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CMS RVU26D · Effective 2026-10-01

27767 in Wyoming**

Office / nonfacility

$317.48

Base rate per service

Facility setting

$296.44

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 27767: Closed posterior malleolus fracture care

Report this service for nonoperative care of a posterior malleolus fracture when the provider treats the fracture without manipulating it.

This code represents nonoperative care of a fracture at the posterior part of the distal tibia, where it forms the ankle joint. An orthopedic surgeon or other qualified practitioner may provide this care in an office, emergency department, or hospital when the treatment plan is closed management rather than operative fixation. The key distinction is that the provider does not manipulate the fracture to achieve or restore alignment.

The record should identify the posterior malleolus fracture, document the closed treatment plan, and support that no manipulation was performed. Code 27768 is the corresponding choice when manipulation is performed; open fixation is represented by a different code. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 27767

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 RVU2.57 · 27%
  • Practice expense (office) RVU6.58 · 68%
  • Malpractice RVU0.48 · 5%

152

Medicare services in 2024 · #4554 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.

27767 compared with similar codes

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

27768

Ankle fracture treatment

Posterior malleolus, with manipulation

No office rate

Both codes address closed treatment of a posterior malleolus fracture. Choose 27767 when no manipulation is performed and 27768 when the provider manipulates the fracture.

27769

Ankle fracture repair

Open posterior malleolus

No office rate

This code is for closed, nonoperative fracture care. Code 27769 applies when the posterior malleolus fracture is treated with open fixation.

27808

Ankle fracture care

Bimalleolar, without manipulation

$377.40

Code 27808 addresses a bimalleolar fracture pattern treated without manipulation. Code 27767 is for closed treatment of a posterior malleolus fracture.

27760

Ankle fracture care

Medial malleolus, no manipulation

$371.30

Code 27760 concerns a medial malleolus fracture treated without manipulation. Code 27767 concerns the posterior malleolus.

The same code, a different location

How does Wyoming** compare?

27767 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $317.48

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

    $360.00

    $42.52 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $367.22

    $49.74 higher than Wyoming**

  4. Miami

    $355.18

    $37.70 higher than Wyoming**

  5. Chicago

    $344.11

    $26.63 higher than Wyoming**

  6. Manhattan

    $372.14

    $54.66 higher than Wyoming**

  7. Alaska*

    $371.66

    $54.18 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, 27767 ranges from $282.89 in Arkansas to $420.80 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 · 27767

    Office

    $287.22

    Facility

    $268.81

    $30.26 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 27767

    Office

    $282.89

    Facility

    $264.81

    $34.59 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 27767

    Office

    $312.53

    Facility

    $292.14

    $4.95 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 27767

    Office

    $338.11

    Facility

    $315.05

    $20.63 higher than Wyoming** for the office setting.

  • Chico

    California · 27767

    Office

    $336.77

    Facility

    $313.71

    $19.29 higher than Wyoming** for the office setting.

  • El Centro

    California · 27767

    Office

    $336.85

    Facility

    $313.79

    $19.37 higher than Wyoming** for the office setting.

  • Fresno

    California · 27767

    Office

    $336.77

    Facility

    $313.71

    $19.29 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 27767

    Office

    $336.77

    Facility

    $313.71

    $19.29 higher than Wyoming** for the office setting.

  • Madera

    California · 27767

    Office

    $336.77

    Facility

    $313.71

    $19.29 higher than Wyoming** for the office setting.

  • Merced

    California · 27767

    Office

    $336.77

    Facility

    $313.71

    $19.29 higher than Wyoming** for the office setting.

  • Modesto

    California · 27767

    Office

    $336.77

    Facility

    $313.71

    $19.29 higher than Wyoming** for the office setting.

  • Napa

    California · 27767

    Office

    $389.06

    Facility

    $361.33

    $71.58 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 27767

    Office

    $358.01

    Facility

    $333.14

    $40.53 higher than Wyoming** for the office setting.

