Billing code 27532: Fracture treatmentMedicare rate & RVUs in Utah

Reports closed reduction of a proximal tibial plateau fracture when the clinician manipulates the fracture to restore alignment without opening the site.

CMS RVU26DEffective Oct 1, 20261 payment locality672 Medicare services in 2024

Medicare pays $650.89 for 27532 in the office in Utah (Utah). Which amount applies depends on the service address.

$650.89Office (non-facility)
$535.03Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27532 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 27532 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 27532 covers

Code 27532 reports closed treatment of a proximal tibial plateau fracture when the clinician manipulates the fracture to restore alignment without opening the fracture site. Orthopedic surgeons commonly perform the reduction in an operating room under anesthesia; selected reductions may occur in an emergency department. Imaging is used to assess fracture alignment and the result of reduction.

Choose this code when manipulation is performed as part of closed treatment; use 27530 when the fracture is treated without manipulation. Document the plateau fracture site, the reduction maneuver, and imaging findings before and after treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid 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.

27532 in Utah

27532 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$650.89$535.03

How the 27532 rate is calculated

Each of 27532’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 · 27532

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.36Practice expense 11.43Malpractice 1.54

20.3300 adjusted RVUs×$33.4009 conversion factor=$679.04

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27532

27532 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27532

Fracture treatment

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27532

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27532 without 50 · national office

$679.04

Fracture treatment

27532-50 · Bilateral: 150%

$1,018.56

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).

When to use modifier 50

27532 compared with similar codes

Compare codes

27532 vs 27530 vs 27535 vs 27536: national Medicare rates

Swap in your local Medicare rate.

  • 27532
    Fracture treatment · 7.36 wRVU
    $679.04
  • 27530
    Fracture treatment · 2.58 wRVU
    $349.04−$330.00
  • 27535
    Tibial plateau fracture · 13.07 wRVU
    —
  • 27536
    Tibial plateau repair · 16.96 wRVU
    —

How to choose

27530Fracture treatment
Both codes address closed treatment of a proximal tibial plateau fracture. Choose 27532 when manipulation is performed; choose 27530 when it is not.
27535Tibial plateau fracture
27535 describes open treatment of a unicondylar plateau fracture. Use 27532 for closed treatment with manipulation rather than open treatment.
27536Tibial plateau repair
27536 describes open treatment of a bicondylar plateau fracture. The fracture pattern and open surgical approach distinguish it from closed reduction under 27532.

27532 billing questions

How is 27532 different from 27530?

Use 27532 when the clinician manipulates the proximal tibial plateau fracture during closed treatment. Use 27530 when closed treatment does not involve manipulation.

What documentation supports reporting 27532?

Document the proximal tibial plateau fracture, the manipulation or reduction performed, and imaging findings that show alignment before and after treatment.

Does the code include postoperative care?

CMS assigns 27532 a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.

How are bilateral reductions reported under the CMS facts?

A bilateral procedure reported with modifier 50 is paid at 150%.

Can an assistant or co-surgeon be paid for this procedure?

CMS restricts assistant-at-surgery payment for 27532. 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 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
RVUs for 27532PPRRVU2026_Oct_nonQPP.csv, line 2,940 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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