Billing code 27825: Fracture treatmentMedicare rate & RVUs in Nevada
Closed treatment of a distal tibial fracture with manipulation to restore alignment, such as for a pilon or tibial plafond fracture.
Medicare pays $597.03 for 27825 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 27825 covers
Code 27825 covers closed reduction of a distal tibial fracture, such as a pilon or tibial plafond fracture, when the clinician manipulates the fragments to restore alignment. An orthopedic surgeon or other physician providing fracture care typically performs the reduction in an emergency department, operating room, or other acute-care setting; the fracture is stabilized afterward without opening the fracture site.
Select this code for the documented distal tibia injury and manipulation, rather than closed treatment without manipulation or open repair. The record should identify the fracture location, laterality, reduction performed, and stabilization plan. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, 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 requires documented medical necessity; 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.
27825 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $597.03 | $471.65 |
How the 27825 rate is calculated
Each of 27825’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 · 27825
RVUs × geographic indexes × conversion factor
Work6.52
6.52 RVUs× 1.000 GPCI
Practice expense10.22
10.22 RVUs× 1.000 GPCI
Malpractice1.35
1.35 RVUs× 1.000 GPCI
Adjusted RVUs
18.0900
Conversion factor
$33.4009
Medicare rate
$604.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27825
27825 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27825
Fracture treatment
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 27825
Fracture treatment
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
27825 without 50 · national office
$604.22
Fracture treatment
27825-50 · Bilateral: 150%
$906.33
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).
27825 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27824Fracture treatment
- Use 27824 for closed treatment of the distal tibial fracture without manipulation; 27825 requires manipulation to restore alignment.
- 27752Tibial fracture care
- This code is for closed treatment of a tibial shaft fracture with manipulation. Choose 27825 for a distal tibial fracture, such as a pilon or tibial plafond fracture.
- 27827Pilon fracture repair
- 27827 describes open treatment with internal fixation of the tibia. Use 27825 when the distal tibial fracture is treated closed with manipulation.
27825 billing questions
How does 27825 differ from 27824?
27825 is for closed treatment of a distal tibial fracture with manipulation. Use 27824 when the closed treatment is performed without manipulation.
What documentation supports 27825?
Document the distal tibial fracture site and laterality, the manipulation or reduction performed, and the stabilization plan. The record should support that treatment was closed rather than an open repair.
How is the global period handled?
CMS assigns a 90-day major-surgery global period. It includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and other procedures at 50%. For bilateral reporting with modifier 50, CMS pays 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
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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