27786 Treatment of ankle fracture
Also known as: closed reduction lateral ankle, conservative ankle fracture, ankle fracture ORIF
Initial closed treatment of ankle fracture (lateral malleolus) with manipulation and immobilization.
In Plain Language
setting broken outer ankle without surgery
Clinical Context
Used for uncomplicated, non-displaced lateral malleolar fractures. Non-operative approach with casting.
RVU Breakdown
| Work RVU | 2.94 |
| Total RVU | 2.94 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.94, this code ranks in the 21st percentile among Surgery codes — 2.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27786?
CPT 27786 (Treatment of ankle fracture) is a Surgery code. Initial closed treatment of ankle fracture (lateral malleolus) with manipulation and immobilization.
What is the wRVU value for CPT 27786?
The work RVU for CPT 27786 is 2.94. This code is primarily used by Orthopedic Surgery, Emergency Medicine. It has a 90-day global period.
When is CPT 27786 used?
Used for uncomplicated, non-displaced lateral malleolar fractures. Non-operative approach with casting.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.