Closed treatment of tibial shaft fracture; with manipulation, with or without skeletal traction

CPT 27752 is the billing code for "Closed treatment of tibial shaft fracture; with manipulation, with or without skeletal traction". For closed treatment of tibial shaft fracture with manipulation

Medicare pays approximately $538.57 for CPT 27752 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 27752 has a total RVU of 26.15, broken down as: Work RVU 14.50, Practice Expense RVU 10.20, and Malpractice RVU 1.45. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 27752 include: Indication for closed treatment with manipulation; Fracture type and location; Manipulation technique; Post-manipulation alignment. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 27752: Includes closed treatment with manipulation. Includes skeletal traction if used Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 27752 include: 50 (Bilateral procedure when both legs performed same session), 51 (Multiple procedures performed same session), LT (Left side procedure). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 27752 is 30-60 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.