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CPT code 27230: Fracture treatment, femoral neck, closed2026 Medicare rate & RVUs in Dallas, TX

Reports closed, nonoperative treatment of a femoral neck fracture when the physician manages the fracture without manipulating it.

CMS RVU26DEffective Oct 1, 2026One payment locality1.4K Medicare services in 2024

In Dallas, TX, Medicare pays $531.11 for 27230 in the office and $467.90 when it’s performed in a hospital or facility.

$531.11Office (non-facility)
$467.90Hospital or facility
−1.0%vs the national office rate ($536.42)

Check a contract rate as a % of Medicare · 27230 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 27230 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Dallas, TX
  2. What 27230 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 27230 covers

An orthopedic surgeon or other physician may report this service when managing a femoral neck fracture without an incision, internal fixation, or manipulation of the fracture. The treatment plan is nonoperative and may include measures such as activity restrictions and follow-up imaging to monitor healing. The code applies to the femoral neck, not a fracture of the femoral shaft or another part of the hip.

Select this code when the documented fracture location and treatment method support closed care without manipulation. The record should identify the femoral neck fracture and describe the physician’s fracture-management plan; a visit that only evaluates the injury does not by itself establish fracture treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Dallas, TX compares for 27230

Across 109 of 109 payment localities, the office rate for 27230 runs from $473.42 in Arkansas to $673.83 in San Benito County, CA. Dallas, TX pays $531.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

27230 in Dallas, TX vs other payment areas
  1. Dallas, TX · this page$531.11
  2. Austin, TX · Texas$549.94+$18.83
  3. Beaumont, TX · Texas$505.93−$25.18
  4. Brazoria, TX · Texas$526.21−$4.90
  5. Fort Worth, TX · Texas$528.57−$2.54
  6. Galveston, TX · Texas$528.78−$2.33
  7. Houston, TX · Texas$551.11+$20.00

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

27230 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$516.83$456.60
Los Angeles, CACalifornia$586.59$511.51
Washington, DC areaDistrict of Columbia$605.81$531.05
Miami, FLFlorida$611.30$545.23
Chicago, ILIllinois$592.04$528.27
Manhattan, NYNew York$622.07$548.33
AlaskaAlaska$632.58$564.99
AlabamaAlabama$480.41$424.88

27230 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$473.42

$632.58

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
27230 office rate range by state
State / territoryOffice rate rangeLocalities
AK$632.581
AL$480.411
AR$473.421
AZ$521.051
CA$550.16–$673.8329
CO$549.391
CT$572.371
DC$605.811
DE$529.571
FL$543.42–$611.303
GA$511.13–$550.082
GU$561.271
HI$561.271
IA$485.781
ID$490.411
IL$532.68–$592.044
IN$493.091
KS$486.771
KY$498.921
LA$499.45–$523.872
MA$547.42–$599.172
MD$538.65–$605.813
ME$496.49–$518.622
MI$515.00–$553.642
MN$516.621
MO$493.05–$521.783
MS$483.161
MT$536.341
NC$501.161
ND$512.211
NE$487.461
NH$543.901
NJ$576.14–$600.162
NM$519.161
NV$529.921
NY$508.98–$641.395
OH$510.071
OK$494.521
OR$523.09–$563.052
PA$509.03–$560.262
PR$539.181
RI$545.731
SC$507.001
SD$509.361
TN$489.651
TX$505.93–$551.118
UT$513.861
VA$519.23–$605.812
VI$539.181
VT$513.221
WA$545.39–$608.022
WI$495.341
WV$513.811
WY$525.821

See 27230 in every payment locality

How the 27230 rate is calculated

Each of 27230’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 27230

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.66

5.66 RVUs× 1.000 GPCI

Practice expense9.18

9.18 RVUs× 1.000 GPCI

Malpractice1.22

1.22 RVUs× 1.000 GPCI

Adjusted RVUs

16.0600

Conversion factor

$33.4009

Medicare rate

$536.42

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Dallas, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,795

