CPT code 27197: Pelvic fracture treatment2026 Medicare rate & RVUs in Alaska
Report nonoperative care of a pelvic ring fracture when the clinician treats the injury without manipulating or reducing the fracture.
CMS doesn’t publish an office rate for 27197 in Alaska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27197 covers
This service covers nonoperative treatment of a pelvic ring fracture without manipulating the fracture. Orthopedic surgeons and other clinicians managing fractures may provide it in an office, emergency department, or hospital setting. A stable pubic ramus fracture is a typical example; the injury must involve the pelvic ring rather than the hip joint or acetabulum.
Choose this code when the treatment record supports care of the pelvic ring fracture and shows that no fracture manipulation was performed. Document the fracture location, treatment plan, and whether reduction or manipulation occurred. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery is not paid, and 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.
27197 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $148.11 |
How the 27197 rate is calculated
Each of 27197’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.
How the rate is built · 27197
RVUs × geographic indexes × conversion factor
Work1.49
1.49 RVUs× 1.000 GPCI
Practice expense1.91
1.91 RVUs× 1.000 GPCI
Malpractice0.30
0.30 RVUs× 1.000 GPCI
Adjusted RVUs
3.7000
Conversion factor
$33.4009
Medicare rate
$123.58
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27197
The CMS indicators that decide how 27197 is paid alongside other services.
CMS payment indicators · 27197
Pelvic fracture treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
27197 without 51 · national facility
$123.58
Pelvic fracture treatment
27197-51 · Second procedure: 50%
$61.79
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
27197 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27198Pelvic ring treatment
- Both address closed pelvic ring fracture care; the distinction is whether the fracture is manipulated. Use 27197 when it is not manipulated.
- 27220Acetabular fracture care
- This code applies to closed treatment of an acetabular fracture without manipulation. Code 27197 is for a pelvic ring fracture.
- 27222Acetabular fracture
- This code applies to closed treatment of an acetabular fracture with manipulation. Code 27197 is for a pelvic ring fracture without manipulation.
27197 billing questions
How does this code differ from 27198?
Use 27197 when the clinician treats the pelvic ring fracture without manipulating it. Code 27198 is the related choice when manipulation is performed.
Can modifier 50 be reported for fractures on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
How are other procedures paid when performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
An assistant at surgery is not paid under the statutory restriction. Co-surgeons and team surgery are not permitted.
Does the 0-day global period include later follow-up visits?
It includes same-day preoperative and postoperative care. Care on a later date falls outside this code's global period.
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
Show the CMS file lines behind this rate
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