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CMS RVU26D · Effective 2026-10-01

27200 in Delaware

Office / nonfacility

$210.44

Base rate per service

Facility setting

$198.23

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Orthopedic fracture care

About 27200: Closed coccygeal fracture management

Reports closed management of a coccyx fracture without manipulation, typically when the treating clinician provides nonoperative fracture care and follow-up.

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.

CMS billing rules for 27200

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.87 · 29%
  • Practice expense (office) RVU4.12 · 65%
  • Malpractice RVU0.39 · 6%

212

Medicare services in 2024 · #4270 by national volume

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.

27200 compared with similar codes

Office rates for Delaware, from the same CMS release.

27202

Coccyx fracture

Open treatment

No office rate

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

27215

Treat pelvic fracture(s)

No office rate

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

27216

Treat pelvic ring fracture

No office rate

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

The same code, a different location

How does Delaware compare?

27200 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $210.44

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $236.46

    $26.02 higher than Delaware

  3. Dc + Md/Va Suburbs

    $242.44

    $32.00 higher than Delaware

  4. Miami

    $238.66

    $28.22 higher than Delaware

  5. Chicago

    $231.09

    $20.65 higher than Delaware

  6. Manhattan

    $247.02

    $36.58 higher than Delaware

  7. Alaska*

    $247.42

    $36.98 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 27200 ranges from $187.38 in Arkansas to $274.75 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 27200

    Office

    $190.24

    Facility

    $179.43

    $20.20 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 27200

    Office

    $187.38

    Facility

    $176.76

    $23.06 lower than Delaware for the office setting.

  • Arizona

    Arizona · 27200

    Office

    $206.96

    Facility

    $194.98

    $3.48 lower than Delaware for the office setting.

  • Bakersfield

    California · 27200

    Office

    $222.40

    Facility

    $208.86

    $11.96 higher than Delaware for the office setting.

  • Chico

    California · 27200

    Office

    $221.33

    Facility

    $207.78

    $10.89 higher than Delaware for the office setting.

  • El Centro

    California · 27200

    Office

    $221.39

    Facility

    $207.85

    $10.95 higher than Delaware for the office setting.

  • Fresno

    California · 27200

    Office

    $221.33

    Facility

    $207.78

    $10.89 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 27200

    Office

    $221.33

    Facility

    $207.78

    $10.89 higher than Delaware for the office setting.

  • Madera

    California · 27200

    Office

    $221.33

    Facility

    $207.78

    $10.89 higher than Delaware for the office setting.

  • Merced

    California · 27200

    Office

    $221.33

    Facility

    $207.78

    $10.89 higher than Delaware for the office setting.

  • Modesto

    California · 27200

    Office

    $221.33

    Facility

    $207.78

    $10.89 higher than Delaware for the office setting.

  • Napa

    California · 27200

    Office

    $254.38

    Facility

    $238.10

    $43.94 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 27200

    Office

    $234.98

    Facility

    $220.37

    $24.54 higher than Delaware for the office setting.

  • Redding

    California · 27200

    Office

    $221.33

    Facility

    $207.78

    $10.89 higher than Delaware for the office setting.

  • Rest Of California

    California · 27200

    Office

    $221.33

    Facility

    $207.78

    $10.89 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 27200

    Office

    $225.52

    Facility

    $211.97

    $15.08 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 27200

    Office

    $231.73

    Facility

    $217.36

    $21.29 higher than Delaware for the office setting.

  • Salinas

    California · 27200

    Office

    $230.87

    Facility

    $216.55

    $20.43 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 27200

    Office

    $235.98

    Facility

    $221.20

    $25.54 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 27200

    Office

    $268.40

    Facility

    $250.98

    $57.96 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 27200

    Office

    $267.96

    Facility

    $250.54

    $57.52 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 27200

    Office

    $274.75

    Facility

    $256.93

    $64.31 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 27200

    Office

    $272.94

    Facility

    $255.12

    $62.50 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 27200

    Office

    $227.24

    Facility

    $213.17

    $16.80 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 27200

    Office

    $237.95

    Facility

    $222.94

    $27.51 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 27200

    Office

    $231.65

    Facility

    $217.24

    $21.21 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 27200

    Office

    $240.30

    Facility

    $225.13

    $29.86 higher than Delaware for the office setting.

  • Stockton

    California · 27200

    Office

    $221.33

    Facility

    $207.78

    $10.89 higher than Delaware for the office setting.

  • Vallejo

    California · 27200

    Office

    $253.75

    Facility

    $237.46

    $43.31 higher than Delaware for the office setting.

  • Visalia

    California · 27200

    Office

    $221.33

    Facility

    $207.78

    $10.89 higher than Delaware for the office setting.

  • Yuba City

    California · 27200

    Office

    $221.33

    Facility

    $207.78

    $10.89 higher than Delaware for the office setting.

