CPT code 27232: Fracture treatment, with manipulation, with or without traction2026 Medicare rate & RVUs in Vermont
Reports closed treatment of a femoral neck fracture when the physician manipulates the fracture alignment, with or without skeletal traction.
In Vermont, Medicare pays $653.02 for 27232 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27232 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 27232 covers
This service covers closed treatment of a femoral neck fracture when the physician manipulates the bone alignment without surgically exposing the fracture. Skeletal traction may be used. An orthopedic surgeon typically performs the treatment in a hospital or other acute-care setting, often with anesthesia or sedation for reduction. The code is distinct from care that leaves alignment undisturbed and from percutaneous or open fixation.
Select the code when the record supports manipulation of the femoral neck fracture; document the fracture site, reduction performed, and use of traction when applicable. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 Vermont compares for 27232
Across 109 of 109 payment localities, the facility rate for 27232 runs from $623.49 in Arkansas to $865.01 in Alaska. Vermont pays $653.02. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$653.02
- Los Angeles, CA · California$726.52+$73.50
- Washington, DC area · District of Columbia$767.97+$114.95
- Miami, FL · Florida$834.40+$181.38
- Chicago, IL · Illinois$809.14+$156.12
- Manhattan, NY · New York$807.75+$154.73
- Alaska · Alaska$865.01+$211.99
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $631.47 |
| ArkansasArkansas | — | $623.49 |
| ArizonaArizona | — | $677.51 |
| Bakersfield, CACalifornia | — | $693.41 |
| Chico, CACalifornia | — | $686.52 |
| El Centro, CACalifornia | — | $686.94 |
| Fresno, CACalifornia | — | $686.52 |
| Hanford, CACalifornia | — | $686.52 |
| Madera, CACalifornia | — | $686.52 |
| Merced, CACalifornia | — | $686.52 |
| Modesto, CACalifornia | — | $686.52 |
| Napa, CACalifornia | — | $753.05 |
| Oxnard, CACalifornia | — | $717.89 |
| Redding, CACalifornia | — | $686.52 |
| Rest of CaliforniaCalifornia | — | $686.52 |
| Riverside, CACalifornia | — | $713.48 |
| Sacramento, CACalifornia | — | $709.26 |
| Salinas, CACalifornia | — | $706.43 |
| San Diego, CACalifornia | — | $715.10 |
| Marin County, CACalifornia | — | $782.42 |
| San Francisco, CACalifornia | — | $779.57 |
| San Benito County, CACalifornia | — | $802.00 |
| Santa Clara County, CACalifornia | — | $790.35 |
| San Luis Obispo, CACalifornia | — | $696.46 |
| Santa Cruz, CACalifornia | — | $715.55 |
| Santa Maria, CACalifornia | — | $706.90 |
| Santa Rosa, CACalifornia | — | $721.99 |
| Stockton, CACalifornia | — | $686.52 |
| Vallejo, CACalifornia | — | $748.94 |
| Visalia, CACalifornia | — | $686.52 |
| Yuba City, CACalifornia | — | $686.52 |
| ColoradoColorado | — | $697.76 |
| ConnecticutConnecticut | — | $739.78 |
| DelawareDelaware | — | $687.41 |
| Fort Lauderdale, FLFlorida | — | $767.49 |
| Rest of FloridaFlorida | — | $728.74 |
| Atlanta, GAGeorgia | — | $718.44 |
| Rest of GeorgiaGeorgia | — | $687.88 |
| Hawaii, Guam, HIHawaii | — | $693.11 |
| IowaIowa | — | $626.54 |
| IdahoIdaho | — | $634.07 |
| East St. Louis, ILIllinois | — | $763.26 |
| Rest of IllinoisIllinois | — | $723.83 |
| Suburban Chicago, ILIllinois | — | $770.38 |
| IndianaIndiana | — | $636.78 |
| KansasKansas | — | $632.97 |
| KentuckyKentucky | — | $663.96 |
| New Orleans, LALouisiana | — | $694.51 |
| Rest of LouisianaLouisiana | — | $666.64 |
| Metropolitan Boston, MAMassachusetts | — | $748.01 |
