Billing code 27814: Ankle fractureMedicare rate & RVUs in Florida
Report this service when a surgeon treats a bimalleolar ankle fracture through open surgery, with internal fixation when performed.
CMS doesn’t publish an office rate for 27814 in Florida.
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 27814 covers
This code represents operative treatment of a fracture involving two malleoli of the ankle. An orthopedic surgeon typically exposes the fracture to restore alignment and may secure the fragments with plates, screws, or other fixation. The service is commonly performed in a hospital or ambulatory surgery center. The operative report should establish the fracture pattern and document the open treatment performed; internal fixation is part of the reported service when used.
Select this code for an open operation on a bimalleolar fracture, rather than closed treatment or open treatment of a trimalleolar fracture. 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 may be available; co-surgeon payment requires supporting documentation, and team surgery is 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.
Where 27814 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $773.41 |
| Miami | Unavailable | $830.95 |
| Rest Of Florida | Unavailable | $735.49 |
How the 27814 rate is calculated
Each of 27814’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 · 27814
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.35Practice expense 9.00Malpractice 2.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27814
27814 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27814
Ankle fracture
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 27814
Ankle fracture
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
27814 without 50 · national facility
$714.45
Ankle fracture
27814-50 · Bilateral: 150%
$1,071.68
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).
27814 compared with similar codes
Compare codes
27814 vs 27810 vs 27822 vs 27823: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27810Ankle fracture treatment
- 27810 is closed treatment of a bimalleolar fracture with manipulation. Report 27814 when the surgeon performs open operative treatment.
- 27822Ankle fracture surgery
- 27822 is for open treatment of a trimalleolar fracture without fixation of the posterior lip. Use 27814 for a bimalleolar fracture.
- 27823Ankle fracture repair
- 27823 describes open treatment of a trimalleolar fracture with fixation of the posterior lip; 27814 describes a bimalleolar fracture.
27814 billing questions
How does this code differ from closed treatment codes 27808 and 27810?
Use 27814 for open operative treatment of a bimalleolar fracture. Codes 27808 and 27810 describe closed treatment, without and with manipulation, respectively.
When should 27822 or 27823 be reported instead?
Those codes describe open treatment of a trimalleolar fracture. Code 27823 includes fixation of the posterior lip; 27822 is used when that fragment is not fixed.
Is internal fixation separately reported with 27814?
Internal fixation performed as part of the open fracture treatment is included in this service; it is not separately reported as another fracture-treatment code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS treat bilateral reporting and other procedures in the same session?
With modifier 50, bilateral reporting is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is 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 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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