No office rate
Both address open treatment of a tibial shaft fracture, but 27759 is for intramedullary implant fixation. Use 27758 for plate, screw, or other non-intramedullary fixation.
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CMS RVU26D · Effective 2026-10-01
27758 Tibia fracture fixation Medicare reimbursement rates in Minnesota
Open surgical fixation of a tibial shaft fracture using a plate, screws, or another non-intramedullary construct, with or without an associated fibular fracture. Compare 27758 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 27758 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
No supported rate
Facility setting
$782.75
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.
Orthopedic surgery
About 27758: Open tibial shaft fracture fixation with plate
Open surgical fixation of a tibial shaft fracture using a plate, screws, or another non-intramedullary construct, with or without an associated fibular fracture.
An orthopedic surgeon uses this service to expose and reduce a tibial shaft fracture and stabilize it with a plate, screws, or another non-intramedullary internal fixation construct. The code encompasses treatment of the tibial fracture whether or not a fibular fracture is also present. It is generally performed in an operating room; CMS 2024 claims show facility use for this code. The intramedullary nail approach is distinguished from this service and is reported with a different code.
Select the code from the operative report’s fracture location and fixation method, not simply from the fact that surgery occurred. Documentation should identify the tibial shaft fracture and describe open reduction and the fixation construct. 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 other procedures are subject to the standard 50% reduction. With modifier 50, a bilateral procedure is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27758
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.23 · 49%
- Practice expense (office) RVU10.15 · 41%
- Malpractice RVU2.57 · 10%
1.7K
Medicare services in 2024 · #2580 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.
27758 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
27756 describes percutaneous skeletal fixation; 27758 represents open exposure and fixation with a non-intramedullary construct.
$587.14
27752 is closed treatment with manipulation. Choose 27758 when the tibial shaft fracture is treated through open surgical reduction and non-intramedullary internal fixation.
Compare 27758 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$782.75
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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 27758 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
3,039
- Code
- 27758
- Physician work
- 12.23
- Practice expense
- 10.15
- Malpractice
- 2.57
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.23 | × 1.000 | 12.2300 |
| Practice expense | 10.15 | × 1.029 | 10.4444 |
| Malpractice | 2.57 | × 0.296 | 0.7607 |
| Total RVUs | 23.4351 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$782.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.23 | 1 |
| Practice expense | 10.15 | 1.029 |
| Malpractice | 2.57 | 0.296 |
(12.23 × 1 + 10.15 × 1.029 + 2.57 × 0.296) × $33.4009 = $782.75
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.
27758 billing questions
How does 27758 differ from 27759?
Use 27758 for open tibial shaft fracture fixation with a plate, screws, or another non-intramedullary construct. Use 27759 when fixation is performed with an intramedullary implant.
Can 27758 be reported when the fracture also involves the fibula?
Yes. The tibial shaft fracture treatment represented by 27758 may include an associated fibular fracture.
Is 27758 appropriate for percutaneous fixation?
No. For percutaneous skeletal fixation of a tibial shaft fracture, consider 27756. The approach and fixation documented in the operative report distinguish the services.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are additional procedures in the same session paid?
The highest-valued procedure is paid in full, while other procedures are subject to the standard multiple procedure reduction. A bilateral procedure reported with modifier 50 is paid at 150%.
What documentation supports assistant or co-surgeon payment?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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.
3,03627750,,Treatment of tibia fracture,A,,3.29,7.87,,6.02,,0.68,11.84,9.99,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03727752,,Treatment of tibia fracture,A,,6.11,10.76,,7.54,,1.34,18.21,14.99,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03827756,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002