Closed treatment of medial malleolus fracture; without manipulation

CPT 27760 is the billing code for "Closed treatment of medial malleolus fracture; without manipulation". For closed treatment of medial malleolus fracture without manipulation

Medicare pays approximately $341.58 for CPT 27760 (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 27760 has a total RVU of 16.95, broken down as: Work RVU 9.50, Practice Expense RVU 6.50, and Malpractice RVU 0.95. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 27760 include: Indication for closed treatment; Fracture type and location; Alignment assessment; Imaging findings. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 27760: Includes closed treatment without manipulation. Includes casting or splinting Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 27760 include: 50 (Bilateral procedure when both ankles 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 27760 is 15-30 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.