No office rate
27840 is for closed treatment of an ankle dislocation without anesthesia. Use 27848 for operative open treatment.
On this page
CMS RVU26D · Effective 2026-10-01
27848 Ankle dislocation Medicare reimbursement rates in Georgia
Reports operative treatment of an ankle dislocation through open reduction, with or without percutaneous skeletal fixation, during the surgical encounter. Compare 27848 office and facility rates across CMS payment localities in Georgia.
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 27848 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$720.77–$757.97
2 of 2 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.
Orthopedic surgery
About 27848: Open treatment of ankle dislocation
Reports operative treatment of an ankle dislocation through open reduction, with or without percutaneous skeletal fixation, during the surgical encounter.
An orthopedic surgeon reports this service when the ankle dislocation is treated operatively through an open approach. The procedure may include percutaneous skeletal fixation; the code applies to treatment of the dislocation, not simply to an ankle injury or a closed reduction. It is commonly performed in a hospital operating room or other surgical facility. The operative report should identify the dislocation, the open reduction performed, and any skeletal fixation used.
Choose this code based on the documented operative treatment and the full CPT descriptor, rather than the diagnosis alone or the presence of hardware. CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27848
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.39 · 52%
- Practice expense (office) RVU8.55 · 39%
- Malpractice RVU2.15 · 10%
289
Medicare services in 2024 · #4023 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.
27848 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
27842 describes closed treatment requiring anesthesia; 27848 describes open operative treatment.
No office rate
Both codes concern open treatment of ankle dislocation. Select between them using the complete CPT descriptors and the procedure documented, not the short CMS labels alone.
No office rate
27814 is for open treatment of a bimalleolar ankle fracture. Use it when the operative service treats that fracture rather than an isolated dislocation.
Compare 27848 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$757.97
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$720.77
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27848 billing questions
How does 27848 differ from closed ankle-dislocation treatment?
27848 describes operative treatment through an open approach. Codes 27840 and 27842 describe closed treatment; 27842 is for closed treatment requiring anesthesia.
How should 27848 be distinguished from 27846?
Both are open-treatment ankle-dislocation codes. Review the complete descriptors and operative report to select the code matching the specific procedure; the short CMS label alone does not establish the distinction.
Is skeletal fixation included in 27848?
The code includes open treatment with or without percutaneous skeletal fixation. Document the reduction and any fixation performed in the operative report.
What does the 90-day global period include?
CMS includes the day-before preoperative visit and related postoperative care for 90 days. Those services are part of the global surgical period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and CMS does not permit team surgery for this code.
How is bilateral treatment reported?
For bilateral procedures reported with modifier 50, CMS pays 150%. Document the treatment performed on each ankle.
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.
3,06927840,,Treat ankle dislocation,A,,4.65,7.83,NA,7.83,,1.08,13.56,13.56,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07027842,,Treat ankle dislocation,A,,6.30,7.09,NA,7.09,,1.31,14.70,14.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07127846,,Treat ankle dislocation,A,,10.02,8.28,NA,8.28,,1.91,20.21,20.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07227848,,Treat ankle dislocation,A,,11.39,8.55,NA,8.55,,2.15,22.09,22.09,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07327860,,Fixation of ankle joint,A,,2.33,1.95,NA,1.95,,0.35,4.63,4.63,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07427870,,Fusion of ankle joint open,A,,15.02,10.07,NA,10.07,,2.69,27.78,27.78,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07527871,,Fusion of tibiofibular joint,A,,9.30,8.22,NA,8.22,,1.85,19.37,19.37,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00