Billing code 27780: Fibula fracture careMedicare rate & RVUs in Guam
Report closed care of a proximal fibular shaft or neck fracture when the fracture is treated without manipulation, typically with immobilization and follow-up.
Medicare pays $378.73 for 27780 in the office in Guam (Hawaii, Guam). 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 27780 covers
This code represents nonoperative care of a fracture in the proximal fibula, at the shaft or neck, without manipulating the fracture to change alignment. An orthopedic surgeon or other clinician managing the fracture may provide this care in an office, emergency department, or other appropriate setting. Treatment can include immobilization and monitoring of healing; the documented fracture location and treatment approach should support this level of care.
Select this code when the proximal fibular fracture is managed without manipulation, rather than with manipulation or open treatment. The record should identify the fracture site and document the treatment plan. CMS assigns a 90-day global period, including 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are subject to a statutory payment restriction; 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.
27780 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $378.73 | $315.69 |
How the 27780 rate is calculated
Each of 27780’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 · 27780
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.76Practice expense 7.26Malpractice 0.56
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27780
27780 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27780
Fibula fracture care
| 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 · 27780
Fibula fracture care
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
27780 without 50 · national office
$353.38
Fibula fracture care
27780-50 · Bilateral: 150%
$530.07
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).
27780 compared with similar codes
Compare codes
27780 vs 27781 vs 27784 vs 27786 vs 27750: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27781Fibula fracture care
- Both address closed treatment of a proximal fibular fracture. Choose 27780 when treatment is without manipulation and 27781 when manipulation is performed.
- 27784Fibula fracture
- 27784 applies when the proximal fibular fracture is treated openly; 27780 is closed care without manipulation.
- 27786Ankle fracture care
- 27786 is for a distal fibular fracture treated closed without manipulation. 27780 is for the proximal shaft or neck.
- 27750Tibia fracture care
- 27750 describes closed treatment of a tibial shaft fracture without manipulation. Select by the bone treated: tibia versus proximal fibula.
27780 billing questions
When should 27780 be chosen over 27781?
Use 27780 for a proximal fibular fracture treated without manipulation. Use 27781 when the fracture is manipulated as part of closed treatment.
How does 27780 differ from 27784?
27780 describes closed treatment without manipulation. 27784 is for open treatment of a proximal fibular fracture, including internal fixation when performed.
Does this code apply to a distal fibular fracture?
No. 27780 is for a proximal fibular shaft or neck fracture; 27786 describes closed treatment of a distal fibular fracture without manipulation.
Are related follow-up visits included?
The 90-day global period includes related postoperative care for 90 days, as well as the day-before preoperative visit.
How is bilateral treatment reported?
When both sides are treated, report modifier 50; CMS pays bilateral procedures at 150% under the stated rule.
Can an assistant or co-surgeon be reported?
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 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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