Billing code 27232: Fracture treatmentMedicare rate & RVUs

Medicare pays $696.74 for 27232 nationally in a facility.

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

What 27232 covers

This service covers closed treatment of a femoral neck fracture when the physician manipulates the bone alignment without surgically exposing the fracture. Skeletal traction may be used. An orthopedic surgeon typically performs the treatment in a hospital or other acute-care setting, often with anesthesia or sedation for reduction. The code is distinct from care that leaves alignment undisturbed and from percutaneous or open fixation.

Select the code when the record supports manipulation of the femoral neck fracture; document the fracture site, reduction performed, and use of traction when applicable. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 27232 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

27232 rates by state

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

How the 27232 rate is calculated

Each of 27232’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 27232

27232 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

27232 compared with similar codes

How to choose

27230Fracture treatment

Both describe closed treatment of a femoral neck fracture. Choose 27232 when manipulation is performed; choose 27230 when alignment is treated without manipulation.

27235Fracture fixation

This code is for closed manipulation, whereas 27235 describes percutaneous skeletal fixation of the femoral neck fracture.

27236Femoral neck repair

Use 27236 for open treatment of a femoral neck fracture, including fixation or prosthetic replacement, rather than closed manipulation.

27240Femoral fracture care

Both involve closed treatment with manipulation, but 27240 applies to intertrochanteric, peritrochanteric, or subtrochanteric fractures rather than femoral neck fractures.

Codes related to 27232

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