$320.41
27786 is for closed treatment of a distal fibular fracture without manipulation. Choose 27792 when the fracture is treated through open surgical exposure.
On this page
CMS RVU26D · Effective 2026-10-01
27792 Ankle fracture surgery Medicare reimbursement rates in Tennessee
Reports open surgical treatment of a distal fibular fracture at the lateral malleolus, typically when exposure and reduction are needed to restore alignment. Compare 27792 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 27792 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
No supported rate
Facility setting
$558.50
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.
Orthopedic surgery
About 27792: Open treatment of lateral malleolus fracture
Reports open surgical treatment of a distal fibular fracture at the lateral malleolus, typically when exposure and reduction are needed to restore alignment.
An orthopedic surgeon uses this code when an operation directly exposes and treats a fracture of the distal fibula at the lateral malleolus. A common setting is a hospital outpatient department or ambulatory surgery center for a displaced or unstable fracture requiring open reduction; fixation with a plate, screws, or other hardware may be performed. The code concerns the lateral malleolus, not an isolated medial or posterior malleolar fracture.
The operative report should establish the fracture site and document open treatment; fixation is included when performed. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral procedures reported with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27792
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.53 · 47%
- Practice expense (office) RVU8.06 · 44%
- Malpractice RVU1.61 · 9%
6.4K
Medicare services in 2024 · #1714 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.
27792 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$454.73
27788 describes closed treatment with manipulation. It does not represent open reduction of the distal fibula.
No office rate
27766 is for open treatment of the medial malleolus. Code 27792 concerns the distal fibula at the lateral malleolus.
No office rate
27814 applies to open treatment of a bimalleolar fracture pattern. Use 27792 for open treatment of the distal fibula when the bimalleolar code does not describe the treated pattern.
Compare 27792 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
Unavailable
Facility
$558.50
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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 27792 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
3,052
- Code
- 27792
- Physician work
- 8.53
- Practice expense
- 8.06
- Malpractice
- 1.61
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.53 | × 1.000 | 8.5300 |
| Practice expense | 8.06 | × 0.909 | 7.3265 |
| Malpractice | 1.61 | × 0.537 | 0.8646 |
| Total RVUs | 16.7211 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$558.50
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.53 | 1 |
| Practice expense | 8.06 | 0.909 |
| Malpractice | 1.61 | 0.537 |
(8.53 × 1 + 8.06 × 0.909 + 1.61 × 0.537) × $33.4009 = $558.50
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.
27792 billing questions
When is 27792 used instead of a closed-treatment code?
Use 27792 when the surgeon openly exposes and treats the distal fibular fracture. Closed treatment without manipulation is represented by 27786, while closed treatment with manipulation is represented by 27788.
Can fixation hardware be billed separately?
Fixation performed as part of the open fracture treatment is included in 27792. The operative report should describe the fracture treatment and any fixation performed.
How should a bilateral procedure be reported?
CMS lists this as a bilateral procedure; when modifier 50 is used, payment is 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
How does CMS handle another procedure performed in the same session?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
3,04927784,,Treatment of fibula fracture,A,,9.43,8.86,NA,8.86,,1.86,20.15,20.15,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05027786,,Treatment of ankle fracture,A,,2.94,7.00,,5.31,,0.54,10.48,8.79,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05127788,,Treatment of ankle fracture,A,,4.52,9.42,,6.89,,0.99,14.93,12.40,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05227792,,Treatment of ankle fracture,A,,8.53,8.06,NA,8.06,,1.61,18.20,18.20,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05327808,,Treatment of ankle fracture,A,,2.95,7.92,,6.05,,0.58,11.45,9.58,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05427810,,Treatment of ankle fracture,A,,5.19,10.47,,7.54,,1.17,16.83,13.90,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,05527814,,Treatment of ankle fracture,A,,10.35,9.00,NA,9.00,,2.04,21.39,21.39,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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