  • Colorado

    Colorado · 27200

    Office

    $219.80

    Facility

    $206.65

    $9.36 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 27200

    Office

    $227.68

    Facility

    $214.37

    $17.24 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 27200

    Office

    $225.41

    Facility

    $212.89

    $14.97 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 27200

    Office

    $213.60

    Facility

    $201.78

    $3.16 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 27200

    Office

    $218.11

    Facility

    $205.55

    $7.67 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 27200

    Office

    $200.74

    Facility

    $189.71

    $9.70 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 27200

    Office

    $226.47

    Facility

    $212.42

    $16.03 higher than Delaware for the office setting.

  • Iowa

    Iowa · 27200

    Office

    $193.55

    Facility

    $182.24

    $16.89 lower than Delaware for the office setting.

  • Idaho

    Idaho · 27200

    Office

    $195.22

    Facility

    $183.85

    $15.22 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 27200

    Office

    $215.30

    Facility

    $203.93

    $4.86 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 27200

    Office

    $208.46

    Facility

    $197.18

    $1.98 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 27200

    Office

    $227.31

    Facility

    $214.61

    $16.87 higher than Delaware for the office setting.

  • Indiana

    Indiana · 27200

    Office

    $196.36

    Facility

    $184.90

    $14.08 lower than Delaware for the office setting.

  • Kansas

    Kansas · 27200

    Office

    $193.43

    Facility

    $182.25

    $17.01 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 27200

    Office

    $196.72

    Facility

    $185.73

    $13.72 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 27200

    Office

    $206.75

    Facility

    $195.12

    $3.69 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 27200

    Office

    $196.73

    Facility

    $185.79

    $13.71 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 27200

    Office

    $240.92

    Facility

    $226.17

    $30.48 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 27200

    Office

    $218.75

    Facility

    $205.73

    $8.31 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 27200

    Office

    $227.23

    Facility

    $213.97

    $16.79 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 27200

    Office

    $214.31

    Facility

    $201.80

    $3.87 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 27200

    Office

    $197.16

    Facility

    $185.80

    $13.28 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 27200

    Office

    $207.05

    Facility

    $194.81

    $3.39 lower than Delaware for the office setting.

  • Detroit

    Michigan · 27200

    Office

    $217.22

    Facility

    $205.29

    $6.78 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 27200

    Office

    $202.81

    Facility

    $191.52

    $7.63 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 27200

    Office

    $207.92

    Facility

    $195.20

    $2.52 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 27200

    Office

    $204.40

    Facility

    $192.80

    $6.04 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 27200

    Office

    $206.52

    Facility

    $194.75

    $3.92 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 27200

    Office

    $193.77

    Facility

    $183.12

    $16.67 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 27200

    Office

    $190.57

    Facility

    $179.93

    $19.87 lower than Delaware for the office setting.

  • Montana**

    Montana · 27200

    Office

    $213.07

    Facility

    $200.71

    $2.63 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 27200

    Office

    $199.18

    Facility

    $187.64

    $11.26 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 27200

    Office

    $205.36

    Facility

    $193.00

    $5.08 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 27200

    Office

    $194.40

    Facility

    $182.99

    $16.04 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 27200

    Office

    $217.11

    Facility

    $204.25

    $6.67 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 27200

    Office

    $239.94

    Facility

    $225.60

    $29.50 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 27200

    Office

    $229.52

    Facility

    $216.02

    $19.08 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 27200

    Office

    $204.29

    Facility

    $192.96

    $6.15 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 27200

    Office

    $211.06

    Facility

    $198.69

    $0.62 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 27200

    Office

    $254.27

    Facility

    $239.57

    $43.83 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 27200

    Office

    $231.72

    Facility

    $218.18

    $21.28 higher than Delaware for the office setting.

  • Queens

    New York · 27200

    Office

    $247.90

    Facility

    $233.29

    $37.46 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 27200

    Office

    $202.35

    Facility

    $190.61

    $8.09 lower than Delaware for the office setting.

  • Ohio

    Ohio · 27200

    Office

    $201.23

    Facility

    $189.95

    $9.21 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 27200

    Office

    $195.47

    Facility

    $184.43

    $14.97 lower than Delaware for the office setting.

  • Portland

    Oregon · 27200

    Office

    $226.04

    Facility

    $212.31

    $15.60 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 27200

    Office

    $208.68

    Facility

    $196.37

    $1.76 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 27200

    Office

    $222.38

    Facility

    $209.51

    $11.94 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 27200

    Office

    $201.10

    Facility

    $189.75

    $9.34 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 27200

    Office

    $214.42

    Facility

    $201.92

    $3.98 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 27200

    Office

    $217.42

    Facility

    $204.65

    $6.98 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 27200

    Office

    $200.69

    Facility

    $189.27

    $9.75 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 27200

    Office

    $204.45

    Facility

    $192.09

    $5.99 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 27200

    Office

    $194.54

    Facility

    $183.31

    $15.90 lower than Delaware for the office setting.

  • Austin

    Texas · 27200

    Office

    $219.72

    Facility

    $206.64

    $9.28 higher than Delaware for the office setting.

  • Beaumont

    Texas · 27200

    Office

    $199.79

    Facility

    $188.54

    $10.65 lower than Delaware for the office setting.

  • Brazoria

    Texas · 27200

    Office

    $209.49

    Facility

    $197.25

    $0.95 lower than Delaware for the office setting.

  • Dallas

    Texas · 27200

    Office

    $211.26

    Facility

    $198.95

    $0.82 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 27200

    Office

    $210.05

    Facility

    $197.87

    $0.39 lower than Delaware for the office setting.

  • Galveston

    Texas · 27200

    Office

    $210.39

    Facility

    $198.12

    $0.05 lower than Delaware for the office setting.

  • Houston

    Texas · 27200

    Office

    $217.53

    Facility

    $205.26

    $7.09 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 27200

    Office

    $204.82

    Facility

    $193.09

    $5.62 lower than Delaware for the office setting.

  • Utah

    Utah · 27200

    Office

    $203.51

    Facility

    $191.90

    $6.93 lower than Delaware for the office setting.

  • Virginia

    Virginia · 27200

    Office

    $206.93

    Facility

    $194.78

    $3.51 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 27200

    Office

    $214.42

    Facility

    $201.92

    $3.98 higher than Delaware for the office setting.

  • Vermont

    Vermont · 27200

    Office

    $205.29

    Facility

    $193.05

    $5.15 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 27200

    Office

    $218.09

    Facility

    $205.08

    $7.65 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 27200

    Office

    $245.07

    Facility

    $229.91

    $34.63 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 27200

    Office

    $198.30

    Facility

    $186.46

    $12.14 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 27200

    Office

    $200.68

    Facility

    $189.95

    $9.76 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 27200

    Office

    $209.71

    Facility

    $197.35

    $0.73 lower than Delaware for the office setting.

See how rates vary across the country

27200 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$187.38

$248.04

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$247.421
AL$190.241
AR$187.381
AZ$206.961
CA$221.33–$274.7529
CO$219.801
CT$227.681
DC$242.441
DE$210.441
FL$213.60–$238.663
GA$200.74–$218.112
GU$226.471
HI$226.471
IA$193.551
ID$195.221
IL$208.46–$231.094
IN$196.361
KS$193.431
KY$196.721
LA$196.73–$206.752
MA$218.75–$240.922
MD$214.31–$242.443
ME$197.16–$207.052
MI$202.81–$217.222
MN$207.921
MO$193.77–$206.523
MS$190.571
MT$213.071
NC$199.181
ND$205.361
NE$194.401
NH$217.111
NJ$229.52–$239.942
NM$204.291
NV$211.061
NY$202.35–$254.275
OH$201.231
OK$195.471
OR$208.68–$226.042
PA$201.10–$222.382
PR$214.421
RI$217.421
SC$200.691
SD$204.451
TN$194.541
TX$199.79–$219.728
UT$203.511
VA$206.93–$242.442
VI$214.421
VT$205.291
WA$218.09–$245.072
WI$198.301
WV$200.681
WY$209.711

Explore 27200 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 27200 in Delaware, the physician’s office rate is $210.44 and the facility-setting rate is $198.23: a difference of $12.21.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 27200 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$231.48

$210.44 × 110% = $231.48

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27200 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

2,784

Code
27200
Physician work
1.87
Practice expense
4.12
Malpractice
0.39

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 27200 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.87× 1.0051.8793
Practice expense4.12× 0.9884.0706
Malpractice0.39× 0.8990.3506
Total RVUs6.3005
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$210.44

Open 27200 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.871.005
Practice expense4.120.988
Malpractice0.390.899

(1.87 × 1.005 + 4.12 × 0.988 + 0.39 × 0.899) × $33.4009 = $210.44

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.871.005
Practice expense3.750.988
Malpractice0.390.899

(1.87 × 1.005 + 3.75 × 0.988 + 0.39 × 0.899) × $33.4009 = $198.23

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

27200 · Office / nonfacility

$210.44

Effective 2026-10-01

The base rate is $18.04 higher than on 2025-10-01, moving from $192.40 to $210.44 (9.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $192.40changed to$210.44

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.92 changed to 1.87
    • Practice expense RVU 3.67 changed to 4.12
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $192.40

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$210.44$198.23RVU26D
2026-07-01$210.44$198.23RVU26C
2026-04-01$210.44$198.23RVU26B
2026-01-01$210.44$198.23RVU26A
2025-10-01$192.40$195.29RVU25D
2025-07-01$192.40$195.29RVU25C
2025-04-01$192.40$195.29RVU25B
2025-01-01$192.40$195.29RVU25A

27200 billing questions

How is 27200 distinguished from 27202?

Use 27200 for closed coccygeal fracture management without manipulation. Use 27202 when the clinician manipulates the fracture.

Does this code include follow-up care?

Yes. The CMS 90-day global period includes related postoperative care during that period, as well as the day-before preoperative visit.

Can modifier 50 be reported for a coccyx fracture?

No. The coccyx is a midline structure, and CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

What documentation supports reporting 27200?

Document the coccygeal fracture, the decision to provide closed management, that manipulation was not performed, and the plan for ongoing fracture care.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 27200PPRRVU2026_Oct_nonQPP.csv, line 2,784 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet