Billing code 27230: Fracture treatmentMedicare rate & RVUs

Medicare pays $536.42 for 27230 nationally in the office and $472.96 in a hospital or facility. Local office rates run $473.42–$673.83.

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

What 27230 covers

An orthopedic surgeon or other physician may report this service when managing a femoral neck fracture without an incision, internal fixation, or manipulation of the fracture. The treatment plan is nonoperative and may include measures such as activity restrictions and follow-up imaging to monitor healing. The code applies to the femoral neck, not a fracture of the femoral shaft or another part of the hip.

Select this code when the documented fracture location and treatment method support closed care without manipulation. The record should identify the femoral neck fracture and describe the physician’s fracture-management plan; a visit that only evaluates the injury does not by itself establish fracture treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; 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 27230 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

27230 rates by state

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

How the 27230 rate is calculated

Each of 27230’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 27230

27230 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

27230 compared with similar codes

How to choose

27235Fracture fixation

Choose 27230 for closed treatment without manipulation. Choose 27235 when the femoral neck fracture is treated with percutaneous skeletal fixation.

27236Femoral neck repair

27230 is closed treatment without manipulation; 27236 is open treatment of a femoral neck fracture with internal fixation or prosthetic replacement.

27232Fracture treatment

Both describe closed treatment without manipulation, but 27230 is for the femoral neck and 27232 is for the femoral shaft.

Codes related to 27230

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