Code
27230
Physician work
5.66
Practice expense
9.18
Malpractice
1.22

GPCI2026.csv

99

Locality
Dallas, TX
Physician work
1.009
Practice expense
0.996
Malpractice
0.858
Office calculation for 27230 in Dallas, TX
ComponentRVULocality factorAdjusted
Physician work5.66× 1.0095.7109
Practice expense9.18× 0.9969.1433
Malpractice1.22× 0.8581.0468
Total RVUs15.9010
Conversion factor× 33.4009

Office rate, Dallas, TX$531.11

Office: (5.66 × 1.009 + 9.18 × 0.996 + 1.22 × 0.858) × $33.4009 = $531.11

Facility: (5.66 × 1.009 + 7.28 × 0.996 + 1.22 × 0.858) × $33.4009 = $467.90

Open 27230 in the RVU calculator

Payment rules and modifiers for 27230

27230 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27230

Fracture treatment, femoral neck, closed

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27230

Fracture treatment, femoral neck, closed

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27230 without 50 · national office

$536.42

Fracture treatment, femoral neck, closed

27230-50 · Bilateral: 150%

$804.63

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 27230

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 27230
CodeHow it relatesOffice range, Dallas, TX
Used instead
27235Fracture fixation, percutaneous femoral neck fixationPercutaneous skeletal fixation for a femoral neck fracture rather than closed treatment without manipulation.No office rate
27236Femoral neck repair, open fixation or replacementOpen treatment of a femoral neck fracture, including internal fixation or prosthetic replacement.No office rate
27232Fracture treatment, with manipulation, with or without tractionClosed treatment without manipulation for a femoral shaft fracture, not a femoral neck fracture.No office rate

How 27230 has changed in Dallas, TX

27230 · Office / nonfacility

$531.11

Effective 2026-10-01

The base rate is $44.08 higher than on 2025-10-01, moving from $487.03 to $531.11 (9.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $487.03changed to$531.11

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.81 changed to 5.66
    • Practice expense RVU 8.10 changed to 9.18
    • Malpractice RVU 1.17 changed to 1.22
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.996
    • Malpractice GPCI 0.877 changed to 0.858

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $498.68changed to$487.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.99 changed to 8.10
    • Malpractice RVU 1.21 changed to 1.17

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $490.54changed to$498.68

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $498.48changed to$490.54

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.85 changed to 7.99
    • Malpractice RVU 1.15 changed to 1.21
    • Work GPCI 1.017 changed to 1.011
    • Practice expense GPCI 1.017 changed to 1.007
    • Malpractice GPCI 0.711 changed to 0.877

  5. January 1, 2023

    RVU23A

    $497.12changed to$498.48

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.58 changed to 7.85
    • Malpractice RVU 1.18 changed to 1.15
    • Work GPCI 1.023 changed to 1.017
    • Practice expense GPCI 1.026 changed to 1.017
    • Malpractice GPCI 0.546 changed to 0.711

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $495.30changed to$497.12

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.43 changed to 7.58
    • Malpractice RVU 1.15 changed to 1.18

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $496.09changed to$495.30

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.95 changed to 7.43
    • Malpractice RVU 1.13 changed to 1.15
    • Work GPCI 1.018 changed to 1.023
    • Practice expense GPCI 1.020 changed to 1.026
    • Malpractice GPCI 0.657 changed to 0.546

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $492.13changed to$496.09

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.82 changed to 6.95
    • Malpractice RVU 1.12 changed to 1.13
    • Work GPCI 1.012 changed to 1.018
    • Practice expense GPCI 1.014 changed to 1.020
    • Malpractice GPCI 0.768 changed to 0.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $488.67changed to$492.13

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.74 changed to 6.82

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $484.84changed to$488.67

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.67 changed to 6.74
    • Work GPCI 1.015 changed to 1.012
    • Practice expense GPCI 1.012 changed to 1.014
    • Malpractice GPCI 0.770 changed to 0.768

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $482.88changed to$484.84

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.64 changed to 6.67
    • Malpractice RVU 1.13 changed to 1.12
    • Work GPCI 1.018 changed to 1.015
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.772 changed to 0.770

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $485.63changed to$482.88

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.66 changed to 6.64
    • Malpractice RVU 1.14 changed to 1.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $483.21changed to$485.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $481.54changed to$483.21

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.59 changed to 6.66
    • Malpractice RVU 1.09 changed to 1.14
    • Work GPCI 1.014 changed to 1.018
    • Practice expense GPCI 1.013 changed to 1.009
    • Malpractice GPCI 0.803 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $483.01changed to$481.54

