No office rate
Both address pilon fractures, but 27828 applies when treatment includes both the distal tibia and fibula; 27827 is for tibial treatment alone.
On this page
CMS RVU26D · Effective 2026-10-01
27827 Pilon fracture repair Medicare reimbursement rates in Colorado
Reports open treatment of a distal tibial plafond fracture when the surgeon repairs the tibia without treating the fibula as part of the procedure. Compare 27827 office and facility rates across CMS payment localities in Colorado.
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 27827 in Colorado?
Colorado 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
$1067.70
1 of 1 localities have a supported rate.
Payment area: Colorado
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 surgery
About 27827: Open treatment of tibial plafond fracture
Reports open treatment of a distal tibial plafond fracture when the surgeon repairs the tibia without treating the fibula as part of the procedure.
This code covers open treatment of a pilon fracture involving the weight-bearing articular surface at the distal tibia. The surgeon exposes and reduces the fracture and may use internal fixation; fixation is included in the procedure. Orthopedic trauma surgeons typically perform the operation in a hospital operating room, often for a displaced fracture extending into the ankle joint after high-energy trauma.
Choose this code when the operative report supports treatment of the tibial plafond alone. When the procedure treats both the tibia and fibula, use the corresponding combined code, 27828. Documentation should identify the fracture site and describe the reduction and fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 27827
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.42 · 46%
- Practice expense (office) RVU14.17 · 45%
- Malpractice RVU2.94 · 9%
1.5K
Medicare services in 2024 · #2654 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.
27827 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
This code is for open treatment of a distal fibular fracture. Choose 27827 for open treatment of the tibial plafond.
No office rate
27822 describes open treatment of a trimalleolar ankle fracture without fixation of the posterior lip; 27827 addresses a tibial plafond fracture.
No office rate
27823 describes open treatment of a trimalleolar ankle fracture with fixation of the posterior lip; 27827 addresses a tibial plafond fracture.
Compare 27827 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
Colorado →
Office / nonfacility
Unavailable
Facility
$1067.70
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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 27827 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
3,063
- Code
- 27827
- Physician work
- 14.42
- Practice expense
- 14.17
- Malpractice
- 2.94
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.42 | × 1.012 | 14.5930 |
| Practice expense | 14.17 | × 1.064 | 15.0769 |
| Malpractice | 2.94 | × 0.781 | 2.2961 |
| Total RVUs | 31.9661 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$1067.70
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.42 | 1.012 |
| Practice expense | 14.17 | 1.064 |
| Malpractice | 2.94 | 0.781 |
(14.42 × 1.012 + 14.17 × 1.064 + 2.94 × 0.781) × $33.4009 = $1067.70
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.
27827 billing questions
When should 27827 be chosen instead of 27828?
Use 27827 when the operation treats the tibial plafond alone. Use 27828 when the surgeon treats both the tibia and fibula as part of the pilon fracture procedure.
Is internal fixation separately reported?
Internal fixation performed as part of the open fracture treatment is included in 27827. The operative report should support the fracture reduction and the fixation performed.
Does this code have a global period?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
How does Medicare handle other procedures in the same session?
Under the standard multiple-procedure reduction, Medicare pays the highest-valued procedure in full and reduces payment for the other procedures.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team surgery is not permitted.
How is bilateral treatment handled?
When the procedure is bilateral and reported with modifier 50, CMS pays it 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.
3,06027824,,Treat lower leg fracture,A,,3.23,6.80,,5.63,,0.65,10.68,9.51,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06127825,,Treat lower leg fracture,A,,6.52,10.22,,6.47,,1.35,18.09,14.34,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06227826,,Treat lower leg fracture,A,,10.82,11.43,NA,11.43,,2.09,24.34,24.34,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06327827,,Treat lower leg fracture,A,,14.42,14.17,NA,14.17,,2.94,31.53,31.53,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06427828,,Treat lower leg fracture,A,,17.97,15.22,NA,15.22,,3.64,36.83,36.83,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06527829,,Treat lower leg joint,A,,8.58,9.94,NA,9.94,,1.63,20.15,20.15,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899