$512.21
Both address closed treatment of a proximal femoral neck fracture. Choose 27240 when the clinician manipulates the fracture; choose 27230 when treatment is without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
27240 Femoral fracture care Medicare reimbursement rates in North Dakota
Reports closed reduction of a proximal femoral neck fracture when the clinician manipulates the fracture to restore alignment, with or without skeletal traction. Compare 27240 office and facility rates across CMS payment localities in North Dakota.
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 27240 in North Dakota?
North Dakota 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
$840.02
1 of 1 localities have a supported rate.
Payment area: North Dakota**
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 27240: Closed reduction of femoral neck fracture
Reports closed reduction of a proximal femoral neck fracture when the clinician manipulates the fracture to restore alignment, with or without skeletal traction.
An orthopedist or other qualified clinician uses closed manipulation to restore alignment of a fracture at the proximal femur’s neck. Skeletal traction may be used. This treatment is distinct from managing the fracture without manipulation and from percutaneous or open fixation. It is commonly performed in a hospital or other facility for a patient with a displaced femoral neck fracture when closed reduction is the chosen treatment.
Select the code based on the documented fracture location and the reduction performed: the record should support a femoral neck fracture and closed manipulation, including the reduction approach and use of traction when applicable. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral services reported with modifier 50, payment is at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 27240
- 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 RVU13.46 · 50%
- Practice expense (office) RVU10.50 · 39%
- Malpractice RVU2.93 · 11%
136
Medicare services in 2024 · #4626 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.
27240 compared with similar codes
Office rates for North Dakota, from the same CMS release.
No office rate
This code describes closed manipulation, not percutaneous skeletal fixation. Use 27235 when the treatment includes percutaneous fixation of the proximal femoral neck fracture.
No office rate
This code is for closed reduction. Use 27236 when the femoral neck fracture receives open treatment with internal fixation or prosthetic replacement.
Compare 27240 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
North Dakota** →
Office / nonfacility
Unavailable
Facility
$840.02
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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 27240 in North Dakota**.
PPRRVU2026_Oct_nonQPP.csv
2,800
- Code
- 27240
- Physician work
- 13.46
- Practice expense
- 10.50
- Malpractice
- 2.93
GPCI2026.csv
84
- Locality
- North Dakota**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.46 | × 1.000 | 13.4600 |
| Practice expense | 10.50 | × 1.000 | 10.5000 |
| Malpractice | 2.93 | × 0.406 | 1.1896 |
| Total RVUs | 25.1496 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Dakota**$840.02
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.46 | 1 |
| Practice expense | 10.5 | 1 |
| Malpractice | 2.93 | 0.406 |
(13.46 × 1 + 10.5 × 1 + 2.93 × 0.406) × $33.4009 = $840.02
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.
27240 billing questions
How does this differ from 27230?
Use 27240 when the clinician manipulates the femoral neck fracture to restore alignment. Code 27230 is for closed treatment without manipulation.
Can skeletal traction be used with this code?
Yes. The code covers closed reduction with or without skeletal traction; document the reduction and traction when used.
Is related postoperative care separately reported during the global period?
The 90-day global period includes related postoperative care and the day-before preoperative visit.
How is bilateral treatment handled?
When the procedure is performed bilaterally and reported with modifier 50, CMS payment is at 150%.
Can an assistant surgeon or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeon and team-surgery reporting are 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.
2,79727235,,Treat thigh fracture,A,,12.68,9.72,NA,9.72,,2.64,25.04,25.04,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79827236,,Treat thigh fracture,A,,17.17,11.85,NA,11.85,,3.61,32.63,32.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,79927238,,Treat thigh fracture,A,,5.61,6.88,NA,6.88,,1.21,13.70,13.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80027240,,Treat thigh fracture,A,,13.46,10.50,NA,10.50,,2.93,26.89,26.89,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80127244,,Treat thigh fracture,A,,17.73,12.09,NA,12.09,,3.75,33.57,33.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80227245,,Treat thigh fracture,A,,17.73,12.04,NA,12.04,,3.71,33.48,33.48,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,80327246,,Treat thigh fracture,A,,4.71,7.09,,5.58,,1.01,12.81,11.30,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8113292,NY,04,QUEENS,1.064,1.182,1.442
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744