$348.83–$387.21
Both address closed treatment of the lateral malleolus. Report 27788 when the fracture is manipulated; report 27786 when it is treated without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27788 Ankle fracture care Medicare reimbursement rates in Florida
Report closed treatment with manipulation for a distal fibular fracture at the lateral malleolus when the clinician performs a closed reduction. Compare 27788 office and facility rates across CMS payment localities in Florida.
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 27788 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$501.46–$562.13
3 of 3 localities have a supported rate.
Facility setting
$420.68–$474.17
3 of 3 localities have a supported rate.
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.
Where 27788 pays more and less in Florida
3 payment localities
$501.46 to $562.13
Fracture care
About 27788: Closed treatment of distal fibular fracture with manipulation
Report closed treatment with manipulation for a distal fibular fracture at the lateral malleolus when the clinician performs a closed reduction.
This code represents closed treatment of a distal fibular fracture at the lateral malleolus when the clinician manipulates the fracture to improve alignment. It is typically reported by an orthopedic surgeon or other qualified treating clinician after a closed reduction, with immobilization such as a cast or splint. The fracture may be managed in an office, emergency department, or hospital setting; the code hinges on the manipulation, not the location of care.
Choose this code when documentation supports a distal fibular fracture and closed manipulation, rather than closed treatment without manipulation or open treatment. The record should identify the fracture site, reduction or manipulation performed, and treatment plan. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27788
- 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 RVU4.52 · 30%
- Practice expense (office) RVU9.42 · 63%
- Malpractice RVU0.99 · 7%
1K
Medicare services in 2024 · #2943 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.
27788 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
27792 describes open treatment of a distal fibular fracture. This code applies when treatment and manipulation are closed.
$593.21–$666.19
27762 is for closed treatment with manipulation of a medial malleolar fracture. This code is for the distal fibula at the lateral malleolus.
Compare 27788 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$529.48
Facility
$443.88
Miami →
Office / nonfacility
$562.13
Facility
$474.17
Rest Of Florida →
Office / nonfacility
$501.46
Facility
$420.68
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27788 billing questions
How does this code differ from 27786?
Both concern closed treatment of a distal fibular fracture at the lateral malleolus. Use 27788 when manipulation is performed; 27786 describes treatment without manipulation.
When is 27792 a better fit?
Use 27792 for open treatment of a distal fibular fracture. This code is for closed treatment with manipulation.
Is fracture follow-up included?
CMS assigns this code a 90-day global period. Related postoperative care during that period is included, as is the day-before preoperative visit.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document the treatment performed on both sides.
Can an assistant or co-surgeon be billed?
CMS applies a statutory restriction to assistant-at-surgery payment 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.
3,04827781,,Treatment of fibula fracture,A,,4.48,9.28,,6.80,,0.93,14.69,12.21,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04927784,,Treatment of fibula fracture,A,,9.43,8.86,NA,8.86,,1.86,20.15,20.15,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05027786,,Treatment of ankle fracture,A,,2.94,7.00,,5.31,,0.54,10.48,8.79,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05127788,,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