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CMS RVU26D · Effective 2026-10-01

27532 Fracture treatment Medicare reimbursement rates in Minnesota

Reports closed reduction of a proximal tibial plateau fracture when the clinician manipulates the fracture to restore alignment without opening the site. Compare 27532 office and facility rates across CMS payment localities in Minnesota.

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 27532 in Minnesota?

Minnesota 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

$653.90

1 of 1 localities have a supported rate.

Payment area: Minnesota

One mapped payment locality.

Facility setting

$527.08

1 of 1 localities have a supported rate.

Payment area: Minnesota

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.

Find 27532 in your payment locality →

Orthopedic fracture care

About 27532: Closed tibial plateau fracture reduction

Reports closed reduction of a proximal tibial plateau fracture when the clinician manipulates the fracture to restore alignment without opening the site.

Code 27532 reports closed treatment of a proximal tibial plateau fracture when the clinician manipulates the fracture to restore alignment without opening the fracture site. Orthopedic surgeons commonly perform the reduction in an operating room under anesthesia; selected reductions may occur in an emergency department. Imaging is used to assess fracture alignment and the result of reduction.

Choose this code when manipulation is performed as part of closed treatment; use 27530 when the fracture is treated without manipulation. Document the plateau fracture site, the reduction maneuver, and imaging findings before and after treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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 payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 27532

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 RVU7.36 · 36%
  • Practice expense (office) RVU11.43 · 56%
  • Malpractice RVU1.54 · 8%

672

Medicare services in 2024 · #3295 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.

27532 compared with similar codes

Office rates for Minnesota, from the same CMS release.

27530

Fracture treatment

Proximal tibial plateau, no manipulation

$343.69

Both codes address closed treatment of a proximal tibial plateau fracture. Choose 27532 when manipulation is performed; choose 27530 when it is not.

27535

Tibial plateau fracture

Open, unicondylar treatment

No office rate

27535 describes open treatment of a unicondylar plateau fracture. Use 27532 for closed treatment with manipulation rather than open treatment.

27536

Tibial plateau repair

Bicondylar fracture

No office rate

27536 describes open treatment of a bicondylar plateau fracture. The fracture pattern and open surgical approach distinguish it from closed reduction under 27532.

Compare 27532 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

Office and facility base rates · shared scale starting at $0

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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 27532 in Minnesota.

PPRRVU2026_Oct_nonQPP.csv

2,940

Code
27532
Physician work
7.36
Practice expense
11.43
Malpractice
1.54

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office / nonfacility calculation for 27532 in Minnesota
ComponentRVULocality factorAdjusted
Physician work7.36× 1.0007.3600
Practice expense11.43× 1.02911.7615
Malpractice1.54× 0.2960.4558
Total RVUs19.5773
Conversion factor× 33.4009

Office / nonfacility rate, Minnesota$653.90

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work7.361
Practice expense11.431.029
Malpractice1.540.296

(7.36 × 1 + 11.43 × 1.029 + 1.54 × 0.296) × $33.4009 = $653.90

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.361
Practice expense7.741.029
Malpractice1.540.296

(7.36 × 1 + 7.74 × 1.029 + 1.54 × 0.296) × $33.4009 = $527.08

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.

27532 billing questions

How is 27532 different from 27530?

Use 27532 when the clinician manipulates the proximal tibial plateau fracture during closed treatment. Use 27530 when closed treatment does not involve manipulation.

What documentation supports reporting 27532?

Document the proximal tibial plateau fracture, the manipulation or reduction performed, and imaging findings that show alignment before and after treatment.

Does the code include postoperative care?

CMS assigns 27532 a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.

How are bilateral reductions reported under the CMS facts?

A bilateral procedure reported with modifier 50 is paid at 150%.

Can an assistant or co-surgeon be paid for this procedure?

CMS restricts assistant-at-surgery payment for 27532. 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.

RVUs for 27532PPRRVU2026_Oct_nonQPP.csv, line 2,940 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)