CPT code 27228: Acetabular fracture repair2026 Medicare rate & RVUs in Nevada
Reports open surgical repair of an acetabular fracture involving both anterior and posterior columns, with internal fixation when performed.
CMS doesn’t publish an office rate for 27228 in Nevada.
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 27228 covers
This code represents open surgical management of an acetabular fracture that involves both the anterior and posterior columns of the hip socket. An orthopedic trauma surgeon typically performs the repair in a hospital operating room, reducing the fracture and using internal fixation when needed. The fracture pattern, rather than the number of fracture lines alone, distinguishes this service from repair of a single column or an isolated posterior wall fracture.
Select the code from the operative report’s description of the involved columns and the open treatment performed. Document the fracture pattern and repair so the record supports the both-column classification; fixation performed as part of the repair is included. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Modifier 50 is paid at 150% for bilateral reporting. Assistant-at-surgery and co-surgeon payment are permitted; team surgery payment is not.
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.
27228 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,652.19 |
How the 27228 rate is calculated
Each of 27228’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 · 27228
RVUs × geographic indexes × conversion factor
Work28.60
28.60 RVUs× 1.000 GPCI
Practice expense15.76
15.76 RVUs× 1.000 GPCI
Malpractice6.11
6.11 RVUs× 1.000 GPCI
Adjusted RVUs
50.4700
Conversion factor
$33.4009
Medicare rate
$1,685.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27228
27228 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27228
Acetabular fracture repair
| 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) | 2 | Paid. |
| Co-surgeons (62) | 2 | 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 · 27228
Acetabular fracture repair
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
27228 without 50 · national facility
$1,685.74
Acetabular fracture repair
27228-50 · Bilateral: 150%
$2,528.61
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).
27228 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27227Acetabular fracture
- Use 27227 when the fracture involves the anterior or posterior column, but not both. This code identifies involvement of both columns.
- 27226Acetabular repair
- Use 27226 for an acetabular fracture involving the posterior wall. This code is selected for a fracture involving both columns.
- 27222Acetabular fracture
- Code 27222 describes closed treatment with manipulation. This code is for open surgical repair of a both-column fracture.
27228 billing questions
How is this code distinguished from 27227?
This code is for a fracture involving both anterior and posterior columns. Code 27227 applies when the fracture involves the anterior column or the posterior column, rather than both.
Does the code include internal fixation?
Yes. Internal fixation performed as part of the open repair is included in the fracture service.
What documentation supports selecting this code?
The operative report should describe the acetabular fracture pattern as involving both anterior and posterior columns and document the open repair performed.
How does the 90-day global period affect postoperative reporting?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and for co-surgeons. Team surgery is not permitted for this code.
How is bilateral reporting paid?
When reported bilaterally with modifier 50, CMS pays this procedure at 150%.
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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