CPT code 27767: Ankle fracture care2026 Medicare rate & RVUs in Nevada
Report this service for nonoperative care of a posterior malleolus fracture when the provider treats the fracture without manipulating it.
Medicare pays $319.19 for 27767 in the office in Nevada (Nevada**). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27767 covers
This code represents nonoperative care of a fracture at the posterior part of the distal tibia, where it forms the ankle joint. An orthopedic surgeon or other qualified practitioner may provide this care in an office, emergency department, or hospital when the treatment plan is closed management rather than operative fixation. The key distinction is that the provider does not manipulate the fracture to achieve or restore alignment.
The record should identify the posterior malleolus fracture, document the closed treatment plan, and support that no manipulation was performed. Code 27768 is the corresponding choice when manipulation is performed; open fixation is represented by a different code. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
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.
27767 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $319.19 | $298.13 |
How the 27767 rate is calculated
Each of 27767’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27767
RVUs × geographic indexes × conversion factor
Work2.57
2.57 RVUs× 1.000 GPCI
Practice expense6.58
6.58 RVUs× 1.000 GPCI
Malpractice0.48
0.48 RVUs× 1.000 GPCI
Adjusted RVUs
9.6300
Conversion factor
$33.4009
Medicare rate
$321.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27767
27767 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27767
Ankle fracture care
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27767
Ankle fracture care
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27767 without 50 · national office
$321.65
Ankle fracture care
27767-50 · Bilateral: 150%
$482.48
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27767 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27768Ankle fracture treatment
- Both codes address closed treatment of a posterior malleolus fracture. Choose 27767 when no manipulation is performed and 27768 when the provider manipulates the fracture.
- 27769Ankle fracture repair
- This code is for closed, nonoperative fracture care. Code 27769 applies when the posterior malleolus fracture is treated with open fixation.
- 27808Ankle fracture care
- Code 27808 addresses a bimalleolar fracture pattern treated without manipulation. Code 27767 is for closed treatment of a posterior malleolus fracture.
- 27760Ankle fracture care
- Code 27760 concerns a medial malleolus fracture treated without manipulation. Code 27767 concerns the posterior malleolus.
27767 billing questions
How is this distinguished from 27768?
Use 27767 when the posterior malleolus fracture is treated without manipulation. Use 27768 when the provider manipulates the fracture as part of closed treatment.
When is 27769 more appropriate?
Use 27769 when the posterior malleolus fracture is treated operatively with open fixation, rather than by closed fracture care.
Does the 90-day global include related follow-up care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in this code's global period.
How should bilateral treatment be reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
What documentation supports reporting 27767?
Document the posterior malleolus fracture, the closed treatment plan, and that no manipulation was performed. If the provider manipulates the fracture, consider 27768 instead.
Can an assistant or co-surgeon be reported?
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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