Billing code 27200: Fracture careMedicare rate & RVUs

Medicare pays $213.10 for 27200 nationally in the office and $200.74 in a hospital or facility. Local office rates run $187.38–$274.75.

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

What 27200 covers

This code represents closed management of a coccygeal fracture without manipulating the fracture. It is used when a physician, commonly an orthopedic or emergency medicine clinician, takes responsibility for nonoperative fracture care. Treatment may include symptom management, pressure relief while sitting, and follow-up assessment in an office, emergency, or hospital setting. The record should identify the coccyx fracture and show that the clinician is providing its ongoing management rather than only evaluating the injury.

Report this code for closed treatment without manipulation; use the sibling code 27202 when manipulation is performed. The CMS global period is 90 days: the day-before preoperative visit and related postoperative care during that period are 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 50% reduction. The coccyx is midline, so modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service, and 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.

Where 27200 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

27200 rates by state

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

How the 27200 rate is calculated

Each of 27200’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 27200

27200 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 51

27200 compared with similar codes

How to choose

27202Coccyx fracture

Both codes address closed coccygeal fracture care. Choose 27200 when treatment is without manipulation and 27202 when manipulation is performed.

27215Treat pelvic fracture(s)

This code addresses pelvic fracture treatment, not a coccygeal fracture. Select based on the documented fracture site and treatment.

27216Treat pelvic ring fracture

This code concerns pelvic ring fracture treatment. It is not the code for a fracture confined to the coccyx.

Codes related to 27200

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

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