$603.49–$663.97
Both codes concern closed treatment of a medial malleolus fracture. Choose 27762 when the physician manipulates the fracture; choose 27760 when treatment proceeds without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27760 Ankle fracture care Medicare reimbursement rates in Massachusetts
Reports definitive closed care of a medial malleolus fracture when the physician treats the inner ankle fracture without manipulating it. Compare 27760 office and facility rates across CMS payment localities in Massachusetts.
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 27760 in Massachusetts?
Massachusetts 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
$387.47–$427.47
2 of 2 localities have a supported rate.
Facility setting
$327.67–$359.67
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 fracture care
About 27760: Closed medial malleolus fracture treatment
Reports definitive closed care of a medial malleolus fracture when the physician treats the inner ankle fracture without manipulating it.
This code covers definitive closed treatment of a fracture of the medial malleolus, the bony prominence on the inner side of the ankle, when the physician does not manipulate the fracture. An orthopedist or another physician managing the fracture may use it when the fracture can be treated without a reduction maneuver, with immobilization such as a cast or splint as clinically appropriate. It represents fracture care rather than only an initial evaluation or temporary stabilization before transfer of care.
Choose this code when the record identifies the medial malleolus fracture and supports treatment without manipulation; document the injury, treatment plan, and immobilization. The 90-day global period includes 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%. 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 27760
- 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 RVU3.13 · 28%
- Practice expense (office) RVU7.55 · 67%
- Malpractice RVU0.59 · 5%
1.6K
Medicare services in 2024 · #2631 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.
27760 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
This code is for closed treatment without manipulation. Code 27766 applies when the medial malleolus fracture receives open treatment.
$394.10–$435.67
Code 27808 describes closed treatment without manipulation of a bimalleolar fracture. Use 27760 for a medial malleolus fracture treated as the specified injury pattern.
$360.34–$397.44
Code 27786 concerns closed treatment without manipulation of a lateral malleolus fracture. Code 27760 concerns the medial malleolus.
Compare 27760 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
Metropolitan Boston →
Office / nonfacility
$427.47
Facility
$359.67
Rest Of Massachusetts →
Office / nonfacility
$387.47
Facility
$327.67
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27760 billing questions
How does this differ from 27762?
Use 27760 when the medial malleolus fracture is treated without manipulation. Code 27762 is for closed treatment that includes manipulation.
When is 27766 more appropriate?
Code 27766 describes open treatment of a medial malleolus fracture. This code is for closed treatment without manipulation.
Can the initial cast or splint be billed separately?
Routine immobilization associated with definitive fracture care is part of the treatment service. Do not report a separate application as though it were an unrelated service.
What documentation supports reporting this code?
Document that the fracture involves the medial malleolus, the physician is providing definitive fracture care, and no manipulation was performed.
How is bilateral treatment handled under the CMS facts?
For treatment on both sides, modifier 50 is paid at 150% under the CMS bilateral rule supplied for this code.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service, and 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.
3,03827756,,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
3,04227762,,Cltx med ankle fx w/mnpj,A,,5.33,11.10,,8.15,,1.21,17.64,14.69,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04327766,,Optx medial ankle fx,A,,7.69,8.18,NA,8.18,,1.49,17.36,17.36,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04427767,,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