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CMS RVU26D · Effective 2026-10-01

27786 in Redding

Office / nonfacility

$365.79

Base rate per service

Facility setting

$303.92

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.

Fracture treatment

About 27786: Closed lateral malleolus fracture treatment

Report this service for nonoperative treatment of a distal fibular fracture at the lateral malleolus when the provider does not manipulate the fracture.

This code covers closed, nonoperative care of a fracture at the distal fibula, or lateral malleolus, when the provider treats it without manipulating the fracture. Orthopedic surgeons and other clinicians who provide fracture care may use it for a stable lateral malleolus fracture managed with immobilization, such as a cast or brace. The fracture pattern and the treatment actually performed distinguish this service from reduction or operative repair.

Choose the code based on the documented fracture site and whether manipulation or surgery was performed. The record should identify the distal fibular fracture and support treatment without manipulation. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. If this code is performed with other procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 27786

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 RVU2.94 · 28%
  • Practice expense (office) RVU7.00 · 67%
  • Malpractice RVU0.54 · 5%

14.3K

Medicare services in 2024 · #1284 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.

27786 compared with similar codes

Office rates for Redding, from the same CMS release.

27788

Ankle fracture care

Distal fibula, with manipulation

$516.10

Both codes address closed treatment of a distal fibular fracture. Choose 27786 when treatment is without manipulation and 27788 when manipulation is performed.

27792

Ankle fracture surgery

Distal fibula, open treatment

No office rate

27792 describes open treatment of the distal fibular fracture. Use 27786 for closed treatment without manipulation.

27808

Ankle fracture care

Bimalleolar, without manipulation

$400.52

27808 is for closed treatment without manipulation of a bimalleolar ankle fracture. Use 27786 when the treated fracture is at the distal fibula and the documented pattern is not bimalleolar.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 27786 is $367.30—$1.51 higher than the $365.79 rate in Redding. Both use the same code, release and participation basis.

27786 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $365.79

  2. Bakersfield

    $367.30

    $1.51 higher than Redding

  3. Chico

    $365.79

    The same base rate than Redding

  4. El Centro

    $365.88

    $0.09 higher than Redding

  5. Fresno

    $365.79

    The same base rate than Redding

  6. Hanford-Corcoran

    $365.79

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $390.79

    $25.00 higher than Redding

Other payment areas listed in California 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, 27786 ranges from $308.33 in Arkansas to $455.82 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

  • Madera

    California · 27786

    Office

    $365.79

    Facility

    $303.92

    The same base rate than Redding for the office setting.

  • Merced

    California · 27786

    Office

    $365.79

    Facility

    $303.92

    The same base rate than Redding for the office setting.

  • Modesto

    California · 27786

    Office

    $365.79

    Facility

    $303.92

    The same base rate than Redding for the office setting.

  • Napa

    California · 27786

    Office

    $421.70

    Facility

    $347.31

    $55.91 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 27786

    Office

    $388.54

    Facility

    $321.82

    $22.75 higher than Redding for the office setting.

  • Rest Of California

    California · 27786

    Office

    $365.79

    Facility

    $303.92

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 27786

    Office

    $371.60

    Facility

    $309.74

    $5.81 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 27786

    Office

    $383.32

    Facility

    $317.67

    $17.53 higher than Redding for the office setting.

  • Salinas

    California · 27786

    Office

    $381.89

    Facility

    $316.47

    $16.10 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 27786

    Office

    $390.55

    Facility

    $323.04

    $24.76 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 27786

    Office

    $445.47

    Facility

    $365.88

    $79.68 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 27786

    Office

    $444.86

    Facility

    $365.27

    $79.07 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 27786

    Office

    $455.82

    Facility

    $374.42

    $90.03 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 27786

    Office

    $453.31

    Facility

    $371.91

    $87.52 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 27786

    Office

    $375.84

    Facility

    $311.55

    $10.05 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 27786

    Office

    $394.00

    Facility

    $325.42

    $28.21 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 27786

    Office

    $383.23

    Facility

    $317.42

    $17.44 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 27786

    Office

    $397.93

    Facility

    $328.61

    $32.14 higher than Redding for the office setting.

  • Stockton

    California · 27786

    Office

    $365.79

    Facility

    $303.92

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 27786

    Office

    $420.82

    Facility

    $346.42

    $55.03 higher than Redding for the office setting.

