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CMS RVU26D · Effective 2026-10-01

27752 in Wyoming**

Office / nonfacility

$596.59

Base rate per service

Facility setting

$489.04

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 27752: Closed tibial shaft fracture treatment with manipulation

Report this service for closed treatment of a tibial shaft fracture requiring manipulation to restore alignment, with or without an associated fibular fracture.

An orthopedic surgeon or other qualified fracture-care provider reports this service when treating a tibial shaft fracture without opening the fracture site and manipulating the fragments to improve alignment. The treatment may include external immobilization, such as a cast or splint. The code includes tibial shaft fractures with or without an associated fibular fracture; it is not for a fracture limited to the ankle or fibula.

Choose this code when the record supports both closed treatment and manipulation, rather than closed treatment without manipulation or operative fixation. Document the shaft fracture, the reduction maneuver and resulting alignment, and the immobilization and treatment plan. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral treatment 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 27752

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 RVU6.11 · 34%
  • Practice expense (office) RVU10.76 · 59%
  • Malpractice RVU1.34 · 7%

896

Medicare services in 2024 · #3047 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.

27752 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

27750

Tibia fracture care

Without manipulation

$389.56

Both are closed treatment of a tibial shaft fracture, with or without a fibular fracture. Choose 27752 when manipulation is performed; 27750 is for treatment without manipulation.

27756

Fracture fixation

Percutaneous tibial shaft

No office rate

27756 involves percutaneous skeletal fixation. Use 27752 for closed reduction by manipulation without that fixation method.

27758

Tibia fracture fixation

Open, non-intramedullary fixation

No office rate

27758 describes open treatment using plate-and-screw fixation. It is not the closed manipulation service represented by 27752.

27759

Tibial fracture repair

Intramedullary implant

No office rate

27759 is used for tibial shaft fracture treatment with an intramedullary implant; 27752 represents closed treatment with manipulation.

The same code, a different location

How does Wyoming** compare?

27752 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $596.59

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

    $667.33

    $70.74 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $688.28

    $91.69 higher than Wyoming**

  4. Miami

    $691.40

    $94.81 higher than Wyoming**

  5. Chicago

    $669.42

    $72.83 higher than Wyoming**

  6. Manhattan

    $705.74

    $109.15 higher than Wyoming**

  7. Alaska*

    $713.53

    $116.94 higher than Wyoming**

Other payment areas listed in Wyoming 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, 27752 ranges from $535.85 in Arkansas to $768.76 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

  • Alabama

    Alabama · 27752

    Office

    $543.88

    Facility

    $449.77

    $52.71 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 27752

    Office

    $535.85

    Facility

    $443.46

    $60.74 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 27752

    Office

    $590.64

    Facility

    $486.43

    $5.95 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 27752

    Office

    $629.11

    Facility

    $511.23

    $32.52 higher than Wyoming** for the office setting.

  • Chico

    California · 27752

    Office

    $625.43

    Facility

    $507.56

    $28.84 higher than Wyoming** for the office setting.

  • El Centro

    California · 27752

    Office

    $625.66

    Facility

    $507.78

    $29.07 higher than Wyoming** for the office setting.

  • Fresno

    California · 27752

    Office

    $625.43

    Facility

    $507.56

    $28.84 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 27752

    Office

    $625.43

    Facility

    $507.56

    $28.84 higher than Wyoming** for the office setting.

  • Madera

    California · 27752

    Office

    $625.43

    Facility

    $507.56

    $28.84 higher than Wyoming** for the office setting.

  • Merced

    California · 27752

    Office

    $625.43

    Facility

    $507.56

    $28.84 higher than Wyoming** for the office setting.

  • Modesto

    California · 27752

    Office

    $625.43

    Facility

    $507.56

    $28.84 higher than Wyoming** for the office setting.

  • Napa

    California · 27752

    Office

    $713.35

    Facility

    $571.60

    $116.76 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 27752

    Office

    $662.48

    Facility

    $535.36

    $65.89 higher than Wyoming** for the office setting.

