No office rate
Both codes cover closed management of an acetabular fracture. Choose 27220 when no manipulation is performed; 27222 is for treatment that includes manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27220 Acetabular fracture care Medicare reimbursement rates in Missouri
Reports definitive closed management of an acetabular fracture when the fracture is treated without a reduction maneuver or operative exposure. Compare 27220 office and facility rates across CMS payment localities in Missouri.
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 27220 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$417.66–$439.77
3 of 3 localities have a supported rate.
Facility setting
$365.54–$382.21
3 of 3 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 27220 pays more and less in Missouri
3 payment localities
$417.66 to $439.77
Orthopedic fracture care
About 27220: Closed acetabular fracture treatment
Reports definitive closed management of an acetabular fracture when the fracture is treated without a reduction maneuver or operative exposure.
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.
CMS billing rules for 27220
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.36 · 40%
- Practice expense (office) RVU7.00 · 52%
- Malpractice RVU1.14 · 8%
2.1K
Medicare services in 2024 · #2436 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.
27220 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
27220 describes closed treatment without manipulation. Use 27226 for open treatment of a fracture involving the posterior wall.
No office rate
27220 is closed management without manipulation; 27227 describes open treatment when the fracture involves the anterior column.
No office rate
Use 27220 for closed management without manipulation. Code 27228 is for open treatment involving both the anterior and posterior columns.
Compare 27220 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$435.77
Facility
$379.01
Metropolitan St. Louis →
Office / nonfacility
$439.77
Facility
$382.21
Rest Of Missouri →
Office / nonfacility
$417.66
Facility
$365.54
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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 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.
2,78727216,,Treat pelvic ring fracture,I,+,15.34,6.89,NA,6.89,,1.63,23.86,23.86,9,090,0.10,0.69,0.21,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78827217,,Treat pelvic ring fracture,I,+,14.28,6.67,NA,6.67,,1.51,22.46,22.46,9,090,0.10,0.69,0.21,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78927218,,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