$349.37–$378.10
27824 is for closed treatment of a posterior malleolus fracture without manipulation; 27826 is for open treatment.
On this page
CMS RVU26D · Effective 2026-10-01
27826 Fracture repair Medicare reimbursement rates in Oregon
Reports open treatment of a posterior malleolus fracture, including internal fixation when performed, rather than closed care or pilon fracture repair. Compare 27826 office and facility rates across CMS payment localities in Oregon.
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 27826 in Oregon?
Oregon 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
No supported rate
Facility setting
$790.72–$843.27
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 surgery
About 27826: Open posterior malleolus fracture repair
Reports open treatment of a posterior malleolus fracture, including internal fixation when performed, rather than closed care or pilon fracture repair.
This code describes open reduction of a fracture of the posterior malleolus, the back portion of the distal tibia at the ankle. An orthopedic surgeon typically exposes the fracture, restores the fragment’s position, and stabilizes it when needed, such as with screws or a plate. The procedure is generally performed in an operating room for a fracture requiring open treatment; internal fixation is included when performed.
Select the code when the operative report identifies open treatment of the posterior malleolus, distinguishing it from closed treatment and from repair of a distal tibial pilon fracture. Documentation should identify the fracture site, the open reduction, and any fixation performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. A bilateral procedure reported with modifier 50 is paid at 150%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 27826
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.82 · 44%
- Practice expense (office) RVU11.43 · 47%
- Malpractice RVU2.09 · 9%
144
Medicare services in 2024 · #4593 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.
27826 compared with similar codes
Office rates for Oregon, from the same CMS release.
$589.46–$634.05
27825 is for closed treatment of a posterior malleolus fracture with manipulation. Open reduction points to 27826 instead.
No office rate
27827 addresses open treatment of a distal tibial plafond fracture involving the tibia alone; 27826 is for a posterior malleolus fracture.
No office rate
27823 describes open treatment of a trimalleolar fracture with posterior-lip fixation. Use 27826 when the operative service is for a posterior malleolus fracture rather than that trimalleolar fracture pattern.
Compare 27826 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
Portland →
Office / nonfacility
Unavailable
Facility
$843.27
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$790.72
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27826 billing questions
How does 27826 differ from closed posterior malleolus treatment?
Use 27826 for open treatment of the posterior malleolus. Codes 27824 and 27825 describe closed treatment, distinguished by whether manipulation is performed.
Does 27826 include internal fixation?
Yes. Internal fixation is included when performed as part of the open treatment.
When should a pilon fracture code be considered instead?
For open treatment of a fracture involving the distal tibial weight-bearing surface or plafond, consider 27827 or 27828, based on whether treatment involves the tibia alone or the tibia and fibula.
What postoperative care is included in the Medicare global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures and bilateral treatment handled?
In the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. A bilateral procedure reported with modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this code; team surgery is 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.
3,05927823,,Treatment of ankle fracture,A,,12.83,12.28,NA,12.28,,2.53,27.64,27.64,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06027824,,Treat lower leg fracture,A,,3.23,6.80,,5.63,,0.65,10.68,9.51,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06127825,,Treat lower leg fracture,A,,6.52,10.22,,6.47,,1.35,18.09,14.34,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06227826,,Treat lower leg fracture,A,,10.82,11.43,NA,11.43,,2.09,24.34,24.34,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06327827,,Treat lower leg fracture,A,,14.42,14.17,NA,14.17,,2.94,31.53,31.53,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06427828,,Treat lower leg fracture,A,,17.97,15.22,NA,15.22,,3.64,36.83,36.83,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06527829,,Treat lower leg joint,A,,8.58,9.94,NA,9.94,,1.63,20.15,20.15,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00