$445.58
Both address closed treatment of a proximal fibular fracture. Choose 27780 when treatment is without manipulation and 27781 when manipulation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
27780 Fibula fracture care Medicare reimbursement rates in Iowa
Report closed care of a proximal fibular shaft or neck fracture when the fracture is treated without manipulation, typically with immobilization and follow-up. Compare 27780 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 27780 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
$321.49
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$270.76
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 fracture care
About 27780: Closed treatment of proximal fibula fracture
Report closed care of a proximal fibular shaft or neck fracture when the fracture is treated without manipulation, typically with immobilization and follow-up.
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.
CMS billing rules for 27780
- 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 RVU2.76 · 26%
- Practice expense (office) RVU7.26 · 69%
- Malpractice RVU0.56 · 5%
2.5K
Medicare services in 2024 · #2303 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.
27780 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
27784 applies when the proximal fibular fracture is treated openly; 27780 is closed care without manipulation.
$319.29
27786 is for a distal fibular fracture treated closed without manipulation. 27780 is for the proximal shaft or neck.
$359.43
27750 describes closed treatment of a tibial shaft fracture without manipulation. Select by the bone treated: tibia versus proximal fibula.
Compare 27780 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
$321.49
Facility
$270.76
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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 27780 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
3,047
- Code
- 27780
- Physician work
- 2.76
- Practice expense
- 7.26
- Malpractice
- 0.56
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.76 | × 1.000 | 2.7600 |
| Practice expense | 7.26 | × 0.915 | 6.6429 |
| Malpractice | 0.56 | × 0.397 | 0.2223 |
| Total RVUs | 9.6252 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$321.49
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.76 | 1 |
| Practice expense | 7.26 | 0.915 |
| Malpractice | 0.56 | 0.397 |
(2.76 × 1 + 7.26 × 0.915 + 0.56 × 0.397) × $33.4009 = $321.49
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.76 | 1 |
| Practice expense | 5.6 | 0.915 |
| Malpractice | 0.56 | 0.397 |
(2.76 × 1 + 5.6 × 0.915 + 0.56 × 0.397) × $33.4009 = $270.76
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.
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 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.
3,04427767,,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
3,04627769,,Optx post ankle fx,A,,9.89,8.37,NA,8.37,,1.97,20.23,20.23,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04727780,,Treatment of fibula fracture,A,,2.76,7.26,,5.60,,0.56,10.58,8.92,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04827781,,Treatment of fibula fracture,A,,4.48,9.28,,6.80,,0.93,14.69,12.21,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04927784,,Treatment of fibula fracture,A,,9.43,8.86,NA,8.86,,1.86,20.15,20.15,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05027786,,Treatment of ankle fracture,A,,2.94,7.00,,5.31,,0.54,10.48,8.79,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,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