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CPT code 27226: Acetabular repair2026 Medicare rate & RVUs

Report open operative treatment of an acetabular fracture involving one column when the fracture pattern does not include an acetabular wall fracture.

CMS RVU26DEffective Oct 1, 2026109 payment localities307 Medicare services in 2024

Medicare pays $967.29 for 27226 nationally in a facility.

Medicare rate · 27226

Acetabular repair

Office or facility?

Work RVUs
15.18
Total RVUs
28.96
Global days
090

National rate · 2026

$967.29

Facility setting, before claim adjustments.

See every locality for 27226 →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.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 27226 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 27226 covers

An orthopedic trauma surgeon uses an open approach to reduce and stabilize an acetabular fracture involving the anterior or posterior column. The operation is generally performed in a hospital operating room for a fracture requiring open treatment; internal fixation is included when performed. The code is distinguished by the fracture pattern, not simply by the surgical approach or the hardware used.

Choose this code from the operative findings and documentation of the injured acetabular column and whether a wall fracture is also present. Document the fracture pattern, open reduction and treatment performed, and fixation when used. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. For same-session procedures subject to the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available, and co-surgeons are permitted; 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 27226 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

27226 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$876.32
AlaskaUnavailable$1,195.10
ArizonaUnavailable$940.79
ArkansasUnavailable$865.17
Atlanta, GAUnavailable$996.20
Austin, TXUnavailable$976.39
Bakersfield, CAUnavailable$968.41
Baltimore area, MDUnavailable$1,026.75
Beaumont, TXUnavailable$927.92
Brazoria, TXUnavailable$944.37

27226 rates by state

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

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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
27226 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 27226 rate is calculated

Each of 27226’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 · 27226

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.18

15.18 RVUs× 1.000 GPCI

Practice expense10.54

10.54 RVUs× 1.000 GPCI

Malpractice3.24

3.24 RVUs× 1.000 GPCI

Adjusted RVUs

28.9600

Conversion factor

$33.4009

Medicare rate

$967.29

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

Payment rules and modifiers for 27226

27226 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27226

Acetabular repair

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)2Paid.
Co-surgeons (62)2Permitted.
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 · 27226

Acetabular repair

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

27226 without 50 · national facility

$967.29

Acetabular repair

27226-50 · Bilateral: 150%

$1,450.94

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

27226 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 27226

    Acetabular repair15.18 wRVU

    Not priced

  • 27227

    Acetabular fracture24.77 wRVU

    Not priced

  • 27228

    Acetabular fracture repair28.6 wRVU

    Not priced

  • 27220

    Acetabular fracture care5.36 wRVU

    $450.91

  • 27222

    Acetabular fracture13.76 wRVU

    Not priced

How to choose

27227Acetabular fracture
Both describe open treatment of a one-column acetabular fracture; 27227 is the code to compare when the fracture also involves an acetabular wall.
27228Acetabular fracture repair
Use 27228 for an acetabular fracture involving two columns, rather than the one-column pattern represented by 27226.
27220Acetabular fracture care
27220 describes closed treatment without manipulation. This code is for open treatment of a one-column acetabular fracture.
27222Acetabular fracture
27222 describes closed treatment with manipulation; it is not the open treatment code for a one-column acetabular fracture.

Codes related to 27226

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

Codes related to 27226
CodeHow it relatesNational office range
Same family
27227Acetabular fractureOpen treatment of a one-column acetabular fracture when an acetabular wall fracture is also present.No office rate
27228Acetabular fracture repairOpen treatment for an acetabular fracture involving two columns.No office rate
Used instead
27220Acetabular fracture careClosed treatment of an acetabular fracture without manipulation rather than open operative treatment.$399.48–$556.28
27222Acetabular fractureClosed treatment of an acetabular fracture with manipulation rather than open operative treatment.No office rate

27226 billing questions

How is this code distinguished from 27227?

Use 27226 for open treatment of a fracture involving one acetabular column without an associated wall fracture. When the one-column fracture also involves an acetabular wall, compare 27227.

Is internal fixation separately reported?

No. Internal fixation, when performed as part of the open fracture treatment, is included in this code.

What supports choosing this code?

The operative report should identify the acetabular fracture pattern, including the involved column and whether a wall fracture is present, and describe the open treatment performed.

How does the global period affect postoperative billing?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available, and co-surgeons are permitted. Team surgery is not permitted under the CMS rules supplied for this code.

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 27226PPRRVU2026_Oct_nonQPP.csv, line 2,792 (RVU26D)

Open CMS sourceHow we calculate rates

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