  • Visalia

    California · 27786

    Office

    $365.79

    Facility

    $303.92

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 27786

    Office

    $365.79

    Facility

    $303.92

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 27786

    Office

    $399.00

    Facility

    $332.50

    $33.21 higher than Redding for the office setting.

  • Miami

    Florida · 27786

    Office

    $387.21

    Facility

    $328.44

    $21.42 higher than Redding for the office setting.

  • Chicago

    Illinois · 27786

    Office

    $375.26

    Facility

    $318.53

    $9.47 higher than Redding for the office setting.

  • Manhattan

    New York · 27786

    Office

    $404.77

    Facility

    $339.18

    $38.98 higher than Redding for the office setting.

  • Alaska*

    Alaska · 27786

    Office

    $406.24

    Facility

    $346.12

    $40.45 higher than Redding for the office setting.

  • Alabama

    Alabama · 27786

    Office

    $312.99

    Facility

    $263.60

    $52.80 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 27786

    Office

    $308.33

    Facility

    $259.84

    $57.46 lower than Redding for the office setting.

  • Arizona

    Arizona · 27786

    Office

    $340.20

    Facility

    $285.50

    $25.59 lower than Redding for the office setting.

  • Colorado

    Colorado · 27786

    Office

    $362.23

    Facility

    $302.17

    $3.56 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 27786

    Office

    $373.80

    Facility

    $313.00

    $8.01 higher than Redding for the office setting.

  • Delaware

    Delaware · 27786

    Office

    $345.91

    Facility

    $290.13

    $19.88 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 27786

    Office

    $367.65

    Facility

    $310.47

    $1.86 higher than Redding for the office setting.

  • Rest Of Florida

    Florida · 27786

    Office

    $348.83

    Facility

    $294.86

    $16.96 lower than Redding for the office setting.

  • Atlanta

    Georgia · 27786

    Office

    $357.70

    Facility

    $300.35

    $8.09 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 27786

    Office

    $328.25

    Facility

    $277.90

    $37.54 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 27786

    Office

    $374.48

    Facility

    $310.30

    $8.69 higher than Redding for the office setting.

  • Iowa

    Iowa · 27786

    Office

    $319.29

    Facility

    $267.64

    $46.50 lower than Redding for the office setting.

  • Idaho

    Idaho · 27786

    Office

    $321.83

    Facility

    $269.90

    $43.96 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 27786

    Office

    $349.63

    Facility

    $297.69

    $16.16 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 27786

    Office

    $339.85

    Facility

    $288.32

    $25.94 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 27786

    Office

    $370.97

    Facility

    $312.99

    $5.18 higher than Redding for the office setting.

  • Indiana

    Indiana · 27786

    Office

    $323.70

    Facility

    $271.38

    $42.09 lower than Redding for the office setting.

  • Kansas

    Kansas · 27786

    Office

    $318.65

    Facility

    $267.62

    $47.14 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 27786

    Office

    $322.56

    Facility

    $272.37

    $43.23 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 27786

    Office

    $338.70

    Facility

    $285.58

    $27.09 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 27786

    Office

    $322.40

    Facility

    $272.44

    $43.39 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 27786

    Office

    $397.44

    Facility

    $330.04

    $31.65 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 27786

    Office

    $360.34

    Facility

    $300.90

    $5.45 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 27786

    Office

    $372.96

    Facility

    $312.39

    $7.17 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 27786

    Office

    $352.35

    Facility

    $295.23

    $13.44 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 27786

    Office

    $324.52

    Facility

    $272.59

    $41.27 lower than Redding for the office setting.

  • Southern Maine

    Maine · 27786

    Office

    $341.28

    Facility

    $285.34

    $24.51 lower than Redding for the office setting.

  • Detroit

    Michigan · 27786

    Office

    $354.23

    Facility

    $299.76

    $11.56 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 27786

    Office

    $332.03

    Facility

    $280.49

    $33.76 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 27786

    Office

    $344.12

    Facility

    $286.04

    $21.67 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 27786

    Office

    $335.36

    Facility

    $282.36

    $30.43 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 27786

    Office

    $338.85

    Facility

    $285.12

    $26.94 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 27786

    Office

    $317.31

    Facility

    $268.65

    $48.48 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 27786

    Office

    $312.83

    Facility

    $264.23

    $52.96 lower than Redding for the office setting.

