$550.69
Both describe closed treatment of a tibial shaft fracture. Choose 27750 when no manipulation is performed and 27752 when the provider manipulates the fracture.
On this page
CMS RVU26D · Effective 2026-10-01
27750 Tibia fracture care Medicare reimbursement rates in Iowa
Report this service for closed management of a tibial shaft fracture without manipulating the fracture, with or without an associated fibular fracture. Compare 27750 office and facility rates across CMS payment localities in Iowa.
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 27750 in Iowa?
Iowa 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
$359.43
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$302.89
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Fracture treatment
About 27750: Closed tibial shaft fracture treatment without manipulation
Report this service for closed management of a tibial shaft fracture without manipulating the fracture, with or without an associated fibular fracture.
This service covers closed management of a tibial shaft fracture when the clinician does not manipulate the fracture to restore alignment. It may include immobilization, such as a cast or splint, and ongoing fracture care. Orthopedic surgeons and other qualified clinicians typically provide this care in an office, emergency department, or hospital setting. The fracture may involve the tibial shaft alone or occur with a fibular fracture.
Select this code when the documented treatment is closed and does not include manipulation; use a different fracture-treatment code when the method or reduction differs. The record should identify the fracture, treatment approach, and relevant follow-up care. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 27750
- 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 RVU3.29 · 28%
- Practice expense (office) RVU7.87 · 66%
- Malpractice RVU0.68 · 6%
1.2K
Medicare services in 2024 · #2836 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.
27750 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
27756 involves percutaneous skeletal fixation; 27750 describes closed treatment without manipulation or fixation.
No office rate
27758 is open treatment with plate-and-screw fixation. 27750 is closed management without manipulation.
No office rate
27759 identifies tibial shaft fracture treatment with an intramedullary implant; 27750 is used for closed treatment without manipulation.
Compare 27750 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
Iowa →
Office / nonfacility
$359.43
Facility
$302.89
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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 27750 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
3,036
- Code
- 27750
- Physician work
- 3.29
- Practice expense
- 7.87
- Malpractice
- 0.68
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.29 | × 1.000 | 3.2900 |
| Practice expense | 7.87 | × 0.915 | 7.2011 |
| Malpractice | 0.68 | × 0.397 | 0.2700 |
| Total RVUs | 10.7610 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$359.43
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.29 | 1 |
| Practice expense | 7.87 | 0.915 |
| Malpractice | 0.68 | 0.397 |
(3.29 × 1 + 7.87 × 0.915 + 0.68 × 0.397) × $33.4009 = $359.43
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.29 | 1 |
| Practice expense | 6.02 | 0.915 |
| Malpractice | 0.68 | 0.397 |
(3.29 × 1 + 6.02 × 0.915 + 0.68 × 0.397) × $33.4009 = $302.89
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.
27750 billing questions
How does 27750 differ from 27752?
27750 is for closed tibial shaft fracture treatment without manipulation. Use 27752 when the provider manipulates the fracture as part of closed treatment.
Can an associated fibular fracture be present?
Yes. The tibial shaft treatment code allows for an associated fibular fracture; the tibial fracture treatment method determines the code.
Is this code appropriate when fixation is performed?
No. Percutaneous fixation, open plate-and-screw treatment, and intramedullary fixation have distinct codes, including 27756, 27758, and 27759.
What documentation supports reporting 27750?
Document the tibial shaft fracture and that it was managed closed without manipulation. Include the treatment plan and related fracture-care follow-up.
How does the global period affect follow-up visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. 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 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.
3,03327740,,Repair of leg epiphyses,A,,9.37,8.62,NA,8.62,,1.99,19.98,19.98,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03427742,,Repair of leg epiphyses,A,,10.36,9.31,NA,9.31,,2.20,21.87,21.87,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03527745,,Reinforce tibia,A,,10.23,8.18,NA,8.18,,1.91,20.32,20.32,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03627750,,Treatment of tibia fracture,A,,3.29,7.87,,6.02,,0.68,11.84,9.99,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03727752,,Treatment of tibia fracture,A,,6.11,10.76,,7.54,,1.34,18.21,14.99,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03827756,,Treatment of tibia fracture,A,,7.26,8.11,NA,8.11,,1.53,16.90,16.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03927758,,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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136