Closed treatment of bimalleolar ankle fracture

CPT 27808 is the billing code for "Closed treatment of bimalleolar ankle fracture". For closed treatment of bimalleolar ankle fracture

Medicare pays approximately $343.84 for CPT 27808 (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 27808 has a total RVU of 22.25, broken down as: Work RVU 12.50, Practice Expense RVU 8.50, and Malpractice RVU 1.25. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 27808 include: Indication for closed treatment; Fracture type and location; Both malleoli involved; Alignment assessment. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 27808: 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 27808 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 27808 is 20-40 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.