$510.07
Both address closed treatment of a proximal femoral neck fracture. Choose 27240 when the clinician manipulates the fracture; choose 27230 when treatment is without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27240 in Ohio
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$868.42
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 surgery
About 27240: Closed reduction of femoral neck fracture
Reports closed reduction of a proximal femoral neck fracture when the clinician manipulates the fracture to restore alignment, with or without skeletal traction.
An orthopedist or other qualified clinician uses closed manipulation to restore alignment of a fracture at the proximal femur’s neck. Skeletal traction may be used. This treatment is distinct from managing the fracture without manipulation and from percutaneous or open fixation. It is commonly performed in a hospital or other facility for a patient with a displaced femoral neck fracture when closed reduction is the chosen treatment.
Select the code based on the documented fracture location and the reduction performed: the record should support a femoral neck fracture and closed manipulation, including the reduction approach and use of traction when applicable. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral services reported with modifier 50, payment is at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 27240
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU13.46 · 50%
- Practice expense (office) RVU10.50 · 39%
- Malpractice RVU2.93 · 11%
136
Medicare services in 2024 · #4626 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.
27240 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
This code describes closed manipulation, not percutaneous skeletal fixation. Use 27235 when the treatment includes percutaneous fixation of the proximal femoral neck fracture.
No office rate
This code is for closed reduction. Use 27236 when the femoral neck fracture receives open treatment with internal fixation or prosthetic replacement.
The same code, a different location
How does Ohio compare?
27240 across payment areas
Same release and payment basis · bars start at $0
Ohio · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Ohio appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 27240
Office
Unavailable
Facility
$811.84
No comparable office rate is available.
Arkansas
Arkansas · 27240
Office
Unavailable
Facility
$801.24
No comparable office rate is available.
Arizona
Arizona · 27240
Office
Unavailable
Facility
$873.19
No comparable office rate is available.
Bakersfield
California · 27240
Office
Unavailable
Facility
$902.10
No comparable office rate is available.
Chico
California · 27240
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
El Centro
California · 27240
Office
Unavailable
Facility
$894.54
No comparable office rate is available.
Fresno
California · 27240
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Hanford-Corcoran
California · 27240
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Madera
California · 27240
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Merced
California · 27240
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Modesto
California · 27240
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Napa
California · 27240
Office
Unavailable
Facility
$989.85
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27240
Office
Unavailable
Facility
$937.67
No comparable office rate is available.
Redding
California · 27240
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Rest Of California
California · 27240
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27240
Office
Unavailable
Facility
$925.52
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27240
Office
Unavailable
Facility
$926.09
No comparable office rate is available.
Salinas
California · 27240
Office
Unavailable
Facility
$922.44
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27240
Office
Unavailable
Facility
$935.55
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27240
Office
Unavailable
Facility
$1031.71
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27240
Office
Unavailable
Facility
$1028.38
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27240
Office
Unavailable
Facility
$1057.21
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27240
Office
Unavailable
Facility
$1043.60
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27240
Office
Unavailable
Facility
$909.13
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27240
Office
Unavailable
Facility
$937.58
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27240
Office
Unavailable
Facility
$923.55
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27240
Office
Unavailable
Facility
$946.19
No comparable office rate is available.
Stockton
California · 27240
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Vallejo
California · 27240
Office
Unavailable
Facility
$985.05
No comparable office rate is available.
Visalia
California · 27240
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Yuba City
California · 27240
Office
Unavailable
Facility
$894.05
No comparable office rate is available.
Colorado
Colorado · 27240
Office
Unavailable
Facility
$904.56
No comparable office rate is available.
Connecticut
Connecticut · 27240
Office
Unavailable
Facility
$954.70
No comparable office rate is available.
Delaware
Delaware · 27240
Office
Unavailable
Facility
$886.31
No comparable office rate is available.
Fort Lauderdale
Florida · 27240
Office
Unavailable
Facility
$981.78
No comparable office rate is available.
Rest Of Florida
Florida · 27240
Office
Unavailable
Facility
$931.94
No comparable office rate is available.
Atlanta
Georgia · 27240
Office
Unavailable
Facility
$924.78
No comparable office rate is available.
Rest Of Georgia
Georgia · 27240
Office
Unavailable
Facility
$879.06
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27240
Office
Unavailable
Facility
$905.00
No comparable office rate is available.
Iowa
Iowa · 27240
Office
Unavailable
Facility
$809.33
No comparable office rate is available.
