Billing code 27810: Ankle fracture treatmentMedicare rate & RVUs in Delaware
Report this service for closed treatment of a bimalleolar ankle fracture when the clinician manipulates the fracture to restore alignment.
Medicare pays $554.86 for 27810 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27810 covers
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.
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 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $554.86 | $458.17 |
How the 27810 rate is calculated
Each of 27810’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27810
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.19Practice expense 10.47Malpractice 1.17
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27810
27810 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27810
Ankle fracture treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27810
Ankle fracture treatment
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27810 without 50 · national office
$562.14
Ankle fracture treatment
27810-50 · Bilateral: 150%
$843.21
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27810 compared with similar codes
Compare codes
27810 vs 27808 vs 27814 vs 27818 vs 27816: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27808Ankle fracture care
- Both apply to closed treatment of a bimalleolar ankle fracture. Choose 27810 when manipulation is performed; choose 27808 when it is not.
- 27814Ankle fracture
- This code describes closed reduction of a bimalleolar fracture. Use 27814 when the fracture is treated through an open surgical approach.
- 27818Ankle fracture care
- Both describe closed fracture treatment with manipulation, but 27818 is for a trimalleolar fracture; 27810 is for a bimalleolar fracture.
- 27816Ankle fracture care
- 27816 is for closed treatment of a trimalleolar fracture without manipulation. This code is for a bimalleolar fracture treated with manipulation.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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