# CPT 27822: Open Tx Trimalleolar Ankle Fx w/o Fixj Pst Lip

Medicare CPT 27822 pays $826.34 in a non-facility setting and $826.34 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $736.71 in Arkansas to $1,002.12 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/27822-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Orthopaedic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $826.34 |
| National facility | $826.34 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,002.12 | $1,002.12 |
| District of Columbia | $923.51 | $923.51 |
| New York | $914.41 | $914.41 |
| New Jersey | $900.15 | $900.15 |
| Florida | $895.30 | $895.30 |
| Illinois | $879.58 | $879.58 |
| Connecticut | $878.66 | $878.66 |
| California | $878.14 | $878.14 |
| Washington | $877.33 | $877.33 |
| Massachusetts | $873.70 | $873.70 |
| Maryland | $853.19 | $853.19 |
| Hawaii | $849.65 | $849.65 |
| Colorado | $840.01 | $840.01 |
| Rhode Island | $838.42 | $838.42 |
| New Hampshire | $833.38 | $833.38 |
| Michigan | $831.69 | $831.69 |
| Oregon | $830.35 | $830.35 |
| Puerto Rico | $829.55 | $829.55 |
| Virgin Islands | $829.55 | $829.55 |
| Pennsylvania | $826.57 | $826.57 |
| Montana | $826.20 | $826.20 |
| Georgia | $823.00 | $823.00 |
| Texas | $817.22 | $817.22 |
| Delaware | $816.27 | $816.27 |
| Nevada | $814.79 | $814.79 |
| New Mexico | $808.35 | $808.35 |
| Wyoming | $807.75 | $807.75 |
| West Virginia | $806.08 | $806.08 |
| Arizona | $803.96 | $803.96 |
| Virginia | $798.70 | $798.70 |
| Louisiana | $795.79 | $795.79 |
| Utah | $795.66 | $795.66 |
| Missouri | $793.13 | $793.13 |
| Ohio | $793.00 | $793.00 |
| Minnesota | $787.32 | $787.32 |
| Vermont | $787.13 | $787.13 |
| South Carolina | $785.99 | $785.99 |
| North Dakota | $783.88 | $783.88 |
| Maine | $782.30 | $782.30 |
| South Dakota | $778.88 | $778.88 |
| Kentucky | $777.00 | $777.00 |
| North Carolina | $774.42 | $774.42 |
| Oklahoma | $768.69 | $768.69 |
| Indiana | $761.14 | $761.14 |
| Wisconsin | $760.50 | $760.50 |
| Tennessee | $757.77 | $757.77 |
| Idaho | $757.49 | $757.49 |
| Mississippi | $753.50 | $753.50 |
| Kansas | $753.47 | $753.47 |
| Nebraska | $751.87 | $751.87 |
| Iowa | $750.11 | $750.11 |
| Alabama | $746.59 | $746.59 |
| Arkansas | $736.71 | $736.71 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 27822 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules