$559.87–$584.51
Both describe closed treatment of a distal tibial fracture. Choose 27824 when no manipulation is performed and 27825 when the physician manipulates the fracture.
On this page
CMS RVU26D · Effective 2026-10-01
27824 Fracture treatment Medicare reimbursement rates in Maine
Reports closed care of a distal tibial fracture, such as a pilon fracture, when the fracture is treated without manipulation or reduction. Compare 27824 office and facility rates across CMS payment localities in Maine.
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 27824 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$330.34–$346.67
2 of 2 localities have a supported rate.
Facility setting
$294.39–$307.94
2 of 2 localities have a supported rate.
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 27824: Closed distal tibial fracture treatment without manipulation
Reports closed care of a distal tibial fracture, such as a pilon fracture, when the fracture is treated without manipulation or reduction.
An orthopedic surgeon or other qualified physician reports this service for closed treatment of a fracture at the lower end of the tibia, including a pilon or tibial plafond fracture. The fracture is managed without manipulating the fragments to restore alignment. Treatment may include immobilization, such as a cast or splint, in an office, emergency, or hospital setting. This code is for the distal tibia, not a fracture limited to an ankle malleolus.
Select the code based on the fracture site and whether the physician manipulated the fracture or treated it through an open approach. The record should identify the distal tibial fracture and support closed treatment without manipulation. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 27824
- 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 RVU3.23 · 30%
- Practice expense (office) RVU6.80 · 64%
- Malpractice RVU0.65 · 6%
504
Medicare services in 2024 · #3557 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.
27824 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
27824 is closed treatment without manipulation; 27826 is for open treatment of a distal tibial fracture.
No office rate
27824 describes closed treatment without manipulation. 27827 describes open treatment with internal fixation of the tibia only.
No office rate
27824 describes closed treatment without manipulation. 27828 describes open treatment with internal fixation of both the tibia and fibula.
Compare 27824 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$330.34
Facility
$294.39
Southern Maine →
Office / nonfacility
$346.67
Facility
$307.94
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27824 billing questions
When should 27824 be selected instead of 27825?
Use 27824 when a distal tibial fracture is treated closed without manipulation. Use 27825 when the physician manipulates the fracture.
How does 27824 differ from the open-treatment codes?
27824 describes closed treatment without manipulation. When the physician treats the distal tibial fracture through an open approach, select the applicable open-treatment code, such as 27826, 27827, or 27828, based on the documented procedure.
Are the cast or splint and follow-up visits separately reported?
Immobilization may be part of the fracture treatment. The 90-day global period includes related postoperative care, so routine follow-up during that period is included.
Can 27824 be reported for both legs?
For bilateral treatment, report modifier 50; CMS pays bilateral procedures at 150% under this code's payment rule.
Can an assistant or co-surgeon be paid for this procedure?
CMS does not pay an assistant at surgery 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.
3,05727818,,Treatment of ankle fracture,A,,5.55,10.71,,7.46,,1.25,17.51,14.26,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05827822,,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