$376.76–$394.90
Both codes address closed treatment of a proximal tibial plateau fracture. Choose 27532 when manipulation is performed; choose 27530 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
27532 Fracture treatment Medicare reimbursement rates in New Jersey
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 New Jersey.
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 New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$728.99–$759.11
2 of 2 localities have a supported rate.
Facility setting
$594.40–$616.14
2 of 2 localities have a supported rate.
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 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 New Jersey, from the same CMS release.
No office rate
27535 describes open treatment of a unicondylar plateau fracture. Use 27532 for closed treatment with manipulation rather than open treatment.
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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
$759.11
Facility
$616.14
Rest Of New Jersey →
Office / nonfacility
$728.99
Facility
$594.40
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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.
2,93727520,,Treat kneecap fracture,A,,2.96,7.50,,5.74,,0.61,11.07,9.31,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93827524,,Treat kneecap fracture,A,,10.11,8.89,NA,8.89,,2.11,21.11,21.11,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,93927530,,Treat knee fracture,A,,2.58,7.34,,5.90,,0.53,10.45,9.01,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94027532,,Treat knee fracture,A,,7.36,11.43,,7.74,,1.54,20.33,16.64,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94127535,,Treat knee fracture,A,,13.07,8.59,NA,8.59,,2.75,24.41,24.41,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94227536,,Treat knee fracture,A,,16.96,12.10,NA,12.10,,3.60,32.66,32.66,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94327538,,Treat knee fracture(s),A,,4.96,10.11,,7.47,,1.06,16.13,13.49,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00