No office rate
Both codes describe closed pelvic ring treatment. Report 27198 when treatment involves manipulation; report 27197 when it does not.
On this page
CMS RVU26D · Effective 2026-10-01
27198 Pelvic ring treatment Medicare reimbursement rates in Alabama
Reports closed manipulative treatment of a pelvic ring fracture or disruption when the clinician performs a reduction rather than treating it without manipulation. Compare 27198 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 27198 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$257.82
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic trauma
About 27198: Closed reduction of pelvic ring fracture
Reports closed manipulative treatment of a pelvic ring fracture or disruption when the clinician performs a reduction rather than treating it without manipulation.
An orthopedic or trauma surgeon reports this service for closed treatment of a pelvic ring fracture, dislocation, diastasis, or subluxation that requires manipulation to restore alignment. The clinician repositions the disrupted pelvic ring without open exposure or operative fixation; reduction may involve external maneuvers or traction and may take place in an operating room with anesthesia. The injury can involve the pelvic ring, including the sacroiliac region or pubic rami, depending on the fracture pattern.
Choose this code when the documented treatment includes manipulation; 27197 is the related code for closed treatment without manipulation. The record should identify the injury pattern, describe the reduction maneuver, and support the need for manipulation, with imaging findings documenting alignment when available. The CMS global period is zero days, so same-day preoperative and postoperative care is 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 multiple-procedure reduction. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons are permitted, while team surgery is not permitted.
CMS billing rules for 27198
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.63 · 54%
- Practice expense (office) RVU2.89 · 34%
- Malpractice RVU0.99 · 12%
188
Medicare services in 2024 · #4370 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.
27198 compared with similar codes
Office rates for Alabama, from the same CMS release.
27216
No office rateTreat pelvic ring fracture
27198 describes closed manipulative treatment. 27216 is for percutaneous skeletal fixation of a posterior pelvic ring fracture or dislocation.
27217
No office rateTreat pelvic ring fracture
27198 is closed treatment with manipulation. 27217 describes open treatment of an anterior pelvic ring fracture.
Compare 27198 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$257.82
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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 27198 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,783
- Code
- 27198
- Physician work
- 4.63
- Practice expense
- 2.89
- Malpractice
- 0.99
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.63 | × 1.000 | 4.6300 |
| Practice expense | 2.89 | × 0.875 | 2.5288 |
| Malpractice | 0.99 | × 0.566 | 0.5603 |
| Total RVUs | 7.7191 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$257.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.63 | 1 |
| Practice expense | 2.89 | 0.875 |
| Malpractice | 0.99 | 0.566 |
(4.63 × 1 + 2.89 × 0.875 + 0.99 × 0.566) × $33.4009 = $257.82
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.
27198 billing questions
How does 27198 differ from 27197?
27198 is for closed pelvic ring treatment that includes manipulation to reduce the injury. Use 27197 when closed treatment is performed without manipulation.
Can modifier 50 be reported for treatment of both sides of the pelvic ring?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What documentation supports reporting 27198?
Document the pelvic ring injury, the reduction maneuver performed, and why manipulation was required. Include imaging findings that show the injury and post-reduction alignment when available.
How is 27198 affected when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons are permitted; team surgery is 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.
2,78027185,,Revision of femur epiphysis,A,,9.55,8.68,NA,8.68,,2.04,20.27,20.27,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78127187,,Reinforce hip bones,A,,13.87,10.73,NA,10.73,,2.94,27.54,27.54,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78227197,,Clsd tx pelvic ring fx,A,,1.49,1.91,NA,1.91,,0.30,3.70,3.70,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78327198,,Clsd tx pelvic ring fx,A,,4.63,2.89,NA,2.89,,0.99,8.51,8.51,0,000,0.00,0.00,0.00,2,0,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78427200,,Treat tail bone fracture,A,,1.87,4.12,,3.75,,0.39,6.38,6.01,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78527202,,Treat tail bone fracture,A,,7.13,6.24,NA,6.24,,1.50,14.87,14.87,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78627215,,Treat pelvic fracture(s),I,+,10.19,4.92,NA,4.92,,1.09,16.20,16.20,9,090,0.10,0.69,0.21,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515