Billing code 27832: Joint dislocationMedicare rate & RVUs in Georgia
Report this service when a surgeon operates to realign a dislocated proximal tibiofibular joint, near the fibular head at the knee.
CMS doesn’t publish an office rate for 27832 in Georgia.
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 27832 covers
This code represents operative treatment of a dislocation at the proximal tibiofibular joint, where the fibular head meets the tibia just below the knee. An orthopedic surgeon exposes the joint and restores its alignment; fixation may be used when needed to maintain stability. The service is typically performed in an operating room for a traumatic injury that requires open treatment rather than closed reduction alone.
Select the code when the operative record identifies the proximal tibiofibular joint and documents open treatment; a fibular fracture or an ankle-joint dislocation is a different condition. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. An assistant at surgery may be paid; 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 27832 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $736.98 |
| Rest Of Georgia | Unavailable | $696.30 |
How the 27832 rate is calculated
Each of 27832’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 · 27832
RVUs × geographic indexes × conversion factor
Work9.92
9.92 RVUs× 1.000 GPCI
Practice expense9.43
9.43 RVUs× 1.000 GPCI
Malpractice2.11
2.11 RVUs× 1.000 GPCI
Adjusted RVUs
21.4600
Conversion factor
$33.4009
Medicare rate
$716.78
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27832
27832 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27832
Joint dislocation
| 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 · 27832
Joint dislocation
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
27832 without 50 · national facility
$716.78
Joint dislocation
27832-50 · Bilateral: 150%
$1,075.17
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).
27832 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27830Joint dislocation care
- Use 27830 for closed treatment of the proximal tibiofibular dislocation without manipulation. This code is for open operative treatment.
- 27831Dislocation treatment
- Use 27831 for closed treatment of the same joint dislocation with manipulation. Choose this code when the surgeon treats the joint operatively through an open approach.
- 27829Syndesmosis repair
- 27829 concerns disruption of the distal tibiofibular joint, or ankle syndesmosis. This code concerns dislocation at the proximal tibiofibular joint near the knee.
- 27846Ankle dislocation
- 27846 is open treatment of an ankle-joint dislocation. Use this code for the proximal tibiofibular joint dislocation near the fibular head.
27832 billing questions
How does this differ from 27830 and 27831?
27832 is for open operative treatment of the proximal tibiofibular dislocation. Codes 27830 and 27831 describe closed treatment, distinguished by whether manipulation is used.
Is fixation included when the surgeon stabilizes the joint?
The open treatment includes internal fixation when performed. Do not report the fixation as a separate service solely because hardware was used to maintain the reduction.
Does the 90-day global period include postoperative visits?
Yes. The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures in that session are paid at 50%. The rule applies when this procedure is performed with other procedures in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports bilateral reporting?
Document open treatment of the proximal tibiofibular dislocation on both sides. With modifier 50, CMS pays bilateral procedures 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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