| Rest of MassachusettsMassachusetts | — | $698.08 |
| Baltimore area, MDMaryland | — | $739.59 |
| Rest of MarylandMaryland | — | $696.46 |
| Rest of MaineMaine | — | $646.56 |
| Southern Maine, MEMaine | — | $663.73 |
| Detroit, MIMichigan | — | $746.16 |
| Rest of MichiganMichigan | — | $687.45 |
| MinnesotaMinnesota | — | $644.42 |
| Metropolitan Kansas City, MOMissouri | — | $680.72 |
| Metropolitan St. Louis, MOMissouri | — | $685.82 |
| Rest of MissouriMissouri | — | $662.67 |
| MississippiMississippi | — | $642.73 |
| MontanaMontana | — | $696.58 |
| North CarolinaNorth Carolina | — | $650.99 |
| North DakotaNorth Dakota | — | $646.94 |
| NebraskaNebraska | — | $626.80 |
| New HampshireNew Hampshire | — | $695.74 |
| Northern New JerseyNew Jersey | — | $763.48 |
| Rest of New JerseyNew Jersey | — | $741.41 |
| New MexicoNew Mexico | — | $694.41 |
| NevadaNevada | — | $682.97 |
| NYC suburbs and Long Island, NYNew York | — | $836.71 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $753.49 |
| Queens, NYNew York | — | $800.30 |
| Rest of New YorkNew York | — | $660.29 |
| OhioOhio | — | $677.30 |
| OklahomaOklahoma | — | $653.32 |
| Portland, OROregon | — | $707.04 |
| Rest of OregonOregon | — | $670.92 |
| Metropolitan Philadelphia, PAPennsylvania | — | $729.27 |
| Rest of PennsylvaniaPennsylvania | — | $673.18 |
| Puerto RicoPuerto Rico | — | $698.03 |
| Rhode IslandRhode Island | — | $702.57 |
| South CarolinaSouth Carolina | — | $666.60 |
| South DakotaSouth Dakota | — | $641.08 |
| TennesseeTennessee | — | $636.89 |
| Austin, TXTexas | — | $701.35 |
| Beaumont, TXTexas | — | $669.99 |
| Brazoria, TXTexas | — | $679.27 |
| Dallas, TXTexas | — | $687.35 |
| Fort Worth, TXTexas | — | $686.13 |
| Galveston, TXTexas | — | $683.76 |
| Houston, TXTexas | — | $729.70 |
| Rest of TexasTexas | — | $676.82 |
| UtahUtah | — | $674.32 |
| VirginiaVirginia | — | $668.17 |
| Virgin Islands, VIUnited States Virgin Islands | — | $698.03 |
| Rest of WashingtonWashington | — | $693.92 |
| King County, WAWashington | — | $752.96 |
| WisconsinWisconsin | — | $629.02 |
| West VirginiaWest Virginia | — | $702.60 |
| WyomingWyoming | — | $674.95 |
27232 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 27232 rate is calculated
Each of 27232’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 · 27232
RVUs × geographic indexes × conversion factor
Work11.43
11.43 RVUs× 1.000 GPCI
Practice expense6.92
6.92 RVUs× 1.000 GPCI
Malpractice2.51
2.51 RVUs× 1.000 GPCI
Adjusted RVUs
20.8600
Conversion factor
$33.4009
Medicare rate
$696.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Vermont inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,796
- Code
- 27232
- Physician work
- 11.43
- Practice expense
- 6.92
- Malpractice
- 2.51
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.43 | × 1.000 | 11.4300 |
| Practice expense | 6.92 | × 0.990 | 6.8508 |
| Malpractice | 2.51 | × 0.506 | 1.2701 |
| Total RVUs | 19.5509 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$653.02
Facility: (11.43 × 1 + 6.92 × 0.99 + 2.51 × 0.506) × $33.4009 = $653.02
Payment rules and modifiers for 27232
27232 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27232
Fracture treatment, with manipulation, with or without traction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27232
Fracture treatment, with manipulation, with or without traction
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27232 without 50 · national facility
$696.74
Fracture treatment, with manipulation, with or without traction
27232-50 · Bilateral: 150%
$1,045.11
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).