  • Redding

    California · 27752

    Office

    $625.43

    Facility

    $507.56

    $28.84 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 27752

    Office

    $625.43

    Facility

    $507.56

    $28.84 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 27752

    Office

    $639.83

    Facility

    $521.95

    $43.24 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 27752

    Office

    $653.39

    Facility

    $528.31

    $56.80 higher than Wyoming** for the office setting.

  • Salinas

    California · 27752

    Office

    $650.93

    Facility

    $526.28

    $54.34 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 27752

    Office

    $664.30

    Facility

    $535.66

    $67.71 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 27752

    Office

    $750.76

    Facility

    $599.11

    $154.17 higher than Wyoming** for the office setting.

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

    California · 27752

    Office

    $749.23

    Facility

    $597.59

    $152.64 higher than Wyoming** for the office setting.

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

    California · 27752

    Office

    $768.76

    Facility

    $613.68

    $172.17 higher than Wyoming** for the office setting.

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

    California · 27752

    Office

    $762.54

    Facility

    $607.45

    $165.95 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 27752

    Office

    $640.89

    Facility

    $518.39

    $44.30 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 27752

    Office

    $669.02

    Facility

    $538.34

    $72.43 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 27752

    Office

    $652.84

    Facility

    $527.43

    $56.25 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 27752

    Office

    $675.53

    Facility

    $543.45

    $78.94 higher than Wyoming** for the office setting.

  • Stockton

    California · 27752

    Office

    $625.43

    Facility

    $507.56

    $28.84 higher than Wyoming** for the office setting.

  • Vallejo

    California · 27752

    Office

    $711.16

    Facility

    $569.41

    $114.57 higher than Wyoming** for the office setting.

  • Visalia

    California · 27752

    Office

    $625.43

    Facility

    $507.56

    $28.84 higher than Wyoming** for the office setting.

