Billing code 27220: Acetabular fracture careMedicare rate & RVUs in Delaware
Reports definitive closed management of an acetabular fracture when the fracture is treated without a reduction maneuver or operative exposure.
Medicare pays $445.16 for 27220 in the office in Delaware (Delaware). Which amount applies depends on the service address.
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 27220 covers
Code 27220 represents definitive nonsurgical care of an acetabular fracture, involving the pelvic socket that receives the femoral head, when the clinician does not manipulate the fracture to reduce it. Orthopedic trauma surgeons commonly use it for a socket fracture selected for closed management rather than operative exposure, often in hospital-based trauma care. The record should identify the acetabular fracture and support closed treatment without a reduction maneuver.
Report the code for fracture treatment, not just an initial assessment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral treatment reported with modifier 50 is paid at 150%. A statutory restriction bars payment for an assistant at surgery; 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.
27220 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $445.16 | $385.43 |
How the 27220 rate is calculated
Each of 27220’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 · 27220
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.36Practice expense 7.00Malpractice 1.14
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27220
27220 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27220
Acetabular 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 · 27220
Acetabular 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
27220 without 50 · national office
$450.91
Acetabular fracture care
27220-50 · Bilateral: 150%
$676.37
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).
27220 compared with similar codes
Compare codes
27220 vs 27222 vs 27226 vs 27227 vs 27228: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27222Acetabular fracture
- Both codes cover closed management of an acetabular fracture. Choose 27220 when no manipulation is performed; 27222 is for treatment that includes manipulation.
- 27226Acetabular repair
- 27220 describes closed treatment without manipulation. Use 27226 for open treatment of a fracture involving the posterior wall.
- 27227Acetabular fracture
- 27220 is closed management without manipulation; 27227 describes open treatment when the fracture involves the anterior column.
- 27228Acetabular fracture repair
- Use 27220 for closed management without manipulation. Code 27228 is for open treatment involving both the anterior and posterior columns.
27220 billing questions
How does 27220 differ from 27222?
Use 27220 when the acetabular fracture is treated closed without manipulation. Code 27222 is the related closed-treatment option when manipulation is performed.
Does the code include fracture follow-up?
Yes. CMS assigns a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be reported for fractures on both sides?
For bilateral treatment, CMS pays 150% when modifier 50 is reported.
Is an assistant surgeon payable?
No. CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons and team surgery are also not permitted.
What should the documentation establish?
Document the acetabular fracture and the decision to manage it closed without a reduction maneuver. The record should support definitive fracture treatment rather than evaluation alone.
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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