How 27232 has changed in Vermont
27232 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $653.02 | RVU26D |
| 2026-07-01 | Not available in this setting | $653.02 | RVU26C |
| 2026-04-01 | Not available in this setting | $653.02 | RVU26B |
| 2026-01-01 | Not available in this setting | $653.02 | RVU26A |
| 2025-10-01 | Not available in this setting | $679.65 | RVU25D |
| 2025-07-01 | Not available in this setting | $679.65 | RVU25C |
| 2025-04-01 | Not available in this setting | $679.65 | RVU25B |
| 2025-01-01 | Not available in this setting | $679.65 | RVU25A |
| 2024-10-01 | Not available in this setting | $690.82 | RVU24D |
| 2024-07-01 | Not available in this setting | $690.82 | RVU24C |
| 2024-04-01 | Not available in this setting | $690.82 | RVU24B |
| 2024-03-09 | Not available in this setting | $690.82 | RVU24AR |
| 2024-01-01 | Not available in this setting | $679.54 | RVU24A |
| 2023-10-01 | Not available in this setting | $701.90 | RVU23D |
| 2023-07-01 | Not available in this setting | $701.90 | RVU23C |
| 2023-04-01 | Not available in this setting | $701.90 | RVU23B |
| 2023-01-01 | Not available in this setting | $701.90 | RVU23A |
| 2022-10-01 | Not available in this setting | $723.48 | RVU22D |
| 2022-07-01 | Not available in this setting | $723.48 | RVU22C |
| 2022-04-01 | Not available in this setting | $723.48 | RVU22B |
| 2022-01-01 | Not available in this setting | $723.48 | RVU22A |
| 2021-10-01 | Not available in this setting | $728.50 | RVU21D |
| 2021-07-01 | Not available in this setting | $728.50 | RVU21C |
| 2021-04-01 | Not available in this setting | $728.50 | RVU21B |
| 2021-01-01 | Not available in this setting | $728.50 | RVU21A |
| 2020-10-01 | Not available in this setting | $747.29 | RVU20D |
| 2020-07-01 | Not available in this setting | $747.29 | RVU20C |
| 2020-04-01 | Not available in this setting | $747.29 | RVU20B |
| 2020-01-01 | Not available in this setting | $747.29 | RVU20A |
| 2019-10-01 | Not available in this setting | $744.94 | RVU19D |
| 2019-07-01 | Not available in this setting | $744.94 | RVU19C |
| 2019-04-01 | Not available in this setting | $744.94 | RVU19B |
| 2019-01-01 | Not available in this setting | $744.94 | RVU19A |
| 2018-10-01 | Not available in this setting | $744.87 | RVU18D |
| 2018-07-01 | Not available in this setting | $744.87 | RVU18C |
| 2018-04-01 | Not available in this setting | $744.87 | RVU18B |
| 2018-01-01 | Not available in this setting | $744.87 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $747.71 | RVU17D |
| 2017-07-01 | Not available in this setting | $747.71 | RVU17C |
| 2017-04-01 | Not available in this setting | $747.71 | RVU17B |
| 2017-01-01 | Not available in this setting | $747.71 | RVU17A |
| 2016-10-01 | Not available in this setting | $751.11 | RVU16D |
| 2016-07-01 | Not available in this setting | $751.11 | RVU16C |
| 2016-04-01 | Not available in this setting | $751.11 | RVU16B |
| 2016-01-01 | Not available in this setting | $751.11 | RVU16A |
| 2015-10-01 | Not available in this setting | $756.48 | RVU15D |
| 2015-07-01 | Not available in this setting | $756.48 | RVU15C |
| 2015-04-01 | Not available in this setting | $752.72 | RVU15B |
| 2015-01-01 | Not available in this setting | $752.72 | RVU15A |
| 2014-10-01 | Not available in this setting | $751.06 | RVU14D |
| 2014-07-01 | Not available in this setting | $751.06 | RVU14C |
| 2014-04-01 | Not available in this setting | $751.06 | RVU14B |
| 2014-01-01 | Not available in this setting | $751.06 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
27232 billing questions
How does this differ from 27230?
Use 27232 when the physician manipulates the femoral neck fracture. Code 27230 describes closed treatment without manipulation.
When is 27235 or 27236 a better fit?
Those codes describe percutaneous skeletal fixation or open treatment of a femoral neck fracture. This code is for closed reduction without percutaneous or open fixation.
Can skeletal traction be part of this treatment?
Yes. Skeletal traction may be used with the manipulation described by this code; document it when performed.
What postoperative care falls within the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code, and co-surgeons 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
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