$361.03
Both are closed treatment of a tibial shaft fracture, with or without a fibular fracture. Choose 27752 when manipulation is performed; 27750 is for treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27752 Tibial fracture care Medicare reimbursement rates in Tennessee
Report this service for closed treatment of a tibial shaft fracture requiring manipulation to restore alignment, with or without an associated fibular fracture. Compare 27752 office and facility rates across CMS payment localities in Tennessee.
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 27752 in Tennessee?
Tennessee 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
$554.80
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
Facility setting
$457.04
1 of 1 localities have a supported rate.
Payment area: Tennessee
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.
Fracture treatment
About 27752: Closed tibial shaft fracture treatment with manipulation
Report this service for closed treatment of a tibial shaft fracture requiring manipulation to restore alignment, with or without an associated fibular fracture.
An orthopedic surgeon or other qualified fracture-care provider reports this service when treating a tibial shaft fracture without opening the fracture site and manipulating the fragments to improve alignment. The treatment may include external immobilization, such as a cast or splint. The code includes tibial shaft fractures with or without an associated fibular fracture; it is not for a fracture limited to the ankle or fibula.
Choose this code when the record supports both closed treatment and manipulation, rather than closed treatment without manipulation or operative fixation. Document the shaft fracture, the reduction maneuver and resulting alignment, and the immobilization and treatment plan. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral treatment 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 27752
- 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 RVU6.11 · 34%
- Practice expense (office) RVU10.76 · 59%
- Malpractice RVU1.34 · 7%
896
Medicare services in 2024 · #3047 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.
27752 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
27756 involves percutaneous skeletal fixation. Use 27752 for closed reduction by manipulation without that fixation method.
No office rate
27758 describes open treatment using plate-and-screw fixation. It is not the closed manipulation service represented by 27752.
No office rate
27759 is used for tibial shaft fracture treatment with an intramedullary implant; 27752 represents closed treatment with manipulation.
Compare 27752 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
Tennessee →
Office / nonfacility
$554.80
Facility
$457.04
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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 27752 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
3,037
- Code
- 27752
- Physician work
- 6.11
- Practice expense
- 10.76
- Malpractice
- 1.34
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.11 | × 1.000 | 6.1100 |
| Practice expense | 10.76 | × 0.909 | 9.7808 |
| Malpractice | 1.34 | × 0.537 | 0.7196 |
| Total RVUs | 16.6104 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$554.80
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.11 | 1 |
| Practice expense | 10.76 | 0.909 |
| Malpractice | 1.34 | 0.537 |
(6.11 × 1 + 10.76 × 0.909 + 1.34 × 0.537) × $33.4009 = $554.80
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.11 | 1 |
| Practice expense | 7.54 | 0.909 |
| Malpractice | 1.34 | 0.537 |
(6.11 × 1 + 7.54 × 0.909 + 1.34 × 0.537) × $33.4009 = $457.04
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.
27752 billing questions
How does this differ from 27750?
Both describe closed treatment of a tibial shaft fracture, but 27752 is selected when manipulation is performed to improve fracture alignment. Use 27750 when the closed treatment does not involve manipulation.
Can the code be used when the fibula is also fractured?
Yes. Tibial shaft treatment may include an associated fibular fracture; the fibular fracture does not by itself change the code selection.
When is 27756 used instead?
27756 is for percutaneous skeletal fixation of a tibial shaft fracture. This code describes closed treatment with manipulation, not percutaneous fixation.
What documentation supports reporting 27752?
Document the tibial shaft fracture, the manipulation or reduction performed, the alignment achieved, and the immobilization and treatment plan.
How is bilateral treatment handled?
For bilateral procedures reported with modifier 50, CMS pays at 150%. The multiple-procedure rule also applies when multiple procedures are performed in the same session.
Are assistant surgeons or co-surgeons payable?
CMS applies a statutory restriction to assistant-at-surgery payment for this code. 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.
3,03427742,,Repair of leg epiphyses,A,,10.36,9.31,NA,9.31,,2.20,21.87,21.87,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03527745,,Reinforce tibia,A,,10.23,8.18,NA,8.18,,1.91,20.32,20.32,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03627750,,Treatment of tibia fracture,A,,3.29,7.87,,6.02,,0.68,11.84,9.99,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03727752,,Treatment of tibia fracture,A,,6.11,10.76,,7.54,,1.34,18.21,14.99,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03827756,,Treatment of tibia fracture,A,,7.26,8.11,NA,8.11,,1.53,16.90,16.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,03927758,,Treatment of tibia fracture,A,,12.23,10.15,NA,10.15,,2.57,24.95,24.95,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,04027759,,Treatment of tibia fracture,A,,14.09,10.43,NA,10.43,,2.97,27.49,27.49,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780