No office rate
Use 27269 when the proximal femoral neck fracture is associated with a hip dislocation. Use 27236 for the open fracture treatment without that associated dislocation.
On this page
CMS RVU26D · Effective 2026-10-01
27269 Femoral fracture repair Medicare reimbursement rates in Massachusetts
Openly treats a proximal femoral neck fracture with an associated hip dislocation, using internal fixation or prosthetic replacement when indicated. Compare 27269 office and facility rates across CMS payment localities in Massachusetts.
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 27269 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1124.67–$1205.16
2 of 2 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.
Orthopedic surgery
About 27269: Open treatment of femoral neck fracture with hip dislocation
Openly treats a proximal femoral neck fracture with an associated hip dislocation, using internal fixation or prosthetic replacement when indicated.
This code describes open surgical treatment of a fracture at the proximal femur’s neck when the injury is accompanied by a hip dislocation. The surgeon exposes the injury, addresses the dislocation, and treats the fracture with internal fixation or prosthetic replacement as clinically indicated. These cases are typically managed by an orthopedic surgeon in a hospital operating room or other facility setting.
Report the code when the operative documentation supports both the proximal femoral neck fracture and associated hip dislocation, along with the open treatment performed. The record should identify the fracture and dislocation and describe the reduction and fracture treatment. Medicare 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 multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27269
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU18.42 · 55%
- Practice expense (office) RVU11.26 · 34%
- Malpractice RVU3.89 · 12%
155
Medicare services in 2024 · #4536 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.
27269 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
27267 describes closed treatment without manipulation. This code describes open treatment of a fracture with an associated hip dislocation.
No office rate
27268 describes closed treatment with manipulation. It is not the open fracture-and-dislocation treatment described by 27269.
No office rate
27253 addresses open treatment of traumatic hip dislocation. This code is for open treatment when a proximal femoral neck fracture accompanies the dislocation.
Compare 27269 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$1205.16
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1124.67
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27269 billing questions
How does this differ from 27236?
This code is for open treatment of a proximal femoral neck fracture with an associated hip dislocation. Use 27236 for the corresponding open fracture treatment when the associated dislocation is not part of the case.
Can the hip dislocation treatment be reported separately?
The code describes open treatment of the fracture with the associated hip dislocation. Review the operative report and applicable coding guidance before considering a separate dislocation code for work included in this service.
What documentation supports reporting this code?
Document the proximal femoral neck fracture, the associated hip dislocation, and the open treatment performed. Include whether the fracture was treated with internal fixation or prosthetic replacement.
How does the 90-day global affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The period begins around the surgery and encompasses routine related follow-up.
How are other procedures in the same session paid?
For same-session multiple procedures, Medicare pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the others. Modifier 50 bilateral reporting is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation; team surgery is 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 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.
2,81427266,,Treat hip dislocation,A,,7.59,7.49,NA,7.49,,1.62,16.70,16.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81527267,,Cltx thigh fx,A,,5.36,6.43,NA,6.43,,1.12,12.91,12.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81627268,,Cltx thigh fx w/mnpj,A,,6.94,7.05,NA,7.05,,1.47,15.46,15.46,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81727269,,Optx thigh fx,A,,18.42,11.26,NA,11.26,,3.89,33.57,33.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81827275,,Manipulation of hip joint,A,,2.26,2.63,NA,2.63,,0.46,5.35,5.35,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81927278,,Arthrd si jt plmt iartic dev,A,,7.66,403.30,,4.64,,0.85,411.81,13.15,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82027279,,Arthrd si jt plmt tartclr dv,A,,11.83,8.26,NA,8.26,,2.62,22.71,22.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00