  • Yuba City

    California · 27752

    Office

    $625.43

    Facility

    $507.56

    $28.84 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 27752

    Office

    $623.88

    Facility

    $509.44

    $27.29 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 27752

    Office

    $649.38

    Facility

    $533.55

    $52.79 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 27752

    Office

    $600.42

    Facility

    $494.16

    $3.83 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 27752

    Office

    $649.07

    Facility

    $540.12

    $52.48 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 27752

    Office

    $614.93

    Facility

    $512.11

    $18.34 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 27752

    Office

    $623.59

    Facility

    $514.32

    $27.00 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 27752

    Office

    $578.01

    Facility

    $482.07

    $18.58 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 27752

    Office

    $638.62

    Facility

    $516.34

    $42.03 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 27752

    Office

    $550.69

    Facility

    $452.28

    $45.90 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 27752

    Office

    $555.89

    Facility

    $456.95

    $40.70 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 27752

    Office

    $624.86

    Facility

    $525.92

    $28.27 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 27752

    Office

    $602.16

    Facility

    $503.97

    $5.57 higher than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 27752

    Office

    $653.92

    Facility

    $543.46

    $57.33 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 27752

    Office

    $558.99

    Facility

    $459.29

    $37.60 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 27752

    Office

    $551.53

    Facility

    $454.30

    $45.06 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 27752

    Office

    $564.53

    Facility

    $468.92

    $32.06 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 27752

    Office

    $593.11

    Facility

    $491.91

    $3.48 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 27752

    Office

    $565.02

    Facility

    $469.84

    $31.57 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 27752

    Office

    $681.40

    Facility

    $552.98

    $84.81 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 27752

    Office

    $621.46

    Facility

    $508.21

    $24.87 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 27752

    Office

    $648.34

    Facility

    $532.94

    $51.75 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 27752

    Office

    $610.91

    Facility

    $502.07

    $14.32 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 27752

    Office

    $562.56

    Facility

    $463.61

    $34.03 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 27752

    Office

    $588.48

    Facility

    $481.90

    $8.11 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 27752

    Office

    $626.36

    Facility

    $522.57

    $29.77 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 27752

    Office

    $582.74

    Facility

    $484.54

    $13.85 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 27752

    Office

    $587.14

    Facility

    $476.47

    $9.45 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 27752

    Office

    $585.28

    Facility

    $484.29

    $11.31 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 27752

    Office

    $591.07

    Facility

    $488.68

    $5.52 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 27752

    Office

    $557.47

    Facility

    $464.76

    $39.12 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 27752

    Office

    $546.59

    Facility

    $453.99

    $50.00 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 27752

    Office

    $608.14

    Facility

    $500.59

    $11.55 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 27752

    Office

    $567.99

    Facility

    $467.65

    $28.60 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 27752

    Office

    $581.64

    Facility

    $474.09

    $14.95 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 27752

    Office

    $552.72

    Facility

    $453.45

    $43.87 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 27752

    Office

    $617.37

    Facility

    $505.41

    $20.78 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 27752

    Office

    $681.63

    Facility

    $556.87

    $85.04 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 27752

    Office

    $653.80

    Facility

    $536.35

    $57.21 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 27752

    Office

    $587.40

    Facility

    $488.77

    $9.19 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 27752

    Office

    $601.12

    Facility

    $493.46

    $4.53 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 27752

    Office

    $727.57

    Facility

    $599.70

    $130.98 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 27752

    Office

    $660.96

    Facility

    $543.19

    $64.37 higher than Wyoming** for the office setting.

  • Queens

    New York · 27752

    Office

    $706.48

    Facility

    $579.36

    $109.89 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 27752

    Office

    $576.97

    Facility

    $474.79

    $19.62 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 27752

    Office

    $577.32

    Facility

    $479.13

    $19.27 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 27752

    Office

    $559.79

    Facility

    $463.75

    $36.80 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 27752

    Office

    $639.93

    Facility

    $520.44

    $43.34 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 27752

    Office

    $593.50

    Facility

    $486.38

    $3.09 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 27752

    Office

    $635.28

    Facility

    $523.32

    $38.69 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 27752

    Office

    $576.30

    Facility

    $477.57

    $20.29 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 27752

    Office

    $611.51

    Facility

    $502.78

    $14.92 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 27752

    Office

    $619.13

    Facility

    $508.03

    $22.54 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 27752

    Office

    $574.20

    Facility

    $474.83

    $22.39 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 27752

    Office

    $578.51

    Facility

    $470.96

    $18.08 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 27752

    Office

    $554.80

    Facility

    $457.04

    $41.79 lower than Wyoming** for the office setting.

  • Austin

    Texas · 27752

    Office

    $624.38

    Facility

    $510.59

    $27.79 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 27752

    Office

    $572.71

    Facility

    $474.84

    $23.88 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 27752

    Office

    $596.78

    Facility

    $490.20

    $0.19 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 27752

    Office

    $602.27

    Facility

    $495.15

    $5.68 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 27752

    Office

    $599.26

    Facility

    $493.22

    $2.67 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 27752

    Office

    $599.65

    Facility

    $492.85

    $3.06 higher than Wyoming** for the office setting.

  • Houston

    Texas · 27752

    Office

    $624.18

    Facility

    $517.38

    $27.59 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 27752

    Office

    $585.56

    Facility

    $483.49

    $11.03 lower than Wyoming** for the office setting.

  • Utah

    Utah · 27752

    Office

    $582.10

    Facility

    $481.00

    $14.49 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 27752

    Office

    $588.96

    Facility

    $483.24

    $7.63 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 27752

    Office

    $611.51

    Facility

    $502.78

    $14.92 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 27752

    Office

    $582.53

    Facility

    $476.05

    $14.06 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 27752

    Office

    $619.23

    Facility

    $505.98

    $22.64 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 27752

    Office

    $691.83

    Facility

    $559.86

    $95.24 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 27752

    Office

    $562.16

    Facility

    $459.13

    $34.43 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 27752

    Office

    $580.44

    Facility

    $486.98

    $16.15 lower than Wyoming** for the office setting.

See how rates vary across the country

27752 · 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.

$535.85

$713.53

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$713.531
AL$543.881
AR$535.851
AZ$590.641
CA$625.43–$768.7629
CO$623.881
CT$649.381
DC$688.281
DE$600.421
FL$614.93–$691.403
GA$578.01–$623.592
GU$638.621
HI$638.621
IA$550.691
ID$555.891
IL$602.16–$669.424
IN$558.991
KS$551.531
KY$564.531
LA$565.02–$593.112
MA$621.46–$681.402
MD$610.91–$688.283
ME$562.56–$588.482
MI$582.74–$626.362
MN$587.141
MO$557.47–$591.073
MS$546.591
MT$608.141
NC$567.991
ND$581.641
NE$552.721
NH$617.371
NJ$653.80–$681.632
NM$587.401
NV$601.121
NY$576.97–$727.575
OH$577.321
OK$559.791
OR$593.50–$639.932
PA$576.30–$635.282
PR$611.511
RI$619.131
SC$574.201
SD$578.511
TN$554.801
TX$572.71–$624.388
UT$582.101
VA$588.96–$688.282
VI$611.511
VT$582.531
WA$619.23–$691.832
WI$562.161
WV$580.441
WY$596.591

Explore 27752 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 27752 in Wyoming**, the physician’s office rate is $596.59 and the facility-setting rate is $489.04: a difference of $107.55.

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 27752 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$656.25

$596.59 × 110% = $656.25

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 27752 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

3,037

Code
27752
Physician work
6.11
Practice expense
10.76
Malpractice
1.34

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 27752 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work6.11× 1.0006.1100
Practice expense10.76× 1.00010.7600
Malpractice1.34× 0.7400.9916
Total RVUs17.8616
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$596.59

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

Open 27752 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.111
Practice expense10.761
Malpractice1.340.74

(6.11 × 1 + 10.76 × 1 + 1.34 × 0.74) × $33.4009 = $596.59

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.111
Practice expense7.541
Malpractice1.340.74

(6.11 × 1 + 7.54 × 1 + 1.34 × 0.74) × $33.4009 = $489.04

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

27752 · Office / nonfacility

$596.59

Effective 2026-10-01

The base rate is $68.74 higher than on 2025-10-01, moving from $527.85 to $596.59 (13.0%).

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

    $527.85changed to$596.59

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.27 changed to 6.11
    • Practice expense RVU 9.11 changed to 10.76
    • Malpractice RVU 1.27 changed to 1.34
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $527.85

    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$596.59$489.04RVU26D
2026-07-01$596.59$489.04RVU26C
2026-04-01$596.59$489.04RVU26B
2026-01-01$596.59$489.04RVU26A
2025-10-01$527.85$480.94RVU25D
2025-07-01$527.85$480.94RVU25C
2025-04-01$527.85$480.94RVU25B
2025-01-01$527.85$480.94RVU25A

27752 billing questions

How does this differ from 27750?

Both describe closed treatment of a tibial shaft fracture, but 27752 is selected when manipulation is performed to improve fracture alignment. Use 27750 when the closed treatment does not involve manipulation.

Can the code be used when the fibula is also fractured?

Yes. Tibial shaft treatment may include an associated fibular fracture; the fibular fracture does not by itself change the code selection.

When is 27756 used instead?

27756 is for percutaneous skeletal fixation of a tibial shaft fracture. This code describes closed treatment with manipulation, not percutaneous fixation.

What documentation supports reporting 27752?

Document the tibial shaft fracture, the manipulation or reduction performed, the alignment achieved, and the immobilization and treatment plan.

How is bilateral treatment handled?

For bilateral procedures reported with modifier 50, CMS pays at 150%. The multiple-procedure rule also applies when multiple procedures are performed in the same session.

Are assistant surgeons or co-surgeons payable?

CMS applies a statutory restriction to assistant-at-surgery payment for this code. 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.

RVUs for 27752PPRRVU2026_Oct_nonQPP.csv, line 3,037 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet