Closed treatment of bimalleolar ankle fracture; with manipulation

CPT 27810 is the billing code for "Closed treatment of bimalleolar ankle fracture; with manipulation". For closed treatment of bimalleolar ankle fracture with manipulation

Medicare pays approximately $480.67 for CPT 27810 (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 27810 has a total RVU of 27.85, broken down as: Work RVU 15.50, Practice Expense RVU 10.80, and Malpractice RVU 1.55. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 27810 include: Indication for closed treatment with manipulation; Fracture type and location; Both malleoli involved; Manipulation technique. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 27810: Includes closed treatment with manipulation. Includes casting or splinting Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 27810 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 27810 is 30-60 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.