  • Montana**

    Montana · 27786

    Office

    $350.01

    Facility

    $293.56

    $15.78 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 27786

    Office

    $327.87

    Facility

    $275.20

    $37.92 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 27786

    Office

    $339.33

    Facility

    $282.88

    $26.46 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 27786

    Office

    $320.82

    Facility

    $268.72

    $44.97 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 27786

    Office

    $357.37

    Facility

    $298.61

    $8.42 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 27786

    Office

    $394.86

    Facility

    $329.38

    $29.07 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 27786

    Office

    $377.23

    Facility

    $315.59

    $11.44 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 27786

    Office

    $334.26

    Facility

    $282.50

    $31.53 lower than Redding for the office setting.

  • Nevada**

    Nevada · 27786

    Office

    $347.26

    Facility

    $290.76

    $18.53 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 27786

    Office

    $415.97

    Facility

    $348.86

    $50.18 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 27786

    Office

    $380.46

    Facility

    $318.65

    $14.67 higher than Redding for the office setting.

  • Queens

    New York · 27786

    Office

    $406.85

    Facility

    $340.13

    $41.06 higher than Redding for the office setting.

  • Rest Of New York

    New York · 27786

    Office

    $332.99

    Facility

    $279.37

    $32.80 lower than Redding for the office setting.

  • Ohio

    Ohio · 27786

    Office

    $329.84

    Facility

    $278.31

    $35.95 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 27786

    Office

    $321.00

    Facility

    $270.59

    $44.79 lower than Redding for the office setting.

  • Portland

    Oregon · 27786

    Office

    $372.95

    Facility

    $310.23

    $7.16 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 27786

    Office

    $343.75

    Facility

    $287.53

    $22.04 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 27786

    Office

    $364.88

    Facility

    $306.11

    $0.91 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 27786

    Office

    $329.88

    Facility

    $278.06

    $35.91 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 27786

    Office

    $352.34

    Facility

    $295.27

    $13.45 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 27786

    Office

    $357.67

    Facility

    $299.36

    $8.12 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 27786

    Office

    $329.57

    Facility

    $277.41

    $36.22 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 27786

    Office

    $338.07

    Facility

    $281.62

    $27.72 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 27786

    Office

    $320.41

    Facility

    $269.10

    $45.38 lower than Redding for the office setting.

  • Austin

    Texas · 27786

    Office

    $361.74

    Facility

    $302.02

    $4.05 lower than Redding for the office setting.

  • Beaumont

    Texas · 27786

    Office

    $327.72

    Facility

    $276.35

    $38.07 lower than Redding for the office setting.

  • Brazoria

    Texas · 27786

    Office

    $344.75

    Facility

    $288.82

    $21.04 lower than Redding for the office setting.

  • Dallas

    Texas · 27786

    Office

    $347.43

    Facility

    $291.21

    $18.36 lower than Redding for the office setting.

  • Fort Worth

    Texas · 27786

    Office

    $345.33

    Facility

    $289.67

    $20.46 lower than Redding for the office setting.

  • Galveston

    Texas · 27786

    Office

    $346.09

    Facility

    $290.04

    $19.70 lower than Redding for the office setting.

  • Houston

    Texas · 27786

    Office

    $355.97

    Facility

    $299.92

    $9.82 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 27786

    Office

    $336.37

    Facility

    $282.80

    $29.42 lower than Redding for the office setting.

  • Utah

    Utah · 27786

    Office

    $334.17

    Facility

    $281.11

    $31.62 lower than Redding for the office setting.

  • Virginia

    Virginia · 27786

    Office

    $340.76

    Facility

    $285.28

    $25.03 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 27786

    Office

    $352.34

    Facility

    $295.27

    $13.45 lower than Redding for the office setting.

  • Vermont

    Vermont · 27786

    Office

    $338.79

    Facility

    $282.91

    $27.00 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 27786

    Office

    $359.40

    Facility

    $299.96

    $6.39 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 27786

    Office

    $404.72

    Facility

    $335.46

    $38.93 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 27786

    Office

    $327.74

    Facility

    $273.66

    $38.05 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 27786

    Office

    $327.19

    Facility

    $278.13

    $38.60 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 27786

    Office

    $345.35

    Facility

    $288.90

    $20.44 lower than Redding for the office setting.

