include postoperative care?
CMS assigns 27532 a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
How are bilateral reductions reported under the CMS facts?
A bilateral procedure reported with modifier 50 is paid at 150%.
Can an assistant or co-surgeon be paid for this procedure?
CMS restricts assistant-at-surgery payment for 27532. 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 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.
