No office rate
Both address closed pelvic ring fracture care; the distinction is whether the fracture is manipulated. Use 27197 when it is not manipulated.
On this page
CMS RVU26D · Effective 2026-10-01
27197 Pelvic fracture treatment Medicare reimbursement rates in Ohio
Report nonoperative care of a pelvic ring fracture when the clinician treats the injury without manipulating or reducing the fracture. Compare 27197 office and facility rates across CMS payment localities in Ohio.
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 27197 in Ohio?
Ohio 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
$118.11
1 of 1 localities have a supported rate.
Payment area: Ohio
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 fracture care
About 27197: Closed pelvic ring fracture care without manipulation
Report nonoperative care of a pelvic ring fracture when the clinician treats the injury without manipulating or reducing the fracture.
This service covers nonoperative treatment of a pelvic ring fracture without manipulating the fracture. Orthopedic surgeons and other clinicians managing fractures may provide it in an office, emergency department, or hospital setting. A stable pubic ramus fracture is a typical example; the injury must involve the pelvic ring rather than the hip joint or acetabulum.
Choose this code when the treatment record supports care of the pelvic ring fracture and shows that no fracture manipulation was performed. Document the fracture location, treatment plan, and whether reduction or manipulation occurred. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery is not paid, and co-surgeons and team surgery are not permitted.
CMS billing rules for 27197
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU1.49 · 40%
- Practice expense (office) RVU1.91 · 52%
- Malpractice RVU0.30 · 8%
7.7K
Medicare services in 2024 · #1604 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.
27197 compared with similar codes
Office rates for Ohio, from the same CMS release.
$430.88
This code applies to closed treatment of an acetabular fracture without manipulation. Code 27197 is for a pelvic ring fracture.
No office rate
This code applies to closed treatment of an acetabular fracture with manipulation. Code 27197 is for a pelvic ring fracture without manipulation.
Compare 27197 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
Ohio →
Office / nonfacility
Unavailable
Facility
$118.11
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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 27197 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
2,782
- Code
- 27197
- Physician work
- 1.49
- Practice expense
- 1.91
- Malpractice
- 0.30
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.49 | × 1.000 | 1.4900 |
| Practice expense | 1.91 | × 0.913 | 1.7438 |
| Malpractice | 0.30 | × 1.008 | 0.3024 |
| Total RVUs | 3.5362 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$118.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.49 | 1 |
| Practice expense | 1.91 | 0.913 |
| Malpractice | 0.3 | 1.008 |
(1.49 × 1 + 1.91 × 0.913 + 0.3 × 1.008) × $33.4009 = $118.11
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.
27197 billing questions
How does this code differ from 27198?
Use 27197 when the clinician treats the pelvic ring fracture without manipulating it. Code 27198 is the related choice when manipulation is performed.
Can modifier 50 be reported for fractures on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
How are other procedures paid when performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
An assistant at surgery is not paid under the statutory restriction. Co-surgeons and team surgery are not permitted.
Does the 0-day global period include later follow-up visits?
It includes same-day preoperative and postoperative care. Care on a later date falls outside this code's global period.
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.
2,77927181,,Treat slipped epiphysis,A,,15.78,11.78,NA,11.78,,3.35,30.91,30.91,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78027185,,Revision of femur epiphysis,A,,9.55,8.68,NA,8.68,,2.04,20.27,20.27,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78127187,,Reinforce hip bones,A,,13.87,10.73,NA,10.73,,2.94,27.54,27.54,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78227197,,Clsd tx pelvic ring fx,A,,1.49,1.91,NA,1.91,,0.30,3.70,3.70,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78327198,,Clsd tx pelvic ring fx,A,,4.63,2.89,NA,2.89,,0.99,8.51,8.51,0,000,0.00,0.00,0.00,2,0,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78427200,,Treat tail bone fracture,A,,1.87,4.12,,3.75,,0.39,6.38,6.01,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,78527202,,Treat tail bone fracture,A,,7.13,6.24,NA,6.24,,1.50,14.87,14.87,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703