See how rates vary across the country

27786 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$308.33

$410.81

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$406.241
AL$312.991
AR$308.331
AZ$340.201
CA$365.79–$455.8229
CO$362.231
CT$373.801
DC$399.001
DE$345.911
FL$348.83–$387.213
GA$328.25–$357.702
GU$374.481
HI$374.481
IA$319.291
ID$321.831
IL$339.85–$375.264
IN$323.701
KS$318.651
KY$322.561
LA$322.40–$338.702
MA$360.34–$397.442
MD$352.35–$399.003
ME$324.52–$341.282
MI$332.03–$354.232
MN$344.121
MO$317.31–$338.853
MS$312.831
MT$350.011
NC$327.871
ND$339.331
NE$320.821
NH$357.371
NJ$377.23–$394.862
NM$334.261
NV$347.261
NY$332.99–$415.975
OH$329.841
OK$321.001
OR$343.75–$372.952
PA$329.88–$364.882
PR$352.341
RI$357.671
SC$329.571
SD$338.071
TN$320.411
TX$327.72–$361.748
UT$334.171
VA$340.76–$399.002
VI$352.341
VT$338.791
WA$359.40–$404.722
WI$327.741
WV$327.191
WY$345.351

Explore 27786 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 27786 in Redding, the physician’s office rate is $365.79 and the facility-setting rate is $303.92: a difference of $61.87.

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.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 27786 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$402.37

$365.79 × 110% = $402.37

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.

Compare your contract offer →

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 27786 in Redding.

PPRRVU2026_Oct_nonQPP.csv

3,050

Code
27786
Physician work
2.94
Practice expense
7.00
Malpractice
0.54

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 27786 in Redding
ComponentRVULocality factorAdjusted
Physician work2.94× 1.0172.9900
Practice expense7.00× 1.0967.6720
Malpractice0.54× 0.5360.2894
Total RVUs10.9514
Conversion factor× 33.4009

Office / nonfacility rate, Redding$365.79

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 27786 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.941.017
Practice expense71.096
Malpractice0.540.536

(2.94 × 1.017 + 7 × 1.096 + 0.54 × 0.536) × $33.4009 = $365.79

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.941.017
Practice expense5.311.096
Malpractice0.540.536

(2.94 × 1.017 + 5.31 × 1.096 + 0.54 × 0.536) × $33.4009 = $303.92

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

27786 · Office / nonfacility

$365.79

Effective 2026-10-01

The base rate is $33.69 higher than on 2025-10-01, moving from $332.10 to $365.79 (10.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $332.10changed to$365.79

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.02 changed to 2.94
    • Practice expense RVU 6.32 changed to 7.00
    • Malpractice RVU 0.53 changed to 0.54
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $332.10

    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
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$365.79$303.92RVU26D
2026-07-01$365.79$303.92RVU26C
2026-04-01$365.79$303.92RVU26B
2026-01-01$365.79$303.92RVU26A
2025-10-01$332.10$302.40RVU25D
2025-07-01$332.10$302.40RVU25C
2025-04-01$332.10$302.40RVU25B
2025-01-01$332.10$302.40RVU25A

27786 billing questions

How is this code different from 27788?

Both describe closed treatment of a distal fibular fracture at the lateral malleolus. Use 27786 when the provider does not manipulate the fracture; 27788 describes treatment with manipulation.

When is 27792 more appropriate?

Use 27792 when the distal fibular fracture is treated operatively through an open approach. This code describes closed treatment without manipulation.

Can modifier 50 be reported for bilateral fractures?

Yes. CMS lists this as a bilateral procedure; modifier 50 is paid at 150% when the service is performed bilaterally.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

What documentation supports choosing this code?

Document the distal fibular or lateral malleolar fracture and that it was treated closed without manipulation. If the treatment involves manipulation or open repair, choose the corresponding code instead.

Can an assistant or co-surgeon be paid for this service?

CMS lists a statutory restriction on assistant-at-surgery payment. Co-surgeons and team surgery are not permitted for this code.

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.

RVUs for 27786PPRRVU2026_Oct_nonQPP.csv, line 3,050 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet