No office rate
Both address closed treatment of a proximal tibiofibular joint dislocation. Use 27830 when treatment is without manipulation and 27831 when manipulation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
27830 Joint dislocation care Medicare reimbursement rates in Wyoming
Report closed care of a proximal tibiofibular joint dislocation when the treating clinician manages the injury without manipulating the joint. Compare 27830 office and facility rates across CMS payment localities in Wyoming.
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 27830 in Wyoming?
Wyoming 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
$428.01
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$353.52
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 treatment
About 27830: Closed treatment of proximal tibiofibular dislocation
Report closed care of a proximal tibiofibular joint dislocation when the treating clinician manages the injury without manipulating the joint.
This code describes nonoperative treatment of a dislocation at the proximal tibiofibular joint, where the tibia and fibula meet near the knee. It applies when the clinician treats the dislocation without manipulating the joint. Orthopedic surgeons and other clinicians qualified to manage musculoskeletal injuries may provide this care, commonly in a hospital or emergency setting. The involved joint is distinct from the ankle joint and from the distal tibiofibular syndesmosis.
Select this code when the documentation supports a proximal tibiofibular joint dislocation and closed treatment without manipulation. Record the affected side, the treatment approach, and the plan for stabilization and follow-up. CMS assigns a 90-day global period, including 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 multiple procedure reduction. Bilateral treatment with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 27830
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.86 · 30%
- Practice expense (office) RVU8.34 · 64%
- Malpractice RVU0.83 · 6%
19
Medicare services in 2024 · #5940 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.
27830 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
This code is for closed treatment without manipulation; 27832 is for open treatment of the proximal tibiofibular joint dislocation.
No office rate
Code 27840 concerns an ankle-joint dislocation. Code 27830 concerns the proximal tibiofibular joint near the knee.
No office rate
Code 27829 concerns disruption of the distal tibiofibular joint, commonly termed the syndesmosis; 27830 concerns a proximal joint dislocation.
Compare 27830 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
Wyoming** →
Office / nonfacility
$428.01
Facility
$353.52
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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 27830 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,066
- Code
- 27830
- Physician work
- 3.86
- Practice expense
- 8.34
- Malpractice
- 0.83
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.86 | × 1.000 | 3.8600 |
| Practice expense | 8.34 | × 1.000 | 8.3400 |
| Malpractice | 0.83 | × 0.740 | 0.6142 |
| Total RVUs | 12.8142 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$428.01
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.86 | 1 |
| Practice expense | 8.34 | 1 |
| Malpractice | 0.83 | 0.74 |
(3.86 × 1 + 8.34 × 1 + 0.83 × 0.74) × $33.4009 = $428.01
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.86 | 1 |
| Practice expense | 6.11 | 1 |
| Malpractice | 0.83 | 0.74 |
(3.86 × 1 + 6.11 × 1 + 0.83 × 0.74) × $33.4009 = $353.52
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.
27830 billing questions
How does this differ from 27831?
Code 27830 is for closed treatment without manipulation. Code 27831 is the related code when manipulation is performed.
Can this code be used for an ankle dislocation?
No. It applies to the proximal tibiofibular joint near the knee. An ankle-joint dislocation is a different anatomical injury.
What documentation supports reporting this code?
Document the proximal tibiofibular joint dislocation, the affected side, and that treatment was closed and performed without manipulation.
Is related follow-up care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
For bilateral treatment, modifier 50 applies; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only with documentation of medical necessity. 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.
3,06327827,,Treat lower leg fracture,A,,14.42,14.17,NA,14.17,,2.94,31.53,31.53,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06427828,,Treat lower leg fracture,A,,17.97,15.22,NA,15.22,,3.64,36.83,36.83,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,06527829,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,