Billing code 27530: Fracture treatmentMedicare rate & RVUs in Utah
Reports closed care of a proximal tibial plateau fracture when the clinician treats the fracture without manipulating it to change alignment.
Medicare pays $332.52 for 27530 in the office in Utah (Utah). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27530 covers
This code describes closed management of a fracture at the upper end of the tibia involving the knee joint surface, when no manipulation is performed. An orthopedic surgeon or other qualified fracture-care clinician may use it for a fracture managed without surgical exposure or a reduction maneuver, such as a plateau fracture treated with immobilization and clinical follow-up. The fracture site and the treatment actually performed distinguish this service from care of the kneecap or an open plateau repair.
Document the proximal tibial plateau fracture, the closed treatment plan, and that manipulation was not performed. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
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.
27530 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $332.52 | $287.31 |
How the 27530 rate is calculated
Each of 27530’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27530
RVUs × geographic indexes × conversion factor
Work2.58
2.58 RVUs× 1.000 GPCI
Practice expense7.34
7.34 RVUs× 1.000 GPCI
Malpractice0.53
0.53 RVUs× 1.000 GPCI
Adjusted RVUs
10.4500
Conversion factor
$33.4009
Medicare rate
$349.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27530
27530 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27530
Fracture treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27530
Fracture treatment
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27530 without 50 · national office
$349.04
Fracture treatment
27530-50 · Bilateral: 150%
$523.56
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27530 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27532Fracture treatment
- Both codes address closed treatment of a proximal tibial plateau fracture; select 27532 when manipulation is performed and 27530 when it is not.
- 27535Tibial plateau fracture
- 27535 is for open treatment of a unicondylar plateau fracture. This code describes closed treatment without manipulation.
- 27536Tibial plateau repair
- 27536 is for open treatment of a plateau fracture involving both condyles; 27530 is closed treatment without manipulation.
- 27520Patella fracture
- 27520 concerns a patellar fracture, not a fracture of the proximal tibial plateau.
27530 billing questions
How does this differ from 27532?
Use 27530 when the proximal tibial plateau fracture is treated closed without manipulation. Code 27532 is the related closed-treatment option when manipulation is performed.
Can this code be used for an open plateau repair?
No. Open treatment of a unicondylar plateau fracture is represented by 27535, while 27536 describes open treatment involving both condyles.
Are related follow-up visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS handle bilateral reporting and other procedures in the session?
A bilateral procedure reported with modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What documentation supports reporting 27530?
Record the proximal tibial plateau fracture, the closed treatment plan, and that no manipulation was performed. The treatment documented should match the service reported.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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