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Billing code 27198: Pelvic ring treatmentMedicare rate & RVUs

Reports closed manipulative treatment of a pelvic ring fracture or disruption when the clinician performs a reduction rather than treating it without manipulation.

CMS RVU26DEffective Oct 1, 2026109 payment localities188 Medicare services in 2024

Medicare pays $284.24 for 27198 nationally in a facility.

Medicare rate · 27198

Pelvic ring treatment

Swap in your local Medicare rate.

Work RVUs
4.63
Total RVUs
8.51
Global days
000

National rate · 2026

$284.24

Facility setting, before claim adjustments.

See every locality for 27198 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 27198 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 27198 covers

An orthopedic or trauma surgeon reports this service for closed treatment of a pelvic ring fracture, dislocation, diastasis, or subluxation that requires manipulation to restore alignment. The clinician repositions the disrupted pelvic ring without open exposure or operative fixation; reduction may involve external maneuvers or traction and may take place in an operating room with anesthesia. The injury can involve the pelvic ring, including the sacroiliac region or pubic rami, depending on the fracture pattern.

Choose this code when the documented treatment includes manipulation; 27197 is the related code for closed treatment without manipulation. The record should identify the injury pattern, describe the reduction maneuver, and support the need for manipulation, with imaging findings documenting alignment when available. The CMS global period is zero days, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons are permitted, while 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.

Where 27198 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

27198 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$257.82
Alaska*Unavailable$352.99
ArizonaUnavailable$276.49
ArkansasUnavailable$254.59
AtlantaUnavailable$292.90
AustinUnavailable$286.38
BakersfieldUnavailable$283.52
Baltimore/Surr. CntysUnavailable$301.60
BeaumontUnavailable$273.21
BrazoriaUnavailable$277.34

27198 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
27198 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 27198 rate is calculated

Each of 27198’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 · 27198

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 4.63Practice expense 2.89Malpractice 0.99

8.5100 adjusted RVUs×$33.4009 conversion factor=$284.24

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 27198

The CMS indicators that decide how 27198 is paid alongside other services.

CMS payment indicators · 27198

Pelvic ring treatment

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

27198 without 51 · national facility

$284.24

Pelvic ring treatment

27198-51 · Second procedure: 50%

$142.12

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

27198 compared with similar codes

Compare codes

27198 vs 27197 vs 27216 vs 27217: national Medicare rates

Swap in your local Medicare rate.

  • 27198
    Pelvic ring treatment · 4.63 wRVU
    —
  • 27197
    Pelvic fracture treatment · 1.49 wRVU
    —
  • 27216
    · 15.34 wRVU
    —
  • 27217
    · 14.28 wRVU
    —

How to choose

27197Pelvic fracture treatment
Both codes describe closed pelvic ring treatment. Report 27198 when treatment involves manipulation; report 27197 when it does not.
27216Treat pelvic ring fracture
27198 describes closed manipulative treatment. 27216 is for percutaneous skeletal fixation of a posterior pelvic ring fracture or dislocation.
27217Treat pelvic ring fracture
27198 is closed treatment with manipulation. 27217 describes open treatment of an anterior pelvic ring fracture.

Codes related to 27198

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

Codes related to 27198
CodeHow it relatesNational office range
Same family
27197Pelvic fracture treatmentClosed pelvic ring treatment without manipulation.No office rate
Used instead
27216Treat pelvic ring fracturePercutaneous fixation may be used for a posterior pelvic ring injury treated operatively.No office rate
27217Treat pelvic ring fractureOpen treatment is an operative option for an anterior pelvic ring fracture.No office rate

27198 billing questions

How does 27198 differ from 27197?

27198 is for closed pelvic ring treatment that includes manipulation to reduce the injury. Use 27197 when closed treatment is performed without manipulation.

Can modifier 50 be reported for treatment of both sides of the pelvic ring?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

What documentation supports reporting 27198?

Document the pelvic ring injury, the reduction maneuver performed, and why manipulation was required. Include imaging findings that show the injury and post-reduction alignment when available.

How is 27198 affected when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons are permitted; team surgery is 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 27198PPRRVU2026_Oct_nonQPP.csv, line 2,783 (RVU26D)

Open CMS sourceHow we calculate rates

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