No office rate
Use 27535 when the fracture is unicondylar. This code applies when the fracture involves both tibial plateau condyles.
On this page
CMS RVU26D · Effective 2026-10-01
27536 Tibial plateau repair Medicare reimbursement rates in Oklahoma
Open operative repair of a bicondylar tibial plateau fracture, reported when both condyles are treated through surgical exposure, with fixation when performed. Compare 27536 office and facility rates across CMS payment localities in Oklahoma.
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 27536 in Oklahoma?
Oklahoma 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
$1020.82
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 27536: Bicondylar tibial plateau fracture repair
Open operative repair of a bicondylar tibial plateau fracture, reported when both condyles are treated through surgical exposure, with fixation when performed.
This service involves surgically exposing and reducing a fracture that involves both the medial and lateral condyles of the tibial plateau. An orthopedic surgeon typically performs the repair in a hospital operating room, often using plates or screws to stabilize the fracture. Internal fixation is included when performed as part of the fracture treatment.
Report this code when the operative documentation supports a bicondylar tibial plateau fracture and open treatment. The record should identify the fracture pattern and describe the reduction and any fixation. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral reporting with modifier 50, payment is 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27536
- 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 RVU16.96 · 52%
- Practice expense (office) RVU12.10 · 37%
- Malpractice RVU3.60 · 11%
2.9K
Medicare services in 2024 · #2212 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.
27536 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$318.86
27530 describes closed treatment without manipulation. Use this code for open operative treatment of a bicondylar fracture.
$626.72
27532 describes closed treatment with manipulation. This code is for operative treatment requiring surgical exposure of a bicondylar fracture.
Compare 27536 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$1020.82
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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 27536 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
2,942
- Code
- 27536
- Physician work
- 16.96
- Practice expense
- 12.10
- Malpractice
- 3.60
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.96 | × 1.000 | 16.9600 |
| Practice expense | 12.10 | × 0.893 | 10.8053 |
| Malpractice | 3.60 | × 0.777 | 2.7972 |
| Total RVUs | 30.5625 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$1020.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.96 | 1 |
| Practice expense | 12.1 | 0.893 |
| Malpractice | 3.6 | 0.777 |
(16.96 × 1 + 12.1 × 0.893 + 3.6 × 0.777) × $33.4009 = $1020.82
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.
27536 billing questions
How is this code distinguished from 27535?
This code is for a fracture involving both tibial plateau condyles. Code 27535 describes open treatment of a unicondylar tibial plateau fracture.
Can internal fixation be reported separately?
No separate fracture-treatment code is reported solely for fixation performed as part of this repair; plates or screws are included when used.
When does 27530 or 27532 apply instead?
Those codes describe closed treatment of a tibial plateau fracture. This code is for operative treatment through surgical exposure.
How does the bilateral rule affect reporting?
CMS pays a bilateral procedure reported with modifier 50 at 150%. The operative record should support treatment of both sides.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,93927530,,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
2,94427540,,Treat knee fracture,A,,11.02,9.48,NA,9.48,,2.33,22.83,22.83,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,94527550,,Treat knee dislocation,A,,5.83,11.35,,8.50,,1.33,18.51,15.66,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193