  • Redding

    California · 27767

    Office

    $336.77

    Facility

    $313.71

    $19.29 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 27767

    Office

    $336.77

    Facility

    $313.71

    $19.29 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 27767

    Office

    $341.94

    Facility

    $318.88

    $24.46 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 27767

    Office

    $353.13

    Facility

    $328.65

    $35.65 higher than Wyoming** for the office setting.

  • Salinas

    California · 27767

    Office

    $351.82

    Facility

    $327.43

    $34.34 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 27767

    Office

    $359.96

    Facility

    $334.79

    $42.48 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 27767

    Office

    $411.24

    Facility

    $381.57

    $93.76 higher than Wyoming** for the office setting.

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

    California · 27767

    Office

    $410.70

    Facility

    $381.03

    $93.22 higher than Wyoming** for the office setting.

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

    California · 27767

    Office

    $420.80

    Facility

    $390.45

    $103.32 higher than Wyoming** for the office setting.

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

    California · 27767

    Office

    $418.57

    Facility

    $388.22

    $101.09 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 27767

    Office

    $346.22

    Facility

    $322.25

    $28.74 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 27767

    Office

    $363.27

    Facility

    $337.70

    $45.79 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 27767

    Office

    $353.10

    Facility

    $328.56

    $35.62 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 27767

    Office

    $366.90

    Facility

    $341.06

    $49.42 higher than Wyoming** for the office setting.

  • Stockton

    California · 27767

    Office

    $336.77

    Facility

    $313.71

    $19.29 higher than Wyoming** for the office setting.

  • Vallejo

    California · 27767

    Office

    $388.27

    Facility

    $360.54

    $70.79 higher than Wyoming** for the office setting.

  • Visalia

    California · 27767

    Office

    $336.77

    Facility

    $313.71

    $19.29 higher than Wyoming** for the office setting.

  • Yuba City

    California · 27767

    Office

    $336.77

    Facility

    $313.71

    $19.29 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 27767

    Office

    $333.24

    Facility

    $310.85

    $15.76 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 27767

    Office

    $343.66

    Facility

    $320.99

    $26.18 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 27767

    Office

    $317.82

    Facility

    $297.03

    $0.34 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 27767

    Office

    $337.46

    Facility

    $316.15

    $19.98 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 27767

    Office

    $320.04

    Facility

    $299.93

    $2.56 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 27767

    Office

    $328.65

    Facility

    $307.27

    $11.17 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 27767

    Office

    $300.99

    Facility

    $282.22

    $16.49 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 27767

    Office

    $345.01

    Facility

    $321.09

    $27.53 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 27767

    Office

    $293.30

    Facility

    $274.05

    $24.18 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 27767

    Office

    $295.62

    Facility

    $276.26

    $21.86 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 27767

    Office

    $320.33

    Facility

    $300.97

    $2.85 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 27767

    Office

    $311.56

    Facility

    $292.34

    $5.92 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 27767

    Office

    $340.56

    Facility

    $318.95

    $23.08 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 27767

    Office

    $297.37

    Facility

    $277.86

    $20.11 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 27767

    Office

    $292.60

    Facility

    $273.58

    $24.88 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 27767

    Office

    $295.89

    Facility

    $277.19

    $21.59 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 27767

    Office

    $310.86

    Facility

    $291.06

    $6.62 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 27767

    Office

    $295.70

    Facility

    $277.08

    $21.78 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 27767

    Office

    $366.04

    Facility

    $340.92

    $48.56 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 27767

    Office

    $331.42

    Facility

    $309.26

    $13.94 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 27767

    Office

    $342.87

    Facility

    $320.29

    $25.39 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 27767

    Office

    $323.83

    Facility

    $302.54

    $6.35 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 27767

    Office

    $298.01

    Facility

    $278.65

    $19.47 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 27767

    Office

    $313.76

    Facility

    $292.90

    $3.72 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 27767

    Office

    $324.96

    Facility

    $304.65

    $7.48 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 27767

    Office

    $304.60

    Facility

    $285.39

    $12.88 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 27767

    Office

    $316.74

    Facility

    $295.08

    $0.74 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 27767

    Office

    $307.88

    Facility

    $288.12

    $9.60 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 27767

    Office

    $311.13

    Facility

    $291.10

    $6.35 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 27767

    Office

    $290.90

    Facility

    $272.77

    $26.58 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 27767

    Office

    $286.92

    Facility

    $268.80

    $30.56 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 27767

    Office

    $321.62

    Facility

    $300.58

    $4.14 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 27767

    Office

    $301.14

    Facility

    $281.51

    $16.34 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 27767

    Office

    $312.13

    Facility

    $291.08

    $5.35 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 27767

    Office

    $294.76

    Facility

    $275.33

    $22.72 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 27767

    Office

    $328.66

    Facility

    $306.75

    $11.18 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 27767

    Office

    $363.31

    Facility

    $338.90

    $45.83 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 27767

    Office

    $346.86

    Facility

    $323.88

    $29.38 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 27767

    Office

    $306.63

    Facility

    $287.34

    $10.85 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 27767

    Office

    $319.19

    Facility

    $298.13

    $1.71 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 27767

    Office

    $382.42

    Facility

    $357.40

    $64.94 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 27767

    Office

    $349.76

    Facility

    $326.72

    $32.28 higher than Wyoming** for the office setting.

  • Queens

    New York · 27767

    Office

    $374.23

    Facility

    $349.36

    $56.75 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 27767

    Office

    $305.90

    Facility

    $285.91

    $11.58 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 27767

    Office

    $302.66

    Facility

    $283.45

    $14.82 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 27767

    Office

    $294.56

    Facility

    $275.77

    $22.92 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 27767

    Office

    $343.32

    Facility

    $319.94

    $25.84 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 27767

    Office

    $316.01

    Facility

    $295.05

    $1.47 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 27767

    Office

    $335.30

    Facility

    $313.40

    $17.82 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 27767

    Office

    $302.75

    Facility

    $283.43

    $14.73 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 27767

    Office

    $323.83

    Facility

    $302.55

    $6.35 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 27767

    Office

    $328.80

    Facility

    $307.07

    $11.32 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 27767

    Office

    $302.54

    Facility

    $283.10

    $14.94 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 27767

    Office

    $311.01

    Facility

    $289.96

    $6.47 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 27767

    Office

    $294.23

    Facility

    $275.10

    $23.25 lower than Wyoming** for the office setting.

  • Austin

    Texas · 27767

    Office

    $332.74

    Facility

    $310.48

    $15.26 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 27767

    Office

    $300.73

    Facility

    $281.58

    $16.75 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 27767

    Office

    $316.83

    Facility

    $295.98

    $0.65 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 27767

    Office

    $319.27

    Facility

    $298.31

    $1.79 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 27767

    Office

    $317.28

    Facility

    $296.53

    $0.20 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 27767

    Office

    $318.04

    Facility

    $297.15

    $0.56 higher than Wyoming** for the office setting.

  • Houston

    Texas · 27767

    Office

    $326.83

    Facility

    $305.93

    $9.35 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 27767

    Office

    $308.89

    Facility

    $288.92

    $8.59 lower than Wyoming** for the office setting.

  • Utah

    Utah · 27767

    Office

    $306.83

    Facility

    $287.05

    $10.65 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 27767

    Office

    $313.20

    Facility

    $292.52

    $4.28 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 27767

    Office

    $323.83

    Facility

    $302.55

    $6.35 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 27767

    Office

    $311.53

    Facility

    $290.70

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

  • Rest Of Washington

    Washington · 27767

    Office

    $330.58

    Facility

    $308.43

    $13.10 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 27767

    Office

    $372.90

    Facility

    $347.08

    $55.42 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 27767

    Office

    $301.33

    Facility

    $281.17

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

  • West Virginia

    West Virginia · 27767

    Office

    $299.77

    Facility

    $281.48

    $17.71 lower than Wyoming** for the office setting.

See how rates vary across the country

27767 · 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.

$282.89

$378.78

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$371.661
AL$287.221
AR$282.891
AZ$312.531
CA$336.77–$420.8029
CO$333.241
CT$343.661
DC$367.221
DE$317.821
FL$320.04–$355.183
GA$300.99–$328.652
GU$345.011
HI$345.011
IA$293.301
ID$295.621
IL$311.56–$344.114
IN$297.371
KS$292.601
KY$295.891
LA$295.70–$310.862
MA$331.42–$366.042
MD$323.83–$367.223
ME$298.01–$313.762
MI$304.60–$324.962
MN$316.741
MO$290.90–$311.133
MS$286.921
MT$321.621
NC$301.141
ND$312.131
NE$294.761
NH$328.661
NJ$346.86–$363.312
NM$306.631
NV$319.191
NY$305.90–$382.425
OH$302.661
OK$294.561
OR$316.01–$343.322
PA$302.75–$335.302
PR$323.831
RI$328.801
SC$302.541
SD$311.011
TN$294.231
TX$300.73–$332.748
UT$306.831
VA$313.20–$367.222
VI$323.831
VT$311.531
WA$330.58–$372.902
WI$301.331
WV$299.771
WY$317.481

Explore 27767 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 27767 in Wyoming**, the physician’s office rate is $317.48 and the facility-setting rate is $296.44: a difference of $21.04.

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 27767 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$349.23

$317.48 × 110% = $349.23

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 27767 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

3,044

Code
27767
Physician work
2.57
Practice expense
6.58
Malpractice
0.48

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 27767 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work2.57× 1.0002.5700
Practice expense6.58× 1.0006.5800
Malpractice0.48× 0.7400.3552
Total RVUs9.5052
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$317.48

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

Open 27767 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.571
Practice expense6.581
Malpractice0.480.74

(2.57 × 1 + 6.58 × 1 + 0.48 × 0.74) × $33.4009 = $317.48

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.571
Practice expense5.951
Malpractice0.480.74

(2.57 × 1 + 5.95 × 1 + 0.48 × 0.74) × $33.4009 = $296.44

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

27767 · Office / nonfacility

$317.48

Effective 2026-10-01

The base rate is $23.47 higher than on 2025-10-01, moving from $294.01 to $317.48 (8.0%).

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

    $294.01changed to$317.48

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.64 changed to 2.57
    • Practice expense RVU 6.08 changed to 6.58
    • Malpractice RVU 0.50 changed to 0.48
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $294.01

    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$317.48$296.44RVU26D
2026-07-01$317.48$296.44RVU26C
2026-04-01$317.48$296.44RVU26B
2026-01-01$317.48$296.44RVU26A
2025-10-01$294.01$294.66RVU25D
2025-07-01$294.01$294.66RVU25C
2025-04-01$294.01$294.66RVU25B
2025-01-01$294.01$294.66RVU25A

27767 billing questions

How is this distinguished from 27768?

Use 27767 when the posterior malleolus fracture is treated without manipulation. Use 27768 when the provider manipulates the fracture as part of closed treatment.

When is 27769 more appropriate?

Use 27769 when the posterior malleolus fracture is treated operatively with open fixation, rather than by closed fracture care.

Does the 90-day global include related follow-up care?

Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in this code's global period.

How should bilateral treatment be reported?

For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.

What documentation supports reporting 27767?

Document the posterior malleolus fracture, the closed treatment plan, and that no manipulation was performed. If the provider manipulates the fracture, consider 27768 instead.

Can an assistant or co-surgeon be reported?

CMS does not pay an assistant at surgery 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 27767PPRRVU2026_Oct_nonQPP.csv, line 3,044 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet