No office rate
Choose 27226 for an acetabular wall fracture treated openly. This code describes a fracture involving one acetabular column.
On this page
CMS RVU26D · Effective 2026-10-01
27227 Acetabular fracture Medicare reimbursement rates in Kentucky
Reports open surgical treatment of an acetabular fracture involving the anterior or posterior column, with internal fixation included when performed. Compare 27227 office and facility rates across CMS payment localities in Kentucky.
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 27227 in Kentucky?
Kentucky has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1420.43
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
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.
Orthopedic surgery
About 27227: Open treatment of single-column acetabular fracture
Reports open surgical treatment of an acetabular fracture involving the anterior or posterior column, with internal fixation included when performed.
This code describes open surgical treatment of a fracture involving one column of the acetabulum, the socket portion of the hip joint. An orthopedic surgeon typically performs the operation in a hospital operating room, exposing and treating the fracture; internal fixation is included when used. The distinction is the fracture pattern: one column, anterior or posterior, rather than a wall fracture or involvement of both columns.
Select the code from the operative report’s description of the acetabular fracture pattern and the treatment performed. Documentation should identify the involved column and support that the fracture was treated through an open approach. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 27227
- 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 RVU24.77 · 56%
- Practice expense (office) RVU14.56 · 33%
- Malpractice RVU5.26 · 12%
695
Medicare services in 2024 · #3269 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.
27227 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
Use 27228 when both acetabular columns are involved; this code applies when the open-treated fracture involves one column.
$421.72
27220 describes closed treatment without manipulation. This code is for open surgical treatment of a single-column acetabular fracture.
No office rate
27222 describes closed treatment with manipulation, rather than open treatment of a single-column fracture.
Compare 27227 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.
1 of 1 payment localities
Kentucky →
Office / nonfacility
Unavailable
Facility
$1420.43
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27227 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,793
- Code
- 27227
- Physician work
- 24.77
- Practice expense
- 14.56
- Malpractice
- 5.26
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.77 | × 1.000 | 24.7700 |
| Practice expense | 14.56 | × 0.889 | 12.9438 |
| Malpractice | 5.26 | × 0.915 | 4.8129 |
| Total RVUs | 42.5267 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$1420.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.77 | 1 |
| Practice expense | 14.56 | 0.889 |
| Malpractice | 5.26 | 0.915 |
(24.77 × 1 + 14.56 × 0.889 + 5.26 × 0.915) × $33.4009 = $1420.43
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
27227 billing questions
How does this code differ from 27226?
This code is for an acetabular fracture involving one column. Code 27226 describes open treatment of an acetabular wall fracture.
When is 27228 used instead?
Use 27228 when the open-treated acetabular fracture involves both columns. The operative documentation should establish the fracture pattern.
Does the code include internal fixation?
Yes. Internal fixation is included when performed as part of the open fracture treatment.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this procedure. Team surgery is not permitted.
How is bilateral treatment handled?
For bilateral procedures reported with modifier 50, CMS pays at 150%. Document the treatment of both sides.
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.
2,79027220,,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
2,79627232,,Treat thigh fracture,A,,11.43,6.92,NA,6.92,,2.51,20.86,20.86,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631