$347.89
Both address a medial malleolus fracture. Choose 27762 when closed manipulation is performed; 27760 is for closed treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27762 Ankle fracture care Medicare reimbursement rates in Indiana
Closed treatment of a medial malleolus fracture with manipulation is reported when the clinician restores alignment without open surgical exposure. Compare 27762 office and facility rates across CMS payment localities in Indiana.
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 27762 in Indiana?
Indiana has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$541.35
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$450.01
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
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 fracture care
About 27762: Closed medial malleolus fracture treatment with manipulation
Closed treatment of a medial malleolus fracture with manipulation is reported when the clinician restores alignment without open surgical exposure.
This service covers closed management of a fracture of the medial malleolus, the inner portion of the ankle. The clinician manipulates the fracture to improve alignment and stabilizes the ankle, commonly with a cast or splint. An orthopedic surgeon typically provides the fracture treatment in a surgical or procedure setting; the defining feature is manipulation without open exposure of the fracture site.
Report this code when the documentation supports a medial malleolus fracture and closed manipulation, rather than treatment without manipulation. The 90-day global period includes 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 other procedures at 50%. When performed bilaterally with modifier 50, payment is 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 27762
- 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 RVU5.33 · 30%
- Practice expense (office) RVU11.10 · 63%
- Malpractice RVU1.21 · 7%
268
Medicare services in 2024 · #4083 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.
27762 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
This code is for closed treatment with manipulation. Use 27766 when the medial malleolus fracture is treated through open surgical exposure.
No office rate
Both describe closed treatment with manipulation, but 27768 concerns the posterior malleolus; 27762 concerns the medial malleolus.
$458.71
27788 is for closed treatment with manipulation of a distal fibular fracture. Use 27762 for the medial malleolus.
Compare 27762 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.
1 of 1 payment localities
Indiana →
Office / nonfacility
$541.35
Facility
$450.01
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27762 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
3,042
- Code
- 27762
- Physician work
- 5.33
- Practice expense
- 11.10
- Malpractice
- 1.21
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.33 | × 1.000 | 5.3300 |
| Practice expense | 11.10 | × 0.927 | 10.2897 |
| Malpractice | 1.21 | × 0.486 | 0.5881 |
| Total RVUs | 16.2078 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$541.35
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.33 | 1 |
| Practice expense | 11.1 | 0.927 |
| Malpractice | 1.21 | 0.486 |
(5.33 × 1 + 11.1 × 0.927 + 1.21 × 0.486) × $33.4009 = $541.35
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.33 | 1 |
| Practice expense | 8.15 | 0.927 |
| Malpractice | 1.21 | 0.486 |
(5.33 × 1 + 8.15 × 0.927 + 1.21 × 0.486) × $33.4009 = $450.01
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27762 billing questions
How does this differ from 27760?
Use 27762 when the clinician manipulates the medial malleolus fracture to improve alignment. Code 27760 describes closed treatment of that fracture without manipulation.
What documentation supports reporting 27762?
Document the medial malleolus fracture and the closed manipulation performed to restore alignment. The record should distinguish this treatment from care without manipulation or open treatment.
Is the cast or splint separately reported?
The cast or splint is part of stabilizing the fracture treated under this service. Do not treat the immobilization alone as a separate fracture-treatment service.
How is bilateral treatment handled?
For bilateral procedures reported with modifier 50, CMS payment is 150%. The documentation should support treatment of a medial malleolus fracture on each side.
Can an assistant, co-surgeon, or surgical team be reported?
Medicare does not pay an assistant at surgery for 27762. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.
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.
3,03927758,,Treatment of tibia fracture,A,,12.23,10.15,NA,10.15,,2.57,24.95,24.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04027759,,Treatment of tibia fracture,A,,14.09,10.43,NA,10.43,,2.97,27.49,27.49,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04127760,,Cltx medial ankle fx,A,,3.13,7.55,,5.85,,0.59,11.27,9.57,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04227762,,Cltx med ankle fx w/mnpj,A,,5.33,11.10,,8.15,,1.21,17.64,14.69,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04327766,,Optx medial ankle fx,A,,7.69,8.18,NA,8.18,,1.49,17.36,17.36,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04427767,,Cltx post ankle fx,A,,2.57,6.58,,5.95,,0.48,9.63,9.00,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04527768,,Cltx post ankle fx w/mnpj,A,,5.01,7.16,NA,7.16,,1.07,13.24,13.24,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915