$324.32
Use 27824 for closed treatment of the distal tibial fracture without manipulation; 27825 requires manipulation to restore alignment.
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CMS RVU26D · Effective 2026-10-01
27825 Fracture treatment Medicare reimbursement rates in Iowa
Closed treatment of a distal tibial fracture with manipulation to restore alignment, such as for a pilon or tibial plafond fracture. Compare 27825 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 27825 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
$548.02
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$433.41
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 27825: Closed distal tibial fracture reduction
Closed treatment of a distal tibial fracture with manipulation to restore alignment, such as for a pilon or tibial plafond fracture.
Code 27825 covers closed reduction of a distal tibial fracture, such as a pilon or tibial plafond fracture, when the clinician manipulates the fragments to restore alignment. An orthopedic surgeon or other physician providing fracture care typically performs the reduction in an emergency department, operating room, or other acute-care setting; the fracture is stabilized afterward without opening the fracture site.
Select this code for the documented distal tibia injury and manipulation, rather than closed treatment without manipulation or open repair. The record should identify the fracture location, laterality, reduction performed, and stabilization plan. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and others at 50%; bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 27825
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.52 · 36%
- Practice expense (office) RVU10.22 · 56%
- Malpractice RVU1.35 · 7%
591
Medicare services in 2024 · #3407 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.
27825 compared with similar codes
Office rates for Iowa, from the same CMS release.
$550.69
This code is for closed treatment of a tibial shaft fracture with manipulation. Choose 27825 for a distal tibial fracture, such as a pilon or tibial plafond fracture.
No office rate
27827 describes open treatment with internal fixation of the tibia. Use 27825 when the distal tibial fracture is treated closed with manipulation.
Compare 27825 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
$548.02
Facility
$433.41
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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 27825 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
3,061
- Code
- 27825
- Physician work
- 6.52
- Practice expense
- 10.22
- Malpractice
- 1.35
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.52 | × 1.000 | 6.5200 |
| Practice expense | 10.22 | × 0.915 | 9.3513 |
| Malpractice | 1.35 | × 0.397 | 0.5360 |
| Total RVUs | 16.4073 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$548.02
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.52 | 1 |
| Practice expense | 10.22 | 0.915 |
| Malpractice | 1.35 | 0.397 |
(6.52 × 1 + 10.22 × 0.915 + 1.35 × 0.397) × $33.4009 = $548.02
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.52 | 1 |
| Practice expense | 6.47 | 0.915 |
| Malpractice | 1.35 | 0.397 |
(6.52 × 1 + 6.47 × 0.915 + 1.35 × 0.397) × $33.4009 = $433.41
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.
27825 billing questions
How does 27825 differ from 27824?
27825 is for closed treatment of a distal tibial fracture with manipulation. Use 27824 when the closed treatment is performed without manipulation.
What documentation supports 27825?
Document the distal tibial fracture site and laterality, the manipulation or reduction performed, and the stabilization plan. The record should support that treatment was closed rather than an open repair.
How is the global period handled?
CMS assigns a 90-day major-surgery global period. It includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and other procedures at 50%. For bilateral reporting with modifier 50, CMS pays 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
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.
3,05827822,,Treatment of ankle fracture,A,,10.93,11.67,NA,11.67,,2.14,24.74,24.74,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05927823,,Treatment of ankle fracture,A,,12.83,12.28,NA,12.28,,2.53,27.64,27.64,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06027824,,Treat lower leg fracture,A,,3.23,6.80,,5.63,,0.65,10.68,9.51,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06127825,,Treat lower leg fracture,A,,6.52,10.22,,6.47,,1.35,18.09,14.34,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06227826,,Treat lower leg fracture,A,,10.82,11.43,NA,11.43,,2.09,24.34,24.34,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06327827,,Treat lower leg fracture,A,,14.42,14.17,NA,14.17,,2.94,31.53,31.53,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06427828,,Treat lower leg fracture,A,,17.97,15.22,NA,15.22,,3.64,36.83,36.83,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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