$359.43
27750 describes closed treatment without manipulation or skeletal fixation. Report 27756 when the tibial shaft fracture receives percutaneous skeletal fixation.
On this page
CMS RVU26D · Effective 2026-10-01
27756 Fracture fixation Medicare reimbursement rates in Iowa
Reports percutaneous skeletal fixation of a tibial shaft fracture, with or without an associated fibular fracture, when fixation is performed through a percutaneous approach. Compare 27756 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 27756 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
No supported rate
Facility setting
$510.63
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.
Orthopedic surgery
About 27756: Percutaneous tibial shaft fracture fixation
Reports percutaneous skeletal fixation of a tibial shaft fracture, with or without an associated fibular fracture, when fixation is performed through a percutaneous approach.
An orthopedic surgeon uses a percutaneous approach to stabilize a fracture through the shaft of the tibia, typically placing fixation devices through small incisions rather than exposing the fracture for open fixation. The code can include an associated fibular fracture; the defining service is skeletal fixation of the tibial shaft fracture. These procedures are generally performed in an operating room, often with imaging guidance to position and assess the fixation.
Select this code when the tibial shaft fracture is treated with percutaneous skeletal fixation. The operative report should establish the fracture site and describe the percutaneous approach and fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed 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%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27756
- 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 RVU7.26 · 43%
- Practice expense (office) RVU8.11 · 48%
- Malpractice RVU1.53 · 9%
49
Medicare services in 2024 · #5365 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.
27756 compared with similar codes
Office rates for Iowa, from the same CMS release.
$550.69
27752 is closed treatment with manipulation, without skeletal fixation. Percutaneous skeletal fixation distinguishes 27756.
No office rate
27758 involves open treatment with plate-and-screw fixation. Use 27756 for percutaneous skeletal fixation rather than open fracture exposure.
No office rate
27759 describes treatment using an intramedullary implant. Use 27756 when the tibial shaft fracture is treated with percutaneous skeletal fixation instead.
Compare 27756 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
Unavailable
Facility
$510.63
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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 27756 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
3,038
- Code
- 27756
- Physician work
- 7.26
- Practice expense
- 8.11
- Malpractice
- 1.53
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.26 | × 1.000 | 7.2600 |
| Practice expense | 8.11 | × 0.915 | 7.4207 |
| Malpractice | 1.53 | × 0.397 | 0.6074 |
| Total RVUs | 15.2881 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$510.63
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.26 | 1 |
| Practice expense | 8.11 | 0.915 |
| Malpractice | 1.53 | 0.397 |
(7.26 × 1 + 8.11 × 0.915 + 1.53 × 0.397) × $33.4009 = $510.63
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.
27756 billing questions
How does this differ from closed treatment codes 27750 and 27752?
Use 27756 when skeletal fixation is performed percutaneously. Codes 27750 and 27752 describe closed treatment without skeletal fixation, distinguished by whether manipulation is performed.
When should 27758 or 27759 be reported instead?
Choose 27758 for open tibial shaft fracture treatment using plate-and-screw fixation, and 27759 when treatment uses an intramedullary implant. The operative approach and fixation method distinguish these services from percutaneous skeletal fixation.
Does an associated fibular fracture change the code?
The tibial shaft fixation service may include an associated fibular fracture. Documentation should identify the tibial shaft fracture and the percutaneous fixation performed.
Are routine postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle multiple procedures or bilateral reporting?
For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid 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 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.
3,03527745,,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
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
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