Billing code 27222: Acetabular fractureMedicare rate & RVUs in Illinois
Report closed treatment of an acetabular fracture when the clinician manipulates the fracture to improve alignment without open surgical exposure.
CMS doesn’t publish an office rate for 27222 in Illinois.
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 27222 covers
An orthopedic surgeon typically reports this service for a fracture of the acetabulum, the socket portion of the hip joint, when the fracture is treated without opening the site and manipulation is performed to improve alignment. The work may take place in a hospital or another setting equipped for acute fracture treatment. The record should identify the acetabular fracture and document the reduction or other manipulation performed, the affected side, and the treatment plan.
Choose this code when manipulation is part of closed fracture treatment; use the sibling code 27220 when closed treatment is performed without manipulation. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. 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 50% reduction. For bilateral reporting with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery for this service; 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.
Where 27222 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $1,048.98 |
| East St. Louis | Unavailable | $987.57 |
| Rest Of Illinois | Unavailable | $940.33 |
| Suburban Chicago | Unavailable | $1,004.95 |
How the 27222 rate is calculated
Each of 27222’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 · 27222
RVUs × geographic indexes × conversion factor
Work13.76
13.76 RVUs× 1.000 GPCI
Practice expense10.68
10.68 RVUs× 1.000 GPCI
Malpractice2.97
2.97 RVUs× 1.000 GPCI
Adjusted RVUs
27.4100
Conversion factor
$33.4009
Medicare rate
$915.52
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27222
27222 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27222
Acetabular fracture
| 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 · 27222
Acetabular fracture
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
27222 without 50 · national facility
$915.52
Acetabular fracture
27222-50 · Bilateral: 150%
$1,373.28
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).
27222 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 27220Acetabular fracture care
- Both describe closed acetabular fracture treatment. Choose 27222 when manipulation is performed; choose 27220 when it is not.
- 27226Acetabular repair
- 27222 is closed treatment with manipulation. 27226 describes open treatment of an acetabular fracture involving a wall.
- 27227Acetabular fracture
- Choose 27222 for closed treatment with manipulation. 27227 is an open-treatment code, so the operative approach and documented fracture pattern distinguish it.
- 27228Acetabular fracture repair
- 27228 describes open treatment of an acetabular fracture involving two columns; 27222 is closed treatment with manipulation.
27222 billing questions
How do I choose between 27222 and 27220?
Use 27222 when the closed acetabular fracture treatment includes manipulation to improve alignment. Use 27220 when the fracture is treated closed without manipulation.
Does this code describe open fixation?
No. It describes closed treatment with manipulation. Open treatment of an acetabular fracture is represented by other codes, selected according to the fracture pattern and operative service.
What documentation supports reporting 27222?
Document the acetabular fracture, laterality, the manipulation or reduction performed, and the resulting treatment plan. The record should make clear that manipulation was part of closed fracture care.
How does the 90-day global affect follow-up billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Routine related care during that period is included in the global service.
How is bilateral treatment handled?
CMS lists this as a bilateral procedure; reporting modifier 50 results in payment at 150%. Document treatment of both acetabula.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery 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
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