$418.73
Use 27830 for closed treatment of the proximal tibiofibular dislocation without manipulation. This code is for open operative treatment.
On this page
CMS RVU26D · Effective 2026-10-01
27832 Joint dislocation Medicare reimbursement rates in Vermont
Report this service when a surgeon operates to realign a dislocated proximal tibiofibular joint, near the fibular head at the knee. Compare 27832 office and facility rates across CMS payment localities in Vermont.
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 27832 in Vermont?
Vermont 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
$678.82
1 of 1 localities have a supported rate.
Payment area: Vermont
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 27832: Open treatment of proximal tibiofibular dislocation
Report this service when a surgeon operates to realign a dislocated proximal tibiofibular joint, near the fibular head at the knee.
This code represents operative treatment of a dislocation at the proximal tibiofibular joint, where the fibular head meets the tibia just below the knee. An orthopedic surgeon exposes the joint and restores its alignment; fixation may be used when needed to maintain stability. The service is typically performed in an operating room for a traumatic injury that requires open treatment rather than closed reduction alone.
Select the code when the operative record identifies the proximal tibiofibular joint and documents open treatment; a fibular fracture or an ankle-joint dislocation is a different condition. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27832
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.92 · 46%
- Practice expense (office) RVU9.43 · 44%
- Malpractice RVU2.11 · 10%
27
Medicare services in 2024 · #5733 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.
27832 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Use 27831 for closed treatment of the same joint dislocation with manipulation. Choose this code when the surgeon treats the joint operatively through an open approach.
No office rate
27829 concerns disruption of the distal tibiofibular joint, or ankle syndesmosis. This code concerns dislocation at the proximal tibiofibular joint near the knee.
No office rate
27846 is open treatment of an ankle-joint dislocation. Use this code for the proximal tibiofibular joint dislocation near the fibular head.
Compare 27832 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
Vermont →
Office / nonfacility
Unavailable
Facility
$678.82
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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 27832 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
3,068
- Code
- 27832
- Physician work
- 9.92
- Practice expense
- 9.43
- Malpractice
- 2.11
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.92 | × 1.000 | 9.9200 |
| Practice expense | 9.43 | × 0.990 | 9.3357 |
| Malpractice | 2.11 | × 0.506 | 1.0677 |
| Total RVUs | 20.3234 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$678.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.92 | 1 |
| Practice expense | 9.43 | 0.99 |
| Malpractice | 2.11 | 0.506 |
(9.92 × 1 + 9.43 × 0.99 + 2.11 × 0.506) × $33.4009 = $678.82
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.
27832 billing questions
How does this differ from 27830 and 27831?
27832 is for open operative treatment of the proximal tibiofibular dislocation. Codes 27830 and 27831 describe closed treatment, distinguished by whether manipulation is used.
Is fixation included when the surgeon stabilizes the joint?
The open treatment includes internal fixation when performed. Do not report the fixation as a separate service solely because hardware was used to maintain the reduction.
Does the 90-day global period include postoperative visits?
Yes. The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures in that session are paid at 50%. The rule applies when this procedure is performed with other procedures in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports bilateral reporting?
Document open treatment of the proximal tibiofibular dislocation on both sides. With modifier 50, CMS pays bilateral procedures at 150%.
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.
3,06527829,,Treat lower leg joint,A,,8.58,9.94,NA,9.94,,1.63,20.15,20.15,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06627830,,Treat lower leg dislocation,A,,3.86,8.34,,6.11,,0.83,13.03,10.80,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06727831,,Treat lower leg dislocation,A,,4.61,6.45,NA,6.45,,1.00,12.06,12.06,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06827832,,Treat lower leg dislocation,A,,9.92,9.43,NA,9.43,,2.11,21.46,21.46,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06927840,,Treat ankle dislocation,A,,4.65,7.83,NA,7.83,,1.08,13.56,13.56,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07027842,,Treat ankle dislocation,A,,6.30,7.09,NA,7.09,,1.31,14.70,14.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,07127846,,Treat ankle dislocation,A,,10.02,8.28,NA,8.28,,1.91,20.21,20.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817