27826
Treat lower leg fracture
Code typePrimary
Payment statusActive (A)
Global period90-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary27826Treat lower leg fracture
1
$812.98
$812.98
RVU Breakdown
Component
Office
Facility
Work
10.82
10.82
Practice expense
11.43
11.43
Malpractice
2.09
2.09
Total RVU
24.34
24.34
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,219.47 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons (mod 62) are paid 62.5% of the fee each (125% total, split).
Not applicable to this code
Team surgeon -66Prof / tech split