No office rate
Both are for closed treatment of an ankle dislocation. The key distinction is whether anesthesia is required: without anesthesia points to 27840; requiring anesthesia points to 27842.
On this page
CMS RVU26D · Effective 2026-10-01
27840 Ankle dislocation Medicare reimbursement rates in Alaska
Report this service for closed treatment of an ankle joint dislocation when the provider restores alignment without anesthesia or surgical exposure. Compare 27840 office and facility rates across CMS payment localities in Alaska.
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 27840 in Alaska?
Alaska 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
No supported rate
Facility setting
$531.38
1 of 1 localities have a supported rate.
Payment area: Alaska*
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 treatment
About 27840: Closed ankle dislocation treatment without anesthesia
Report this service for closed treatment of an ankle joint dislocation when the provider restores alignment without anesthesia or surgical exposure.
This code describes closed treatment of an ankle joint dislocation without anesthesia. The clinician restores alignment without surgically exposing the joint; the service may be provided by an emergency physician or an orthopedic surgeon in an emergency department, hospital, or office setting. The record should establish the dislocation, the closed method used, and that anesthesia was not used.
Choose this code rather than the anesthesia-requiring closed-treatment code when the documented circumstances meet that distinction; open treatment belongs to a different code. Medicare assigns a 90-day global period, which 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. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 27840
- 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 RVU4.65 · 34%
- Practice expense (office) RVU7.83 · 58%
- Malpractice RVU1.08 · 8%
1.7K
Medicare services in 2024 · #2582 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.
27840 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
27846 describes open treatment of an ankle dislocation. Use 27840 when the treatment is closed and performed without anesthesia.
$440.20
27808 is for closed treatment of an ankle fracture without manipulation, not an isolated ankle dislocation. Code the documented injury and treatment rather than treating these as interchangeable.
$654.00
27810 concerns closed treatment of an ankle fracture with manipulation. It is not the code for closed treatment of an ankle dislocation.
Compare 27840 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
Alaska* →
Office / nonfacility
Unavailable
Facility
$531.38
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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 27840 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
3,069
- Code
- 27840
- Physician work
- 4.65
- Practice expense
- 7.83
- Malpractice
- 1.08
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.65 | × 1.500 | 6.9750 |
| Practice expense | 7.83 | × 1.065 | 8.3390 |
| Malpractice | 1.08 | × 0.551 | 0.5951 |
| Total RVUs | 15.9090 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$531.38
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.65 | 1.5 |
| Practice expense | 7.83 | 1.065 |
| Malpractice | 1.08 | 0.551 |
(4.65 × 1.5 + 7.83 × 1.065 + 1.08 × 0.551) × $33.4009 = $531.38
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.
27840 billing questions
How does this differ from 27842?
Both describe closed treatment of an ankle dislocation. Use 27840 when treatment is without anesthesia; 27842 is the related code for treatment requiring anesthesia.
When is 27846 more appropriate?
Use 27846 for open treatment of the ankle dislocation. This code is for closed treatment without anesthesia.
What documentation supports 27840?
Document the ankle dislocation, the closed treatment performed, and that anesthesia was not used. The record should also identify the treated side.
How is bilateral treatment reported?
For treatment of both ankles, report modifier 50; CMS pays the bilateral procedure at 150%.
Is related follow-up included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
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.
3,06627830,,Treat lower leg dislocation,A,,3.86,8.34,,6.11,,0.83,13.03,10.80,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06727831,,Treat lower leg dislocation,A,,4.61,6.45,NA,6.45,,1.00,12.06,12.06,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06827832,,Treat lower leg dislocation,A,,9.92,9.43,NA,9.43,,2.11,21.46,21.46,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06927840,,Treat ankle dislocation,A,,4.65,7.83,NA,7.83,,1.08,13.56,13.56,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07027842,,Treat ankle dislocation,A,,6.30,7.09,NA,7.09,,1.31,14.70,14.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07127846,,Treat ankle dislocation,A,,10.02,8.28,NA,8.28,,1.91,20.21,20.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07227848,,Treat ankle dislocation,A,,11.39,8.55,NA,8.55,,2.15,22.09,22.09,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609