$544.77
27810 is closed treatment of a bimalleolar fracture with manipulation. Report 27814 when the surgeon performs open operative treatment.
On this page
CMS RVU26D · Effective 2026-10-01
27814 Ankle fracture Medicare reimbursement rates in Minnesota
Report this service when a surgeon treats a bimalleolar ankle fracture through open surgery, with internal fixation when performed. Compare 27814 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 27814 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
$675.19
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 27814: Open treatment of bimalleolar ankle fracture
Report this service when a surgeon treats a bimalleolar ankle fracture through open surgery, with internal fixation when performed.
This code represents operative treatment of a fracture involving two malleoli of the ankle. An orthopedic surgeon typically exposes the fracture to restore alignment and may secure the fragments with plates, screws, or other fixation. The service is commonly performed in a hospital or ambulatory surgery center. The operative report should establish the fracture pattern and document the open treatment performed; internal fixation is part of the reported service when used.
Select this code for an open operation on a bimalleolar fracture, rather than closed treatment or open treatment of a trimalleolar fracture. 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 may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27814
- 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 RVU10.35 · 48%
- Practice expense (office) RVU9.00 · 42%
- Malpractice RVU2.04 · 10%
10.3K
Medicare services in 2024 · #1452 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.
27814 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
27822 is for open treatment of a trimalleolar fracture without fixation of the posterior lip. Use 27814 for a bimalleolar fracture.
No office rate
27823 describes open treatment of a trimalleolar fracture with fixation of the posterior lip; 27814 describes a bimalleolar fracture.
Compare 27814 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
$675.19
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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 27814 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
3,055
- Code
- 27814
- Physician work
- 10.35
- Practice expense
- 9.00
- Malpractice
- 2.04
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.35 | × 1.000 | 10.3500 |
| Practice expense | 9.00 | × 1.029 | 9.2610 |
| Malpractice | 2.04 | × 0.296 | 0.6038 |
| Total RVUs | 20.2148 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$675.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.35 | 1 |
| Practice expense | 9 | 1.029 |
| Malpractice | 2.04 | 0.296 |
(10.35 × 1 + 9 × 1.029 + 2.04 × 0.296) × $33.4009 = $675.19
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.
27814 billing questions
How does this code differ from closed treatment codes 27808 and 27810?
Use 27814 for open operative treatment of a bimalleolar fracture. Codes 27808 and 27810 describe closed treatment, without and with manipulation, respectively.
When should 27822 or 27823 be reported instead?
Those codes describe open treatment of a trimalleolar fracture. Code 27823 includes fixation of the posterior lip; 27822 is used when that fragment is not fixed.
Is internal fixation separately reported with 27814?
Internal fixation performed as part of the open fracture treatment is included in this service; it is not separately reported as another fracture-treatment code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS treat bilateral reporting and other procedures in the same session?
With modifier 50, bilateral reporting is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and 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.
3,05227792,,Treatment of ankle fracture,A,,8.53,8.06,NA,8.06,,1.61,18.20,18.20,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05327808,,Treatment of ankle fracture,A,,2.95,7.92,,6.05,,0.58,11.45,9.58,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05427810,,Treatment of ankle fracture,A,,5.19,10.47,,7.54,,1.17,16.83,13.90,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05527814,,Treatment of ankle fracture,A,,10.35,9.00,NA,9.00,,2.04,21.39,21.39,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05627816,,Treatment of ankle fracture,A,,2.99,7.83,,5.78,,0.62,11.44,9.39,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05727818,,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
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