$527.89–$578.31
Both address bimalleolar fractures. Choose 27808 when the fracture is treated without manipulation; choose 27810 when the provider manipulates it.
On this page
CMS RVU26D · Effective 2026-10-01
27808 Ankle fracture care Medicare reimbursement rates in Texas
Report closed treatment of a bimalleolar ankle fracture when the fracture is managed without manipulation, such as with immobilization in a cast or boot. Compare 27808 office and facility rates across CMS payment localities in Texas.
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 27808 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$357.26–$395.77
8 of 8 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.
Where 27808 pays more and less in Texas
8 payment localities
$357.26 to $395.77
Orthopedic fracture care
About 27808: Closed bimalleolar ankle fracture treatment
Report closed treatment of a bimalleolar ankle fracture when the fracture is managed without manipulation, such as with immobilization in a cast or boot.
This code covers closed care of a bimalleolar ankle fracture without manipulation, such as a fracture involving the medial and lateral malleoli or the lateral and posterior malleoli. An orthopedic surgeon or another clinician who provides fracture care may diagnose the injury and choose immobilization, commonly with a cast or boot. The fracture is managed without manually manipulating it to obtain a reduction.
Select the code from the documented fracture pattern and treatment: two malleoli are involved, and the provider does not manipulate the fracture. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 27808
- 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 RVU2.95 · 26%
- Practice expense (office) RVU7.92 · 69%
- Malpractice RVU0.58 · 5%
2.2K
Medicare services in 2024 · #2384 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.
27808 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
27808 is closed fracture care without manipulation. 27814 applies when the bimalleolar fracture receives open treatment.
$357.10–$395.11
27816 is for a trimalleolar fracture treated closed without manipulation. 27808 is for a bimalleolar fracture treated the same way.
Compare 27808 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $395.77 | Facility $329.69 |
| Beaumont | Office $357.26 | Facility $300.42 |
| Brazoria | Office $376.59 | Facility $314.69 |
| Dallas | Office $379.52 | Facility $317.31 |
| Fort Worth | Office $377.12 | Facility $315.54 |
| Galveston | Office $378.04 | Facility $316.02 |
| Houston | Office $388.66 | Facility $326.64 |
| Rest Of Texas | Office $367.07 | Facility $307.80 |
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27808 billing questions
When is 27808 appropriate instead of 27810?
Use 27808 for a bimalleolar fracture treated without manipulation. Use 27810 when the provider manipulates the fracture.
How does 27808 differ from 27814?
27808 describes closed treatment without manipulation. 27814 is for open treatment of a bimalleolar fracture.
Can cast application be billed separately?
The immobilization used as part of the fracture treatment is included in the fracture-care service. Do not separately report a cast application for that same treatment.
What documentation supports 27808?
Document the malleoli involved and the closed treatment provided. The record should support that the provider treated the fracture without manipulation.
How does the global period affect follow-up visits?
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?
Medicare does not pay an assistant at surgery 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.
3,05027786,,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
3,05627816,,Treatment of ankle fracture,A,,2.99,7.83,,5.78,,0.62,11.44,9.39,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00