CPT code 27235: Fracture fixation, percutaneous femoral neck fixation2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $804.91 for 27235 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 27235 nationwide

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

What 27235 covers

An orthopedic surgeon stabilizes a femoral neck fracture by placing pins or screws through small incisions, commonly using guidewires and imaging to position the implants. The fracture is not exposed through an open surgical approach, and manipulation may be performed to reduce it. The procedure is typically performed in a hospital or ambulatory surgery setting, with the treatment approach based on the fracture and the patient’s clinical circumstances.

Report 27235 when percutaneous skeletal fixation is performed, whether or not manipulation is documented. The operative report should identify the femoral neck fracture, the percutaneous approach, the reduction or manipulation performed, and the fixation placed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is paid at 150% for bilateral procedures. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is 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 Virginia compares for 27235

Across 109 of 109 payment localities, the facility rate for 27235 runs from $747.82 in Arkansas to $1,029.63 in Alaska. Virginia pays $804.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27235 rates by state

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

See 27235 in every payment locality

How the 27235 rate is calculated

Each of 27235’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.

Payment rules and modifiers for 27235

27235 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 27235

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

How 27235 has changed in Virginia

Price 27235 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates