No office rate
This code represents closed treatment of an ankle dislocation. Choose 27860 when the separately performed service is ankle manipulation under general anesthesia, not reduction included in dislocation treatment.
On this page
CMS RVU26D · Effective 2026-10-01
27860 Ankle manipulation Medicare reimbursement rates in Oklahoma
Reports controlled manipulation of the ankle under general anesthesia, commonly to address restricted motion when nonoperative movement requires anesthesia. Compare 27860 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 27860 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
$145.07
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 procedure
About 27860: Ankle manipulation under general anesthesia
Reports controlled manipulation of the ankle under general anesthesia, commonly to address restricted motion when nonoperative movement requires anesthesia.
An orthopedic surgeon manipulates the ankle while the patient is under general anesthesia, using controlled movement and, when needed, traction or a fixation apparatus. A typical setting is a hospital or ambulatory surgery center; restricted ankle motion after immobilization or prior surgery may prompt the procedure. The service is distinct from treating an ankle fracture or dislocation when reduction is included in that injury-treatment code.
The record should identify the ankle, the reason manipulation was needed, the anesthesia context, and the work performed, including any traction or apparatus used. CMS assigns a 10-day global period, so related postoperative visits during that period are included. For same-session multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 reports bilateral work and receives 150% payment. An assistant is payable only with documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 27860
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.33 · 50%
- Practice expense (office) RVU1.95 · 42%
- Malpractice RVU0.35 · 8%
461
Medicare services in 2024 · #3631 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.
27860 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
This code represents open treatment of an ankle dislocation. It is not a substitute for manipulation alone under general anesthesia.
No office rate
This code is ankle fusion, which surgically joins the joint. Code 27860 describes manipulation intended to address restricted motion, not fusion.
Compare 27860 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
$145.07
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 27860 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
3,073
- Code
- 27860
- Physician work
- 2.33
- Practice expense
- 1.95
- Malpractice
- 0.35
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.33 | × 1.000 | 2.3300 |
| Practice expense | 1.95 | × 0.893 | 1.7413 |
| Malpractice | 0.35 | × 0.777 | 0.2719 |
| Total RVUs | 4.3433 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$145.07
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.33 | 1 |
| Practice expense | 1.95 | 0.893 |
| Malpractice | 0.35 | 0.777 |
(2.33 × 1 + 1.95 × 0.893 + 0.35 × 0.777) × $33.4009 = $145.07
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.
27860 billing questions
When should 27860 be chosen instead of an ankle dislocation treatment code?
Use 27860 for manipulation of the ankle under general anesthesia as a distinct service. When manipulation is part of treating an ankle dislocation, select the applicable dislocation-treatment code rather than separately reporting the manipulation.
Does the code include traction or a fixation apparatus?
The service may include traction or use of a fixation apparatus. Document the technique and equipment used as part of the ankle manipulation.
Can 27860 be reported on both ankles?
For bilateral performance, report modifier 50. CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
An assistant at surgery is payable only when the documentation supports medical necessity. Co-surgeons and team surgery are not permitted for this code.
Are postoperative visits separately payable during the 10-day period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
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.
3,07027842,,Treat ankle dislocation,A,,6.30,7.09,NA,7.09,,1.31,14.70,14.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07127846,,Treat ankle dislocation,A,,10.02,8.28,NA,8.28,,1.91,20.21,20.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07227848,,Treat ankle dislocation,A,,11.39,8.55,NA,8.55,,2.15,22.09,22.09,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07327860,,Fixation of ankle joint,A,,2.33,1.95,NA,1.95,,0.35,4.63,4.63,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07427870,,Fusion of ankle joint open,A,,15.02,10.07,NA,10.07,,2.69,27.78,27.78,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07527871,,Fusion of tibiofibular joint,A,,9.30,8.22,NA,8.22,,1.85,19.37,19.37,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07627880,,Amputation of lower leg,A,,14.99,5.97,NA,5.97,,3.67,24.63,24.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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