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.26 changed to 6.59
    • Malpractice RVU 1.14 changed to 1.09
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.017 changed to 1.013
    • Malpractice GPCI 0.834 changed to 0.803

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $483.01

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$531.11$467.90RVU26D
2026-07-01$531.11$467.90RVU26C
2026-04-01$531.11$467.90RVU26B
2026-01-01$531.11$467.90RVU26A
2025-10-01$487.03$478.56RVU25D
2025-07-01$487.03$478.56RVU25C
2025-04-01$487.03$478.56RVU25B
2025-01-01$487.03$478.56RVU25A
2024-10-01$498.68$489.29RVU24D
2024-07-01$498.68$489.29RVU24C
2024-04-01$498.68$489.29RVU24B
2024-03-09$498.68$489.29RVU24AR
2024-01-01$490.54$481.31RVU24A
2023-10-01$498.48$488.48RVU23D
2023-07-01$498.48$488.48RVU23C
2023-04-01$498.48$488.48RVU23B
2023-01-01$498.48$488.48RVU23A
2022-10-01$497.12$486.82RVU22D
2022-07-01$497.12$486.82RVU22C
2022-04-01$497.12$486.82RVU22B
2022-01-01$497.12$486.82RVU22A
2021-10-01$495.30$485.99RVU21D
2021-07-01$495.30$485.99RVU21C
2021-04-01$495.30$485.99RVU21B
2021-01-01$495.30$485.99RVU21A
2020-10-01$496.09$488.36RVU20D
2020-07-01$496.09$488.36RVU20C
2020-04-01$496.09$488.36RVU20B
2020-01-01$496.09$488.36RVU20A
2019-10-01$492.13$485.91RVU19D
2019-07-01$492.13$485.91RVU19C
2019-04-01$492.13$485.91RVU19B
2019-01-01$492.13$485.91RVU19A
2018-10-01$488.67$483.92RVU18D
2018-07-01$488.67$483.92RVU18C
2018-04-01$488.67$483.92RVU18B
2018-01-01$488.67$483.92RVU18AR1
2017-10-01$484.84$481.57RVU17D
2017-07-01$484.84$481.57RVU17C
2017-04-01$484.84$481.57RVU17B
2017-01-01$484.84$481.57RVU17A
2016-10-01$482.88$479.99RVU16D
2016-07-01$482.88$479.99RVU16C
2016-04-01$482.88$479.99RVU16B
2016-01-01$482.88$479.99RVU16A
2015-10-01$485.63$482.00RVU15D
2015-07-01$485.63$482.00RVU15C
2015-04-01$483.21$479.60RVU15B
2015-01-01$483.21$479.60RVU15A
2014-10-01$481.54$478.27RVU14D
2014-07-01$481.54$478.27RVU14C
2014-04-01$481.54$478.27RVU14B
2014-01-01$481.54$478.27RVU14A
2013-10-01$483.01$479.55RVU13D
2013-07-01$483.01$479.55RVU13C
2013-04-01$483.01$479.55RVU13B
2013-01-01$483.01$479.55RVU13AR

Price 27230 for an earlier date of service

Where the Dallas, TX rate applies

Dallas, TX is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

27230 billing questions

When is 27230 appropriate instead of 27235?

Use 27230 for closed management of a femoral neck fracture without manipulation. Code 27235 describes percutaneous skeletal fixation, a different treatment method.

How does 27230 differ from 27236?

27230 describes closed treatment without manipulation. 27236 is for open treatment of a femoral neck fracture, including internal fixation or prosthetic replacement.

Can 27230 be used for a femoral shaft fracture?

No. It is specific to the femoral neck; 27232 describes closed treatment without manipulation of a femoral shaft fracture.

What documentation supports reporting 27230?

Document the femoral neck fracture, the physician’s nonoperative management plan, and that the fracture was treated without manipulation.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

CMS does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 27230PPRRVU2026_Oct_nonQPP.csv, line 2,795 (RVU26D)
Geographic factors for Dallas, TXGPCI2026.csv, line 99 (RVU26D)

Open CMS sourceHow we calculate rates

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