Idaho
Idaho · 27240
Office
Unavailable
Facility
$818.52
No comparable office rate is available.
East St. Louis
Illinois · 27240
Office
Unavailable
Facility
$969.33
No comparable office rate is available.
Rest Of Illinois
Illinois · 27240
Office
Unavailable
Facility
$922.74
No comparable office rate is available.
Suburban Chicago
Illinois · 27240
Office
Unavailable
Facility
$986.32
No comparable office rate is available.
Indiana
Indiana · 27240
Office
Unavailable
Facility
$822.25
No comparable office rate is available.
Kansas
Kansas · 27240
Office
Unavailable
Facility
$815.94
No comparable office rate is available.
Kentucky
Kentucky · 27240
Office
Unavailable
Facility
$850.90
No comparable office rate is available.
New Orleans
Louisiana · 27240
Office
Unavailable
Facility
$890.77
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27240
Office
Unavailable
Facility
$853.71
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27240
Office
Unavailable
Facility
$973.86
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27240
Office
Unavailable
Facility
$904.06
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27240
Office
Unavailable
Facility
$954.14
No comparable office rate is available.
Rest Of Maryland
Maryland · 27240
Office
Unavailable
Facility
$898.83
No comparable office rate is available.
Rest Of Maine
Maine · 27240
Office
Unavailable
Facility
$833.10
No comparable office rate is available.
Southern Maine
Maine · 27240
Office
Unavailable
Facility
$858.88
No comparable office rate is available.
Detroit
Michigan · 27240
Office
Unavailable
Facility
$953.01
No comparable office rate is available.
Rest Of Michigan
Michigan · 27240
Office
Unavailable
Facility
$880.26
No comparable office rate is available.
Minnesota
Minnesota · 27240
Office
Unavailable
Facility
$839.42
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27240
Office
Unavailable
Facility
$874.51
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27240
Office
Unavailable
Facility
$881.51
No comparable office rate is available.
Rest Of Missouri
Missouri · 27240
Office
Unavailable
Facility
$847.21
No comparable office rate is available.
Mississippi
Mississippi · 27240
Office
Unavailable
Facility
$823.86
No comparable office rate is available.
Montana**
Montana · 27240
Office
Unavailable
Facility
$897.95
No comparable office rate is available.
North Carolina
North Carolina · 27240
Office
Unavailable
Facility
$839.32
No comparable office rate is available.
North Dakota**
North Dakota · 27240
Office
Unavailable
Facility
$840.02
No comparable office rate is available.
Nebraska
Nebraska · 27240
Office
Unavailable
Facility
$810.27
No comparable office rate is available.
New Hampshire
New Hampshire · 27240
Office
Unavailable
Facility
$900.30
No comparable office rate is available.
Northern Nj
New Jersey · 27240
Office
Unavailable
Facility
$989.24
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27240
Office
Unavailable
Facility
$957.89
No comparable office rate is available.
New Mexico
New Mexico · 27240
Office
Unavailable
Facility
$888.71
No comparable office rate is available.
Nevada**
Nevada · 27240
Office
Unavailable
Facility
$882.16
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27240
Office
Unavailable
Facility
$1077.08
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27240
Office
Unavailable
Facility
$972.25
No comparable office rate is available.
Queens
New York · 27240
Office
Unavailable
Facility
$1034.01
No comparable office rate is available.
Rest Of New York
New York · 27240
Office
Unavailable
Facility
$851.55
No comparable office rate is available.
Oklahoma
Oklahoma · 27240
Office
Unavailable
Facility
$838.80
No comparable office rate is available.
Portland
Oregon · 27240
Office
Unavailable
Facility
$919.22
No comparable office rate is available.
Rest Of Oregon
Oregon · 27240
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27240
Office
Unavailable
Facility
$939.51
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27240
Office
Unavailable
Facility
$864.01
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27240
Office
Unavailable
Facility
$900.54
No comparable office rate is available.
Rhode Island
Rhode Island · 27240
Office
Unavailable
Facility
$907.70
No comparable office rate is available.
South Carolina
South Carolina · 27240
Office
Unavailable
Facility
$856.82
No comparable office rate is available.
South Dakota**
South Dakota · 27240
Office
Unavailable
Facility
$833.17
No comparable office rate is available.
Tennessee
Tennessee · 27240
Office
Unavailable
Facility
$820.92
No comparable office rate is available.
Austin
Texas · 27240
Office
Unavailable
Facility
$908.23
No comparable office rate is available.
Beaumont
Texas · 27240
Office
Unavailable
Facility
$859.64
No comparable office rate is available.
Brazoria
Texas · 27240
Office
Unavailable
Facility
$877.06
No comparable office rate is available.
Dallas
Texas · 27240
Office
Unavailable
Facility
$886.90
No comparable office rate is available.
Fort Worth
Texas · 27240
Office
Unavailable
Facility
$884.66
No comparable office rate is available.
Galveston
Texas · 27240
Office
Unavailable
Facility
$882.46
No comparable office rate is available.
Houston
Texas · 27240
Office
Unavailable
Facility
$936.09
No comparable office rate is available.
Rest Of Texas
Texas · 27240
Office
Unavailable
Facility
$870.77
No comparable office rate is available.
Utah
Utah · 27240
Office
Unavailable
Facility
$867.13
No comparable office rate is available.
Virginia
Virginia · 27240
Office
Unavailable
Facility
$863.42
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27240
Office
Unavailable
Facility
$900.54
No comparable office rate is available.
Vermont
Vermont · 27240
Office
Unavailable
Facility
$846.30
No comparable office rate is available.
Rest Of Washington
Washington · 27240
Office
Unavailable
Facility
$899.19
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27240
Office
Unavailable
Facility
$982.33
No comparable office rate is available.
Wisconsin
Wisconsin · 27240
Office
Unavailable
Facility
$815.70
No comparable office rate is available.
West Virginia
West Virginia · 27240
Office
Unavailable
Facility
$894.39
No comparable office rate is available.
Wyoming**
Wyoming · 27240
Office
Unavailable
Facility
$872.71
No comparable office rate is available.
See how rates vary across the country
27240 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Ohio is a Medicare payment area. Our Census mapping connects it to 1265 cities and communities in Ohio, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 27240 in Ohio. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$955.26
$868.42 × 110% = $955.26
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.
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 27240 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
2,800
- Code
- 27240
- Physician work
- 13.46
- Practice expense
- 10.50
- Malpractice
- 2.93
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.46 | × 1.000 | 13.4600 |
| Practice expense | 10.50 | × 0.913 | 9.5865 |
| Malpractice | 2.93 | × 1.008 | 2.9534 |
| Total RVUs | 25.9999 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$868.42
Open 27240 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.46 | 1 |
| Practice expense | 10.5 | 0.913 |
| Malpractice | 2.93 | 1.008 |
(13.46 × 1 + 10.5 × 0.913 + 2.93 × 1.008) × $33.4009 = $868.42
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
27240 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $868.42 | RVU26D |
| 2026-07-01 | Not available in this setting | $868.42 | RVU26C |
| 2026-04-01 | Not available in this setting | $868.42 | RVU26B |
| 2026-01-01 | Not available in this setting | $868.42 | RVU26A |
| 2025-10-01 | Not available in this setting | $909.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $909.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $909.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $909.99 | RVU25A |
27240 billing questions
How does this differ from 27230?
Use 27240 when the clinician manipulates the femoral neck fracture to restore alignment. Code 27230 is for closed treatment without manipulation.
Can skeletal traction be used with this code?
Yes. The code covers closed reduction with or without skeletal traction; document the reduction and traction when used.
Is related postoperative care separately reported during the global period?
The 90-day global period includes related postoperative care and the day-before preoperative visit.
How is bilateral treatment handled?
When the procedure is performed bilaterally and reported with modifier 50, CMS payment is at 150%.
Can an assistant surgeon or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeon and team-surgery reporting are not permitted.
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.
2,79727235,,Treat thigh fracture,A,,12.68,9.72,NA,9.72,,2.64,25.04,25.04,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79827236,,Treat thigh fracture,A,,17.17,11.85,NA,11.85,,3.61,32.63,32.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79927238,,Treat thigh fracture,A,,5.61,6.88,NA,6.88,,1.21,13.70,13.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80027240,,Treat thigh fracture,A,,13.46,10.50,NA,10.50,,2.93,26.89,26.89,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80127244,,Treat thigh fracture,A,,17.73,12.09,NA,12.09,,3.75,33.57,33.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80227245,,Treat thigh fracture,A,,17.73,12.04,NA,12.04,,3.71,33.48,33.48,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80327246,,Treat thigh fracture,A,,4.71,7.09,,5.58,,1.01,12.81,11.30,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703