$340.97
Both apply to closed treatment of a bimalleolar ankle fracture. Choose 27810 when manipulation is performed; choose 27808 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
27810 Ankle fracture treatment Medicare reimbursement rates in Alabama
Report this service for closed treatment of a bimalleolar ankle fracture when the clinician manipulates the fracture to restore alignment. Compare 27810 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 27810 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$501.46
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$415.83
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic fracture care
About 27810: Closed bimalleolar ankle fracture reduction
Report this service for closed treatment of a bimalleolar ankle fracture when the clinician manipulates the fracture to restore alignment.
An orthopedic surgeon or other qualified clinician uses manipulation to reduce a fracture involving both ankle malleoli without surgically opening the fracture site. The service may be performed in an emergency department, hospital, or office setting, with immobilization after reduction. Documentation should identify the bimalleolar fracture and establish that manipulation was performed as part of its treatment, rather than simply immobilizing the ankle without reduction.
Select this code for the fracture pattern and treatment performed; a bimalleolar fracture treated without manipulation has a different code, as does open treatment. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is paid at 150% for bilateral procedures. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 27810
- 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 RVU5.19 · 31%
- Practice expense (office) RVU10.47 · 62%
- Malpractice RVU1.17 · 7%
2.3K
Medicare services in 2024 · #2347 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.
27810 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
This code describes closed reduction of a bimalleolar fracture. Use 27814 when the fracture is treated through an open surgical approach.
$522.01
Both describe closed fracture treatment with manipulation, but 27818 is for a trimalleolar fracture; 27810 is for a bimalleolar fracture.
$340.43
27816 is for closed treatment of a trimalleolar fracture without manipulation. This code is for a bimalleolar fracture treated with manipulation.
Compare 27810 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$501.46
Facility
$415.83
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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 27810 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
3,054
- Code
- 27810
- Physician work
- 5.19
- Practice expense
- 10.47
- Malpractice
- 1.17
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.19 | × 1.000 | 5.1900 |
| Practice expense | 10.47 | × 0.875 | 9.1613 |
| Malpractice | 1.17 | × 0.566 | 0.6622 |
| Total RVUs | 15.0135 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$501.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.19 | 1 |
| Practice expense | 10.47 | 0.875 |
| Malpractice | 1.17 | 0.566 |
(5.19 × 1 + 10.47 × 0.875 + 1.17 × 0.566) × $33.4009 = $501.46
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.19 | 1 |
| Practice expense | 7.54 | 0.875 |
| Malpractice | 1.17 | 0.566 |
(5.19 × 1 + 7.54 × 0.875 + 1.17 × 0.566) × $33.4009 = $415.83
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.
27810 billing questions
When is this code used instead of 27808?
Use this code when closed treatment of a bimalleolar fracture includes manipulation to restore alignment. Code 27808 describes closed treatment of the same fracture pattern without manipulation.
How does this differ from open bimalleolar fracture treatment?
This code is for closed reduction, without surgically opening the fracture site. Open treatment of a bimalleolar fracture is reported with 27814.
Does the global period include related follow-up care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction, with payment at 50%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
How is bilateral treatment handled?
For bilateral procedures reported with modifier 50, CMS pays at 150%.
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.
3,05127788,,Treatment of ankle fracture,A,,4.52,9.42,,6.89,,0.99,14.93,12.40,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05227792,,Treatment of ankle fracture,A,,8.53,8.06,NA,8.06,,1.61,18.20,18.20,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05327808,,Treatment of ankle fracture,A,,2.95,7.92,,6.05,,0.58,11.45,9.58,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05427810,,Treatment of ankle fracture,A,,5.19,10.47,,7.54,,1.17,16.83,13.90,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05527814,,Treatment of ankle fracture,A,,10.35,9.00,NA,9.00,,2.04,21.39,21.39,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05627816,,Treatment of ankle fracture,A,,2.99,7.83,,5.78,,0.62,11.44,9.39,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05727818,,Treatment of ankle fracture,A,,5.55,10.71,,7.46,,1.25,17.51,14.26,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515