Billing code 27240: Femoral fracture careMedicare rate & RVUs in Alaska
Reports closed reduction of a proximal femoral neck fracture when the clinician manipulates the fracture to restore alignment, with or without skeletal traction.
CMS doesn’t publish an office rate for 27240 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 27240 covers
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.
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 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $1,101.79 |
How the 27240 rate is calculated
Each of 27240’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 · 27240
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 13.46Practice expense 10.50Malpractice 2.93
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27240
27240 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27240
Femoral fracture care
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27240
Femoral fracture care
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27240 without 50 · national facility
$898.15
Femoral fracture care
27240-50 · Bilateral: 150%
$1,347.23
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27240 compared with similar codes
Compare codes
27240 vs 27230 vs 27235 vs 27236: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27230Fracture treatment
- 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.
- 27235Fracture fixation
- This code describes closed manipulation, not percutaneous skeletal fixation. Use 27235 when the treatment includes percutaneous fixation of the proximal femoral neck fracture.
- 27236Femoral neck repair
- This code is for closed reduction. Use 27236 when the femoral neck fracture receives open treatment with internal fixation or prosthetic replacement.
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 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
Fee sheets
Put 27240 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →