No office rate
Choose 27236 for open treatment of a femoral neck fracture with fixation or prosthetic replacement. Choose 27235 for percutaneous skeletal fixation.
On this page
CMS RVU26D · Effective 2026-10-01
27236 Femoral neck repair Medicare reimbursement rates in Alabama
Reports open operative treatment of a proximal femoral neck fracture using internal fixation or prosthetic replacement by an orthopedic surgeon. Compare 27236 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 27236 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
$988.07
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 surgery
About 27236: Open femoral neck fracture repair
Reports open operative treatment of a proximal femoral neck fracture using internal fixation or prosthetic replacement by an orthopedic surgeon.
This code describes open surgery for a fracture through the femoral neck, the part of the thigh bone connecting its head to the shaft. The orthopedic surgeon exposes the fracture and treats it with internal fixation or replaces the fractured portion with a prosthesis. It is commonly performed in a hospital operating room for patients whose femoral neck fracture requires this open approach and treatment; it is distinct from percutaneous fixation and closed fracture care.
Select the code when the operative report supports the femoral neck location, open exposure, and fixation or prosthetic replacement. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 27236
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.17 · 53%
- Practice expense (office) RVU11.85 · 36%
- Malpractice RVU3.61 · 11%
74.6K
Medicare services in 2024 · #650 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.
27236 compared with similar codes
Office rates for Alabama, from the same CMS release.
$480.41
27230 describes closed treatment of a femoral neck fracture without manipulation, rather than open fixation or replacement.
No office rate
27232 describes closed treatment of a femoral neck fracture with manipulation; 27236 requires open operative treatment.
No office rate
27244 is for plate-and-screw treatment of an intertrochanteric, pertrochanteric, or subtrochanteric fracture, not a femoral neck fracture.
Compare 27236 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
$988.07
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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 27236 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,798
- Code
- 27236
- Physician work
- 17.17
- Practice expense
- 11.85
- Malpractice
- 3.61
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.17 | × 1.000 | 17.1700 |
| Practice expense | 11.85 | × 0.875 | 10.3688 |
| Malpractice | 3.61 | × 0.566 | 2.0433 |
| Total RVUs | 29.5820 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$988.07
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.17 | 1 |
| Practice expense | 11.85 | 0.875 |
| Malpractice | 3.61 | 0.566 |
(17.17 × 1 + 11.85 × 0.875 + 3.61 × 0.566) × $33.4009 = $988.07
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.
27236 billing questions
How does this differ from 27235?
27236 is for open treatment of the femoral neck fracture with fixation or prosthetic replacement. 27235 is the percutaneous fixation alternative.
Can the code cover prosthetic replacement instead of fixation?
Yes. The code includes open treatment using internal fixation or prosthetic replacement; the operative report should identify the treatment performed.
Is routine postoperative fracture care separately reported?
Related postoperative care during the 90-day global period is included. The global period also includes the preoperative visit on the day before surgery.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; 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.
2,79527230,,Treat thigh fracture,A,,5.66,9.18,,7.28,,1.22,16.06,14.16,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79627232,,Treat thigh fracture,A,,11.43,6.92,NA,6.92,,2.51,20.86,20.86,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79727235,,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
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