No office rate
Both describe open treatment of a one-column acetabular fracture; 27227 is the code to compare when the fracture also involves an acetabular wall.
On this page
CMS RVU26D · Effective 2026-10-01
27226 Acetabular repair Medicare reimbursement rates in Illinois
Report open operative treatment of an acetabular fracture involving one column when the fracture pattern does not include an acetabular wall fracture. Compare 27226 office and facility rates across CMS payment localities in Illinois.
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 27226 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$997.59–$1112.74
4 of 4 localities have a supported rate.
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.
Where 27226 pays more and less in Illinois
Orthopedic surgery
About 27226: Open repair of one-column acetabular fracture
Report open operative treatment of an acetabular fracture involving one column when the fracture pattern does not include an acetabular wall fracture.
An orthopedic trauma surgeon uses an open approach to reduce and stabilize an acetabular fracture involving the anterior or posterior column. The operation is generally performed in a hospital operating room for a fracture requiring open treatment; internal fixation is included when performed. The code is distinguished by the fracture pattern, not simply by the surgical approach or the hardware used.
Choose this code from the operative findings and documentation of the injured acetabular column and whether a wall fracture is also present. Document the fracture pattern, open reduction and treatment performed, and fixation when used. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. For same-session procedures subject to the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 27226
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.18 · 52%
- Practice expense (office) RVU10.54 · 36%
- Malpractice RVU3.24 · 11%
307
Medicare services in 2024 · #3979 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.
27226 compared with similar codes
Office rates for Illinois, from the same CMS release.
No office rate
Use 27228 for an acetabular fracture involving two columns, rather than the one-column pattern represented by 27226.
$452.01–$502.64
27220 describes closed treatment without manipulation. This code is for open treatment of a one-column acetabular fracture.
No office rate
27222 describes closed treatment with manipulation; it is not the open treatment code for a one-column acetabular fracture.
Compare 27226 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
Unavailable
Facility
$1112.74
East St. Louis →
Office / nonfacility
Unavailable
Facility
$1048.86
Rest Of Illinois →
Office / nonfacility
Unavailable
Facility
$997.59
Suburban Chicago →
Office / nonfacility
Unavailable
Facility
$1063.89
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27226 billing questions
How is this code distinguished from 27227?
Use 27226 for open treatment of a fracture involving one acetabular column without an associated wall fracture. When the one-column fracture also involves an acetabular wall, compare 27227.
Is internal fixation separately reported?
No. Internal fixation, when performed as part of the open fracture treatment, is included in this code.
What supports choosing this code?
The operative report should identify the acetabular fracture pattern, including the involved column and whether a wall fracture is present, and describe the open treatment performed.
How does the global period affect postoperative billing?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available, and co-surgeons are permitted. Team surgery is not permitted under the CMS rules supplied for this code.
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.
2,78927218,,Treat pelvic ring fracture,I,+,20.41,8.01,NA,8.01,,2.18,30.60,30.60,9,090,0.10,0.69,0.21,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79027220,,Treat hip socket fracture,A,,5.36,7.00,,5.19,,1.14,13.50,11.69,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79127222,,Treat hip socket fracture,A,,13.76,10.68,NA,10.68,,2.97,27.41,27.41,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79227226,,Treat hip wall fracture,A,,15.18,10.54,NA,10.54,,3.24,28.96,28.96,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79327227,,Treat hip fracture(s),A,,24.77,14.56,NA,14.56,,5.26,44.59,44.59,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79427228,,Treat hip fracture(s),A,,28.60,15.76,NA,15.76,,6.11,50.47,50.47,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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